Développement et étude de la fidélité inter-juges d'un outil évaluant la communication hypnotique des soignants en oncologie pédiatrique : échelle d'évaluation de la communication hypnotique du CHU Sainte-Justine
Introduction: Several Studies in pediatric oncology have shown that hypnotic communication decreases pain and distress during medical procedures. Although the successful effects of hypnotic techniques have been observed, there is no guarantee that the observed relationships involve specifically hypnotic communication as no precise assessment tool was used to evaluate communication techniques. Objectives: (1) To develop a scale assessing healthcare providers’ behaviour when using hypnotic techniques and (2) to evaluate its inter-rater reliability (IRR). Methods: As part of a interventional study, the Sainte-Justine Hypnotic Communication Assessment Scale (SJ-HCAS) was developed in three rounds using an iterative process aiming to maximize specificity and clarity. Five experts and four lay raters participated in the development process. IRR was assessed by four raters in a randomly selected sample of collected video recorded nurse-patient interactions (n=42). Results: Composed of 11 items, the SJ-HCAS is divided into two categories: Relationship and Technique. Excellent IRR was found for the total score and the subscores in two independent inter-rater comparisons (median ICC = 0.879), with most items showing high to perfect IRR (median Kappa = 0.847). Conclusion: The results support further work with the SJ-HCAS. The scale has a good potential for future use in pediatrics to assess integrity of hypnotic communication training. The SJ-HCAS could ultimately promote the dissemination of hypnotic communication in clinical practice.
Hypnotic communication Healthcare professionals Assessment tool Pediatrics Medical procedures Procedural pain and distress