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Second, it was hypothesized that a communication skills training would lead to an increase in residents' use of assessment and supportive skills.
As regards residents' communication skills, it was hypothesized that BIC-CST would lead to an increase in residents' use of assessment and supportive skills during clinical rounds.
Results showed meanwhile no statistically significant training effect on residents' use of supportive skills, although it should be noticed, that trained residents used about 16% less supportive utterances (marginally statistically significant effect).
There were deficits especially with respect to physicians' communicative and supportive skills.
These changes may be a consequence of the open assessment and supportive skills acquired by the residents with training.
There were deficits especially with respect to physicians' communicative and supportive skills, which could be tackled by appropriate programmes.
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As pointed out in the WHO guidelines, task shifting is not merely the move of health services from qualified health workers to less specialized health care providers, it should be implemented alongside with other efforts and resources such as financial support, skill training and supportive environment to sustain the services [ 11, 34].
The key to bridging this gap is through supportive skills-based programmes and a greater integration of resources between government, industry and academia.
The supportive supervision, skills and knowledge enhancement, and enabling working modalities, satisfy the three key drivers of volunteer motivation: feelings of autonomy, competence and connectedness (mechanisms).
This translates into recommendations for management in terms of ensuring adequate supportive supervision, skills and knowledge enhancement and enabling working modalities.
The findings suggested that the SDT-based training enhanced physiotherapists' autonomy supportive communication skills and provided initial evidence that the intervention improved patients' perceived competence, autonomous motivation, and treatment adherence.
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