探索姑息关怀机构中跨专业共同决策教育的认知与实践

IF 1.8 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Advances in Medical Education and Practice Pub Date : 2024-04-06 DOI:10.2147/amep.s450166
Lama Sultan, Nynke de Jong, Basim Alsaywid, Muhammad Anwar Khan, Jascha de Nooijer
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引用次数: 0

摘要

背景姑息关怀团队为身患绝症的病人及其照护者提供支持,这需要跨专业合作。其中一项基本技能就是协助病人做出决策。这可以通过跨专业共同决策(IP-SDM)来实现。目的:本研究旨在探讨教师、卫生专业人员和学生对姑息关怀中的 IP-SDM 教育的看法和实践,并指出在姑息关怀环境下的本科卫生专业教育中实施 IP-SDM 的相关因素:我们采用了横断面研究设计,通过改编自现有有效工具的在线自填问卷获取数据。问卷发放给沙特阿拉伯吉达阿卜杜勒-阿齐兹国王医疗城的教职员工、卫生专业人员(n = 125)和学生(n = 334)。抽样技术为非概率方便抽样。进行了独立样本 t 检验、单向方差分析、相关系数和线性多元回归等双变量统计:答复率为 54%(85 名教师和卫生专业人员以及 164 名学生)。不同参与者对 IP-SDM 的看法没有差异。在有过 IP-SDM 经验的参与者中,教职员工和卫生专业人员的平均实践得分(M = 83.1,SD = 15.9)略高于学生(M = 74.1,SD = 11.5),差异显著(p <0.05)。性别、年龄、学科、国籍、教育水平、学习年限和以往经验等与认知和实践相关的因素在参与者之间存在差异:研究结果表明,姑息关怀中对 IP-SDM 的认知水平较高,但实践水平较低。结论:研究结果表明,姑息关怀中对 IP-SDM 的认知程度较高,但实践程度较低,进一步的研究应关注与该主题相关的其他因素。
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Exploring Perceptions and Practices of Interprofessional Shared Decision-Making Education in Palliative Care Settings
Background: Palliative care teams provide support to patients and their caregivers during terminal illness, which requires interprofessional collaboration. One of the foundational skills is to assist patients with decision-making. This can be facilitated through interprofessional shared decision-making (IP-SDM). So far, IP-SDM education frameworks have only been used to a limited extent in the area of palliative care.
Aim: This study aims to explore perceptions and practices of faculty members, health professionals, and students toward IP-SDM education in palliative care and to indicate associated factors to implement an IP-SDM in undergraduate health professions education in palliative care settings.
Methods: We used a cross-sectional study design in which the data was obtained via an online self-administered questionnaire adapted from existing validated tools. The questionnaire was distributed to faculty members and health professionals (n = 125) and students (n = 334) at King Abdulaziz Medical City in Jeddah, Saudi Arabia. The sampling technique was a non-probability convenience sampling. Bivariate statistics, such as independent sample t-tests, one-way ANOVA, correlation coefficient, and linear multiple regression were conducted.
Findings: The response rate was 54% (85 faculty members and health professionals and 164 students). Perceptions on IP-SDM did not differ between participants. From those who had previous experience with IP-SDM, the mean practices score was slightly higher for faculty members and health professionals (M = 83.1, SD = 15.9) than for students (M = 74.1, SD = 11.5), which was significant (p < 0.05). Factors such as gender, age, discipline, nationality, level of education, years of study, and previous experience that were associated with perceptions and practices were varied among participants.
Conclusion: The findings show high levels of perception with low levels of practice of IP-SDM in palliative care. Other factors that could be associated with the topic should be addressed in further studies.

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来源期刊
Advances in Medical Education and Practice
Advances in Medical Education and Practice EDUCATION, SCIENTIFIC DISCIPLINES-
CiteScore
3.10
自引率
10.00%
发文量
189
审稿时长
16 weeks
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