专业间姑息治疗和临终教育:短期和长期结果-混合方法分析。

IF 2 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES BMJ Supportive & Palliative Care Pub Date : 2024-12-19 DOI:10.1136/spcare-2023-004290
Adir Shaulov, Adi Finkelstein, Inon Vashdi, Freda DeKeyser Ganz, Anna Kienski Woloski-Wruble, Estelle Rubinstein, Esther-Lee Marcus, Lior Lesser, Dorith Shaham
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引用次数: 0

摘要

目的跨专业护理是生命末期(EOL)和姑息治疗(PC)不可或缺的一部分,可能适合EOL和PC教育。我们使用定量(问卷调查)和定性(开放式问题和访谈)方法评估跨专业EOL护理课程对参与者在课程期间,完成和4年后的影响。该课程包括14名五年级和六年级医学院学生、9名社会工作专业学生和7名就读硕士学位课程的护理专业学生。17名参与者在4年后完成了问卷调查,8名参与者参加了访谈。在课程结束后的问卷调查中,参与者对跨专业教育(IPE)的评价较高(Likert量表为4.77/5±0.50)。四年后,参与者报告IPE影响了他们的职业(3.65/5±1.11)和个人生活(3.94/5±1.09),并认为PC IPE很重要(4.88/5±0.33)。传统的内容分析表明,这门课程使人们能够讨论死亡和临终,并提供了一次个人情感之旅的机会。它提供了一种EOL护理方法,并有机会体验EOL的跨专业团队合作,从而改变行为。跨专业的EOL教育产生了有意义和持久的自我报告的个人和职业行为结果。
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Interprofessional palliative and end-of-life education: short-term and long-term outcomes - mixed-methods analysis.

ObjectiveInterprofessional care is integral to end-of-life (EOL) and palliative care (PC) and may be suited for EOL and PC education.We evaluate the impact of an interprofessional EOL care curriculum on participants, during the course, on completion and 4 years laterusing quantitative (questionnaires) and qualitative (open-ended questions and interviews) methods.The course included 14 fifth and sixth-year medical students, 9 social work students and 7 nursing students enrolled in master's degree programmes. Seventeen participants completed questionnaires 4 years later and eight participated in interviews.On postcourse questionnaires, participants attributed high value to interprofessional education (IPE) (4.77/5±0.50 on a Likert scale). Four years later, participants reported that IPE impacted their professional (3.65/5±1.11) and personal lives (3.94/5±1.09) and found PC IPE important (4.88/5±0.33).Conventional content analysis showed that the course enabled discussion of death and dying and provided an opportunity for a personal-emotional journey. It offered an approach to EOL care and an opportunity to experience interprofessional teamwork at the EOL resulting in behavioural change.Interprofessional EOL education resulted in meaningful and lasting self-reported personal and professional behavioural outcomes.

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来源期刊
BMJ Supportive & Palliative Care
BMJ Supportive & Palliative Care Medicine-Medicine (miscellaneous)
CiteScore
4.60
自引率
7.40%
发文量
170
期刊介绍: Published quarterly in print and continuously online, BMJ Supportive & Palliative Care aims to connect many disciplines and specialties throughout the world by providing high quality, clinically relevant research, reviews, comment, information and news of international importance. We hold an inclusive view of supportive and palliative care research and we are able to call on expertise to critique the whole range of methodologies within the subject, including those working in transitional research, clinical trials, epidemiology, behavioural sciences, ethics and health service research. Articles with relevance to clinical practice and clinical service development will be considered for publication. In an international context, many different categories of clinician and healthcare workers do clinical work associated with palliative medicine, specialist or generalist palliative care, supportive care, psychosocial-oncology and end of life care. We wish to engage many specialties, not only those traditionally associated with supportive and palliative care. We hope to extend the readership to doctors, nurses, other healthcare workers and researchers in medical and surgical specialties, including but not limited to cardiology, gastroenterology, geriatrics, neurology, oncology, paediatrics, primary care, psychiatry, psychology, renal medicine, respiratory medicine.
期刊最新文献
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