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评估跨专业姑息治疗教育的有效性和可接受性。

Assessing the effectiveness and acceptability of interprofessional palliative care education.

作者信息

Koffman Jonathan, Higginson Irene J

机构信息

Department of Palliative Care & Policy, King's College School of Medicine at Guy's, King's College and St Thomas' Hospital, London, UK.

出版信息

J Palliat Care. 2005 Winter;21(4):262-9.

Abstract

Interprofessional education in health care in general and palliative care has been the focus of increasing attention in recent years. However, there is still controversy about its outcomes and few courses have been evaluated. The aims of this evaluation were to explore (1) the career progression of former students who attended an interprofessional MSc in palliative care; (2) the activities former students were engaged in as a result of attending the course; and (3) the experience of attending an interprofessional postgraduate course in palliative care. Former students who attended the course between January 1998 and January 2004 were surveyed using a postal questionnaire. Of the 56 students who completed the course, 44 (79%) responded; 23 (52%) were doctors, 20 (45%) nurses, and one an occupational therapist. Career progression was significant for doctors (Z=-2.08, p=0.04) and for nurses (Z=-2.4, p=0.017). Thirty-nine (89%) former students believed this was due to attending the course. Former students described a wide range of clinical, research, and service development activities they were involved in as a result of attending the course. Qualitative data highlighted the benefits of attending an interprofessional course where the following themes became evident: lateral thinking, challenging misconceptions, enhancing teamwork opportunities, and professional networks and confidence. Funding should be made available to extend interprofessional education to a wide range of professionals who care for patients with advanced disease and their families.

摘要

近年来,医疗保健领域的跨专业教育,尤其是姑息治疗方面的跨专业教育,已成为越来越受关注的焦点。然而,其成果仍存在争议,且很少有课程得到评估。本次评估的目的是探讨:(1)参加姑息治疗跨专业理学硕士课程的往届学生的职业发展情况;(2)往届学生因参加该课程而参与的活动;(3)参加姑息治疗跨专业研究生课程的体验。我们通过邮寄问卷的方式对1998年1月至2004年1月期间参加该课程的往届学生进行了调查。在完成该课程的56名学生中,有44名(79%)回复了问卷;其中23名(52%)是医生,20名(45%)是护士,1名是职业治疗师。医生(Z = -2.08,p = 0.04)和护士(Z = -2.4,p = 0.017)的职业发展都很显著。39名(89%)往届学生认为这得益于参加该课程。往届学生描述了他们因参加该课程而参与的广泛的临床、研究和服务发展活动。定性数据突出了参加跨专业课程的益处,以下主题变得明显:横向思维、挑战误解、增加团队合作机会、专业网络和信心。应提供资金,将跨专业教育扩展到广泛的专业人员,这些人员照顾患有晚期疾病的患者及其家属。

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