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Cited by 323Patient-Provider Communication in HealthcareHealthcare Education and Workforce IssuesInnovations in Medical Education

Transfer of communication skills training from workshop to workplace: the impact of clinical supervision

Heaven, Cathy, Clegg, Jenny, Maguire, Peter·2006·Patient Education and Counseling
DOI 10.1016/j.pec.2005.08.008
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Abstract

Objective Recent studies have recognised that the communication skills learned in the training environment are not always transferred back into the clinical setting. This paper reports a study which investigated the potential of clinical supervision in enhancing the transfer process.Methods A randomised controlled trial was conducted involving 61 clinical nurse specialists. All attended a 3-day communication skills training workshop. Twenty-nine were then randomised to 4 weeks of clinical supervision, aimed at facilitating transfer of newly acquired skills into practice. Assessments, using real and simulated patients, were carried out before the course, immediately after the supervision period and 3 months later. Interviews were rated objectively using the Medical Interview Aural Rating Scale (MIARS) to assess nurses' ability to use key skills, respond to patient cues and identify patient concerns.Results Assessments with simulated patients showed that the training programme was extremely effective in changing competence in all three key areas. However, only those who experienced supervision showed any evidence of transfer. Improvements were found in the supervised groups' use of open questions, negotiation and psychological exploration. Whilst neither group facilitated more disclosure of cues or concerns, those in the experimental group responded more effectively to the cues disclosed, reduced their distancing behaviour and increasing their exploration of cues.Conclusions The study has shown that whilst training enhances skills, without intervention, it may have little effect on clinical practice. The potential role of clinical supervision as one way of enhancing the clinical effectiveness of communication skills training programmes has been demonstrated. PRACTISE IMPLICATIONS: This study raises questions about the effectiveness of training programmes which do not incorporate a transfer element, and provides evidence to support the need for clinical supervision for clinical nurse specialist.

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  • Five studies randomized health providers but either did not include patient clusters or did not analyse any patient level data.

    “Five studies randomized health providers but either did not include patient clusters or did not analyse any patient level data (Heaven 2006; Ho 2008; Howe 1996; Langewitz 1998; Robbins 1979);”

    From Interventions for providers to promote a patient-centred approach in clinical consultations (2012) · cites this paper as Heaven 2006

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Authors
Heaven, C., Clegg, J., & Maguire, P.
Affiliations
  • Cancer Research UK (GB)
  • Breast Cancer Network Australia (AU)
Corresponding author
Heaven, Cathy
ORCID
Venue
Patient Education and Counseling
Publisher
Elsevier BV
Published
2006-03
Volume
60
Issue
3
Pages
313-325
ISSN
0738-3991 (ISSN-L)
DOI
10.1016/j.pec.2005.08.008
OpenAlex
W1983813144
Cited by
323
References
58
Citations by year
2026: 4 · 2025: 5 · 2024: 10 · 2023: 9 · 2022: 13 · 2021: 17 · 2020: 11 · 2019: 16 · 2018: 19 · 2017: 23 · 2016: 22 · 2015: 27 · 2014: 18 · 2013: 21 · 2012: 19
FWCI
20.97
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Patient Education and Counseling (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
  • Health Sciences › Nursing › Leadership and Management › Healthcare Education and Workforce Issues
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
Keywords
communication skills training, clinical supervision, transfer of training, clinical nurse specialists, nurse-patient communication, standardized patients, open problems, negotiation, psychological exploration
MeSH terms
Adult, Attitude of Health Personnel, Attitude to Health, Clinical Competence, Communication, Cues, Education, Nursing, Continuing, Employee Performance Appraisal, England, Female, Humans, Male, Middle Aged, Nurse Clinicians, Nurse-Patient Relations, Nursing Assessment, Nursing, Supervisory, Self Disclosure, Transfer, Psychology, Program Evaluation, Nursing Education Research, Patient Simulation, Negotiating, Workplace

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