Mulder S F, Bleijenberg G, Verhagen S C, Stuyt P M J, Schijven M P, Tack C J
Division of Medical Oncology, Department of Medicine, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Palliat Med. 2009 Jun;23(4):360-8. doi: 10.1177/0269216308100250. Epub 2008 Dec 19.
Residents report that they received inadequate teaching in palliative care and low levels of comfort and skills when taking care of dying patients. This study describes the effects of a problem-based palliative care course on perceived competence and knowledge in a representative Dutch cohort of residents in internal medicine. Before and after the course, we carried out a questionnaire survey and knowledge test in 91 residents. The results show that many residents felt they had limited competence or were incompetent when taking care of patients in the palliative care phase. This was particularly true with respect to communication concerning euthanasia and physician-assisted suicide or hastened death (86% and 85% respectively reported limited competence or incompetence). Participants reported that they received inadequate training in palliative care and believed that specific education would make them feel more competent. The number of times that residents were engaged in palliative care situations and the years of clinical experience had a positive influence on perceived competence. Participating in the course improved perceived competence and knowledge in palliative care. No correlation was found between perceived competence and knowledge of palliative care.
住院医生报告称,他们在姑息治疗方面接受的教学不足,在照顾临终患者时舒适度和技能水平较低。本研究描述了以问题为基础的姑息治疗课程对荷兰内科住院医生代表性队列中感知能力和知识的影响。在课程前后,我们对91名住院医生进行了问卷调查和知识测试。结果显示,许多住院医生觉得他们在姑息治疗阶段照顾患者时能力有限或不称职。在涉及安乐死、医生协助自杀或加速死亡的沟通方面尤其如此(分别有86%和85%的人报告能力有限或不称职)。参与者报告称,他们在姑息治疗方面接受的培训不足,并认为特定的教育会让他们感觉更有能力。住院医生参与姑息治疗情况的次数和临床经验年限对感知能力有积极影响。参加该课程提高了对姑息治疗的感知能力和知识。在姑息治疗的感知能力和知识之间未发现相关性。