戲劇技巧於臨床溝通訓練之應用

The Application of Drama Skills in Clinical Communication Training

由於醫學人文繼續教育在醫院中推行有困難，研究者嘗試研發與執行具有吸引力的工作坊。戲劇技巧之應用以其有趣，且貼近生活而容易受到學習者的接納。本研究邀請3位戲劇專家，在醫院進行五場溝通技巧工作坊。研究對象是醫護人員、行政人員、PGY住院醫師及UGY學生共計97人。成效的評量來自帶領者手札、觀察員記錄、課後評量、課後檢討會議記錄。3位戲劇專家應用劇場技巧，各自設計及帶領1－2次醫病溝通工作坊。課程進行前、中、後三階段，分別蒐集量性及質性資料。研究結果發現，參與者在五次工作坊中，在「受到感動」與「很有收穫」之共同題項，以及其它特殊題項上的評量，皆有高於平均值的正向反應。質性評量則對於參與者感知的收穫、教師發現的困難與建議，提供了主題式的描述。 Implementation of medical humanities is difficult in hospitals. Therefore, we tried to design and run workshops with more attractive elements. The application of dramatic skills is favored by learners because it is fun and close to reality. To develop a drama-oriented workshop to cultivate medical humanistic continuous education for communication training, 97 learners including medical staff, administrators, Postgraduate Year (PGY) residents and Undergraduate Year (UGY) students participated 5 communication training workshops led by 3 drama experts. Each drama expert held one or two workshops independently at the hospital according to their unique profession at drama. The quantitative and qualitative outcome data were collected before, during, and after the workshops which included: the leader's notes, the observer's written records, the questionnaire, and meeting minutes after workshop. The questionnaires were designed according to each workshop's special purpose. The quantitative results showed that participants found the workshop ＂touched＂ and ＂very rewarding＂, and had an upper-middle-level response in almost every item of the questionnaire. Qualitative analysis of data provides a thematic description about the participants' insights, facilitators' difficulties and future suggestions.