Melita MacDonald, Brad Peckler
2026.2.27NEW ZEALAND MEDICAL JOURNAL
tlooto Summary
Traditional workplace education models are insufficient to meet the growing need for effective PWCC, including culturally safe communication in healthcare, and an AI-enabled, feedback-driven tool may present a viable complementary solution to current offerings.
Abstract
AIMS We sought to investigate the current state of education to support person- and whānau-centred care (PWCC) in our setting and to inform a new approach to teaching and learning. Additionally, we investigated the potential use case of an artificial intelligence (AI) tool to enable clinical communication skill development.
METHODS A mixed-method co-design approach was used, combining data from a consumer group, an anonymous staff survey (n=312) and a clinician focus group. The project captured lived experiences of communication in clinical care, enablers and barriers to effective training, and perspectives on future educational innovations including AI.
RESULTS Consumers emphasised the importance of individualised, culturally safe communication and clear, jargon-free language. Findings confirmed that while clinicians generally gain confidence with experience, existing training in communication and PWCC is inconsistent and often inaccessible. Clinicians identified a need for more frequent feedback and practical opportunities for skill development. This feedback should be from a person and whānau perspective. Notably, 90% of clinicians expressed openness to using an AI-based tool for improving communication skills.
CONCLUSION Traditional workplace education models are insufficient to meet the growing need for effective PWCC, including culturally safe communication in healthcare. An AI-enabled, feedback-driven tool may present a viable complementary solution to current offerings, provided it is co-designed with consumers and clinicians, is culturally grounded and is integrated into existing systems. Further investigation into the development and validation of a tool is warranted.
Citation format
MACDONALD, Melita; PECKLER, Brad. Effective communication training to support person- and whānau-centred care: What is needed and why isn't it happening? NEW ZEALAND MEDICAL JOURNAL, 2026, 139 1630(1630): 76–101.