Title: Impact of Training Courses on Participant’s Patient Centred Attitudes
Authors: Mudiyanse RM, de Silva SL, Pallegama R
DOI: http://dx.doi.org/10.18535/jmscr/v3i9.48
Introduction - Patient centred attitudes are valuable attributes of doctors that should be preserved and enhanced during education programs. Curriculum related deterioration of attitudes has been recorded in literature. Relevant data on the impact of short-term training courses conducted in Sri Lanka is not available. Objective - To compare and evaluate the impact of three different short-term training courses on the attitudinal changes of participants. Methodology - All the participants of three workshops in advance life support (APLS), neonatal life support (NLS) and communication conducted in Anuradhapura in September 2012 were evaluated. Validated Sinhala version of the Patient Practitioner Orientation Scale (PPOS) was administered before and after training to assess the patient centeredness on Sharing and Caring sub-scales. Proportions showing improvements on total, sharing and caring scores were compared using Chi-square statistics across the three groups. Results - Numbers of participants in APLS, NLS and Communication workshops were 25, 21 and 24 respectively. The response rates were 72%(18/25), 57%(12/21) and 75%(18/24). Improvement on the total PPOS was seen in 44%(8/18), 42% (5/12) and 72%(13/18), while deterioration was seen in 56%(10/18), 50%(6/12) and 28%(5/18) of APLS, NLS and Communication workshops participants. Improvement on the Sharing was seen in 50%(9/18), 25%(3/12) and 83%(15/18) and improvement on the Caring was seen in 33%(6/18), 42%(5/18) and 56(10/18) of the participants in APLS, NLS and Communication workshops. Among the communication group the number of participants improved on Sharing was significant compared to the improvement observed in other two groups on the same aspect (Pearson Chi-Square=13.04, P=0.01). Conclusions - Communication workshop enhances attitudes reemphasising its worth. Some Participants of APLS and NLS courses have deteriorated their attitudes more significantly on sharing domain calling for attention on the design of those training courses. Sustainability of this immediate impact on the attitudes needs further evaluation. Keywords – attitudes, short term training courses, patient centeredness, advanced paediatric life support, Communication workshops, neonatal life support courses
Abstract
