Öz

Objective: The quality of pediatric healthcare is closely tied to the communicative and psychosocial capacities of healthcare professionals. This study aimed to quantitatively determine the training needs of staff working in a tertiary pediatric hospital focusing on communication, management of violence-related risks, and psychosocial resilience.

Materials and Methods: A cross-sectional descriptive design was employed using the Hennessy-Hicks Training Needs Analysis approach. Data were collected via an online questionnaire from 133 healthcare professionals. The training need for each specific skill was calculated using discrepancy scores, which represent the difference between the perceived importance of the skill for professional duties and the participant’s self-assessed current competence.

Results: Positive discrepancy scores were observed across all 16 items, although the magnitude of these differences was modest in absolute terms. At the domain level, relatively higher training needs were identified in the management of violence-related risks (M=0.44) and the psychosocial resilience/organizational dimension (M=0.42). Communication skills presented a relatively lower but still positive need (M=0.24). The training topics ranked highest included recognizing and coping with burnout, achieving competency in “White Code” (a national emergency response protocol for workplace violence) procedures, and exhibiting safe behaviors during threats.

Conclusion: Training needs in pediatric hospital settings extend beyond individual knowledge gaps to represent structural requirements driven by professional roles and high-stress environments. In-service training policies should prioritize risk management and psychosocial resilience as core components, embedding communication skills as a foundational layer rather than an isolated module. Training designs must be sensitive to specific professional roles, unit intensities, and shift schedules.

 

Kaynakça

  1. Halpern J. From detached concern to empathy: Humanizing medical practice. New York: Oxford University Press; 2001. ISBN 0-19-511119-2.
  2. Sarafis P, Rousaki E, Tsounis A, Malliarou M, Lahana L, Bamidis P, Niakas D, Papastavrou E. The impact of occupational stress on nurses’ caring behaviors and their health related quality of life. BMC Nurs. 2016;15:56. https://doi.org/10.1186/s12912-016-0178-y
  3. Cavanagh N, Cockett G, Heinrich C, Doig L, Fiest K, Guichon JR, Page S, Mitchell I, Doig CJ. Compassion fatigue in healthcare providers: A systematic review and meta-analysis. Nurs Ethics. 2020;27(3):639-65. https://doi.org/10.1177/0969733019889400
  4. Gacki-Smith J, Juarez AM, Boyett L, Homeyer C, Robinson L, MacLean SL. Violence against nurses working in US emergency departments. J Nurs Adm. 2009;39(7-8):340-9. https://doi.org/10.1097/NNA.0b013e3181ae97db
  5. Gillespie GL, Gates DM, Miller M, Howard PK. Violence against Healthcare Workers in a Pediatric Emergency Department. Adv Emerg Nurs J. 2010;32(1):68-82. https://doi.org/10.1097/tme.0b013e3181c8b0b4
  6. Magnavita N, Heponiemi T, Chirico F. Workplace violence is associated with impaired work functioning in nurses: An Italian cross-sectional study. J Nurs Scholarsh. 2020;52(3):281-91. https://doi.org/10.1111/jnu.12549
  7. Wiskow C, Albreht T, de Pietro C. How to create an attractive and supportive working environment for health professionals. Copenhagen: World Health Organization, Regional Office for Europe; 2010. [Accessed 14 January 2026]
  8. Wu PE, Styra R, Gold WL. Mitigating the psychological effects of COVID-19 on health care workers. CMAJ. 2020;192(17):E459-E460. https://doi.org/10.1503/cmaj.200519
  9. Walton M, Murray E, Christian MD. Mental health care for medical staff and affiliated healthcare workers during the COVID-19 pandemic. Eur Heart J Acute Cardiovasc Care. 2020;9(3):241-247. https://doi.org/10.1177/2048872620922795
  10. World Health Organization. Framework guidelines for addressing workplace violence in the health sector. Geneva: World Health Organization; 2002. Available from: https://www.who.int/publications/i/item/9221134466 [Accessed 14 January 2026].
  11. Salas E, Tannenbaum SI, Kraiger K, Smith-Jentsch KA. The science of training and development in organizations: What matters in practice. Psychol Sci Public Interest. 2012;13(2):74-101. https://doi.org/10.1177/1529100612436661
  12. Gould D, Kelly D, White I, Chidgey J. Training needs analysis: A literature review and reappraisal. Int J Nurs Stud. 2004;41(5):471-86. https://doi.org/10.1016/j.ijnurstu.2003.12.003
  13. Bartholomew J, Adams K, Louwen C. Understanding the training need priorities of the Australian allied health workforce: a national survey. BMC Med Educ. 2025;25(1):1545. https://doi.org/10.1186/s12909-025-08141-3
  14. Hicks C, Hennessy D, Barwell F. Development of a psychometrically valid training needs analysis instrument for use with health care teams. Health Serv Manage Res. 1996;9(4):262-72. https://doi.org/10.1177/09514848960090040
  15. Hennessy D, Hicks C. Hennessy-Hicks Training Needs Analysis (TNA) questionnaire and manual. Birmingham: University of Birmingham; 2011. Available from: https://epapers.bham.ac.uk/3453/10/HenneseyToolkit.pdf [Accessed 14 January 2026].
  16. Chung YF, Chang YC, Fetzer SJ, Tessmer L, Tsai MH, Feng JY. The effectiveness of workplace violence prevention education training programs on healthcare professionals’ confidence: A systematic review and meta-analysis. Int Nurs Rev. 2025;72(4):e70107. https://doi.org/10.1111/inr.70107
  17. Kunzler AM, Helmreich I, Chmitorz A, König J, Binder H, Wessa M, et al. Psychological interventions to foster resilience in healthcare professionals. Cochrane Database Syst Rev. 2020;7(7):CD012527. https://doi.org/10.1002/14651858.CD012527.pub2
  18. Baskin RG, Bartlett R. Healthcare worker resilience during the COVID-19 pandemic: An integrative review. J Nurs Manag. 2021;29(8):2329-42. https://doi.org/10.1111/jonm.13395
  19. Moore PM, Rivera S, Bravo-Soto GA, Olivares C, Lawrie TA. Communication skills training for healthcare professionals working with people who have cancer. Cochrane Database Syst Rev. 2018;7(7):CD003751. https://doi.org/10.1002/14651858.CD003751.pub4
  20. Iversen ED, Wolderslund M, Kofoed PE, Gulbrandsen P, Poulsen H, Cold S, Ammentorp J. Communication Skills Training: A Means to Promote Time-Efficient Patient-Centered Communication in Clinical Practice. J Patient Cent Res Rev. 2021;8(4):307-14. https://doi.org/10.17294/2330-0698.1782
  21. Hodkinson A, Zhou A, Johnson J, Geraghty K, Riley R, Dickens C, Sola I, Panagioti E, Willis T, Panagioti M. Associations of physician burnout with career engagement and quality of patient care: Systematic review and meta-analysis. BMJ. 2022;378:e070442. https://doi.org/10.1136/bmj-2022-070442
  22. De Gagne JC, Park HK, Hall K, Woodward A, Yamane S, Kim SS. Microlearning in health professions education: scoping review. JMIR Med Educ. 2019;5(2):e13997. https://doi.org/10.2196/13997
  23. West CP, Dyrbye LN, Shanafelt TD. Physician burnout: Contributors, consequences and solutions. Journal of Internal Medicine, 2022;283(6):516-29. https://doi.org/10.1111/joim.12752
  24. Quigley DD, Panayotou M, Slaughter ME. Back-to-Basics Hospital-Wide Training Improves Inpatient Pediatric Care Experiences. Hosp Pediatr. 2025;16(3):219-29. https://doi.org/10.1542/hpeds.2025-008831

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Nasıl atıf yapılır

1.
İşçi HC, Karagöl C, Tuncay T. Assessing the training needs of pediatric healthcare professionals in communication, risk management, and psychosocial resilience. Turk J Pediatr Dis. 2026;Early View:1-7. https://doi.org/10.12956/TJPD.2026.1334