Xavier Kristina, Shepherd Louise, Goldstein David
Department of Medical Oncology, Prince of Wales Hospital, Randwick, NSW, Australia.
J Telemed Telecare. 2007;13(4):206-9. doi: 10.1258/135763307780907996.
Clinical supervision and education was provided to a total of 20 psycho-oncology staff by videoconference. Monthly group sessions, with 3-5 participants, were held via multipoint videoconference at a bandwidth of 256 kbit/s. Sessions consisted of a one-hour educational presentation followed by one-hour of case discussion. In addition, participants were offered individual telephone supervision each month. Participants completed evaluations before and after the project, and following each group session. They were asked to rate their confidence in dealing with a range of problems. There were significant increases in self-reported confidence in the areas covered by the educational component, e.g. assessing and treating pain in people with cancer (P<0.01). In addition, self-assessment of overall effectiveness in current management of psychological distress from pre- to post-evaluation increased by 25%. Participants indicated that attending the educational sessions increased their knowledge (mean = 7.3 out of 10). With regard to telephone supervision, most (80%) were very or extremely satisfied. The feedback indicated that remote supervision was well received and that participants were keen to continue their involvement.
通过视频会议为总共20名心理肿瘤学工作人员提供了临床监督和教育。每月通过多点视频会议举行小组会议，每次有3至5名参与者，带宽为256 kbit/s。会议包括一小时的教育讲座，随后是一小时的病例讨论。此外，每月还为参与者提供个人电话监督。参与者在项目前后以及每次小组会议后都要完成评估。他们被要求对自己处理一系列问题的信心进行评分。在教育内容涵盖的领域，自我报告的信心有显著提高，例如评估和治疗癌症患者的疼痛（P<0.01）。此外，从评估前到评估后，对当前心理困扰管理总体有效性的自我评估提高了25%。参与者表示参加教育课程增加了他们的知识（平均分为7.3分，满分10分）。关于电话监督，大多数（80%）人非常满意或极其满意。反馈表明远程监督受到好评，参与者渴望继续参与。
