Adaptation of the Communication Skills Attitude Scale (CSAS) to Surgical Residents in China

Zhang, Yang; Jiang, Gurong; Sun, Yihan; Zhao, Xianbo; Yu, Xuezhong

doi:10.1016/j.jsurg.2018.07.027

Cited by 6 publications

(7 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Participants evaluated their agreement with each item on a 5-point Likert scale from 1 (strongly disagree) to 5 (strongly agree). Two subscales were calculated, a positive attitude scale (PAS) and a negative attitude scale (NAS) as done before [ 37 ]. The PAS shows a maximum score of 70 and a minimum score of 14, whereas the NAS ranges between 60 and 12.…”

Section: Methodsmentioning

confidence: 99%

Communication Skills (CS) training of physicians in China and its role in actual challenges of patient-physician relationship: a cross-sectional survey

Mayer

Posenato

et al. 2022

BMC Med Educ

View full text Add to dashboard Cite

Background The Chinese healthcare system is affected by frequent disputes between physicians and patients. Although recent reforms have contributed towards improving the patient-physician relationship, distrust in physicians is still high. Communication skills (CS) training of physicians holds the key to improving patient confidence and diffusing stressful situations. This survey reports on the status of CS training in medical education in China, and the experiences and attitudes of physicians towards CS training. Methods A cross-sectional survey was conducted at medical institutions across China. A questionnaire developed for this study included the status of CS training, current aspects of patient-physician relationships, perceived own CS and patient-centeredness with Likert-scaled items from 1 (most negative) to 6 (most positive). Physicians’ attitude towards CS training was measured with the Communication Skills Attitude Scale (CSAS) and its subscales PAS (Positive Attitude Scale) and NAS (Negative Attitude Scale). Data were analyzed descriptively and for group differences between the hospital level and operating vs. non-operating physicians. Binary logistic regression analysis was done to find associations explaining the occurrence of verbal and physical attacks and the role of CS attitudes. Results Out of 1080 questionnaires, 772 physicians met inclusion criteria. A total of 466/772 participants (60.4%) had received at least one CS training during their career. The participants rated the current situation related to patient-physician relationship in China as highly stressful (mean = 4.52, SD = 1.26, 95% CI: 4.43–4.60), experiencing verbal attacks in the past three years once a year in 372/772 cases (48.2%) and physical attacks 111/772 times (14.4%). The mean PAS was 62.96 (SD = 7.63, 95% CI: 62.41–63.47). Being female was associated with increased risk of verbal attacks (OR = 1.51, 95% CI: 1.01–2.25) while working in a tertiary hospital and showing high levels of PAS decreased this risk (OR = 0.62, 95% CI: 0.43–0.89, and OR = 0.95, 95% CI: 0.93–0.98). Having received a previous CS training decreased the odds of physical attacks (OR = 0.54, 95% CI: 0.35–0.83). Conclusions A majority of Chinese physicians showed a high positive attitude towards CS training, were trained in CS and would value further training. Our results highlight that CS training is likely to promote patient-centered communication and reduce attacks against physicians. Both of these effects are to improve the patient-physician-relationship in the long run. More CS training should be offered to Chinese physicians, especially at secondary- and primary-care hospitals, where such practices remain infrequent.

show abstract

Section: Methodsmentioning

confidence: 99%

Communication Skills (CS) training of physicians in China and its role in actual challenges of patient-physician relationship: a cross-sectional survey

Mayer

Posenato

et al. 2022

BMC Med Educ

View full text Add to dashboard Cite

show abstract

“…The CSAS, with good reliability and validity, is currently the most widely used tool for evaluating medical students' attitudes towards CS learning. Many countries and regions (such as Norway, South Korea, the United States and China) used PAS and NAS to evaluate the learning attitude of medical students' communication skills, founding that there are differences formed by corresponding national demographics [ 10 – 13 ]. Previous tudies have shown that gender affects medical students’ attitudes toward CS learning, manifested as higher PAS scores and lower NAS scores for female students than male students [ 9 , 13 , 26 ].…”

Section: Discussionmentioning

confidence: 99%

“…Many countries and regions (such as Norway, South Korea, the United States and China) used PAS and NAS to evaluate the learning attitude of medical students' communication skills, founding that there are differences formed by corresponding national demographics [ 10 – 13 ]. Previous tudies have shown that gender affects medical students’ attitudes toward CS learning, manifested as higher PAS scores and lower NAS scores for female students than male students [ 9 , 13 , 26 ]. However, in the two teaching modes in this study, there was no gender difference in the learning attitude toward CS, which may be related to the small sample size.…”

Section: Discussionmentioning

confidence: 99%

“…In 2002, Rees et al developed the CSAS, which can reliably identify medical students’ attitudes toward CS learning, asserting that attitudes toward CS learning are related to medical students’ demographics (such as gender and age) and education-related characteristics [ 8 , 9 ]. The CSAS has good reliability and validity, and scholars in many countries and regions (such as Norway, South Korea, the United States and China) have adopted it to understand and evaluate the attitude of medical students toward doctor-patient CS [ 10 – 13 ].…”

mentioning

confidence: 99%

See 1 more Smart Citation

Effects of a teaching mode combining SimBaby with standardized patients on medical students’ attitudes toward communication skills

Tian

Wen

2022

BMC Med Educ

View full text Add to dashboard Cite

Objective To evaluate the effect of a teaching mode combining SimBaby with standardized patients (SP) on medical students’ attitudes toward communication skills (CS). Methods Forty 8-year medical program students majoring in clinical medicine were randomly divided into the SimBaby group (n = 20) and the SP + SimBaby group (n = 20). The Communication Skills Attitude Scale (CSAS) was used to evaluate medical students’ attitudes toward CS learning. Results In the SimBaby and SP + SimBaby groups, there were no statistically significant differences in the Positive Attitude Subscale (PAS) and Negative Attitude Subscale (NAS) scores between males and females (p > 0.05). Compared to the SimBaby group, the SP + SimBaby group showed statistically significant differences in PAS, NAS, and the two dimensions of importance in medical context and learning (p < 0.05). There were no statistically significant differences between groups in the dimensions of excusing and overconfidence (p > 0.05). Conclusion Compared with SimBaby alone, the SP + SimBaby teaching mode can improve medical students’ attitude toward CS learning, suggesting that the organic integration of multiple simulation-based medical teaching methods plays an important role in the acquisition of CS.

show abstract

“…Participants evaluated their agreement with each item on a ve-point Likert scale from 1 (strongly disagree) to 5 (strongly agree). Two subscales were calculated, a positive attitude scale (PAS) and a negative attitude scale (NAS) as done before [34]. The PAS shows a maximum score of 70 and a minimum score of 14, whereas the NAS ranges between 60 and 12.…”

Section: Measurementsmentioning

confidence: 99%

Nationwide Survey on Communication Skills (CS) Training of Physicians in China and its Role in Actual Challenges of Patient-Physician-Relationship

Mayer

Posenato

et al. 2022

Preprint

View full text Add to dashboard Cite

Background The Chinese healthcare system is affected by frequent disputes between physicians and patients. Although recent reforms have contributed towards improving the patient-physician relationship, distrust in physicians is still high. Communication skills (CS) training of physicians holds the key to improving patient confidence and diffusing stressful situations. This nationwide survey reports on the status of CS training in medical education in China, and the experiences and attitudes of physicians towards CS training. Methods A cross-sectional survey was conducted at medical institutions across China. A questionnaire developed for this study included the status of CS training, current aspects of patient-physician relationships, perceived own CS and patient-centeredness with Likert-scaled items from 1 (most negative) to 6 (most positive). Physicians’ attitude towards CS training was measured with the Communication Skills Attitude Scale (CSAS) and its subscales PAS (Positive Attitude Scale) and NAS (Negative Attitude Scale). Data were analyzed descriptively and for group differences between the hospital level and operating vs. non-operating physicians. Binary logistic regression analysis was done to find associations explaining the occurrence of verbal and physical attacks and the role of CS attitudes. Results Out of 1.080 questionnaires, 772 physicians met inclusion criteria. A total of 466/772 participants (60.4%) had received at least one CS training during their career. The participants rated the current situation related to patient-physician relationship in China as highly stressful (mean = 4.52, SD = 1.26, 95% CI: 4.43–4.60), experiencing verbal attacks in the past three years once a year in 372/772 cases (48.2%) and physical attacks 111/772 times (14.4%). The mean PAS was 62.96 (SD = 7.63, 95% CI: 62.41–63.47) indicating a high positive attitude towards CS training. Being female was associated with an increased risk of verbal attacks (OR = 1.51, 95% CI: 1.01–2.25) while working in a tertiary hospital and showing high levels of PAS decreased this risk (OR = 0.62, 95% CI: 0.43–0.89, and OR = 0.95, 95% CI: 0.93–0.98). Having received a previous training decreased the odds of physical attacks (OR = 0.54, 95% CI: 0.35–0.83). Conclusions A majority of Chinese physicians were trained in CS and would value further training. Our results highlight that CS training is likely to promote patient-centered communication and reduce attacks against physicians. Both of these effects are to improve the patient-physician-relationship in the long run. More CS training should be offered to Chinese physicians, especially at secondary- and primary-care hospitals, where such practices remain infrequent.

show abstract

Adaptation of the Communication Skills Attitude Scale (CSAS) to Surgical Residents in China

Abstract: The data suggest that the Chinese version of CSAS developed to assess surgery residents are feasible and provide valid and reliable evidence. Further research is necessary to explore and understand attitudes toward communication skills of surgical residents in China.

Cited by 6 publications

References 18 publications

Communication Skills (CS) training of physicians in China and its role in actual challenges of patient-physician relationship: a cross-sectional survey

Communication Skills (CS) training of physicians in China and its role in actual challenges of patient-physician relationship: a cross-sectional survey

Effects of a teaching mode combining SimBaby with standardized patients on medical students’ attitudes toward communication skills

Nationwide Survey on Communication Skills (CS) Training of Physicians in China and its Role in Actual Challenges of Patient-Physician-Relationship

Contact Info

Product

Resources

About