1 Division of Nursing Research and Education, City of Hope National Medical Center , Duarte, California.
J Palliat Med. 2014 Apr;17(4):400-6. doi: 10.1089/jpm.2013.0270. Epub 2014 Jan 8.
Curricular changes to palliative care communication training are needed in order to accommodate a variety of learners, especially in lieu of the projected national shortage of hospice and palliative medicine physicians and nurses.
This study assessed the utility of a palliative care communication curriculum offered through an online platform and also examined health care professionals' clinical communication experiences related to palliative care topics.
Four of the seven modules of the COMFORT communication curriculum were made available online, and participant assessments and knowledge skills were measured.
Modules were completed and assessed by 177 participants, including 105 nurses, 25 physicians, and a category of 'other' disciplines totaling 47.
Premodule surveys consisted of closed-ended items developed by the interdisciplinary research team. Postcurriculum evaluation and knowledge quizzes were used to assess program effectiveness.
Among all participants, end-of-life care and recurrence of disease were considered the most challenging communication contexts and discussion about treatment options the least challenging. Mean responses to postcurriculum evaluation for all modules across nurse and physician participants was greater than 4 on a scale of 1 to 5.
This study identifies the COMFORT communication curriculum as an effective online curricular tool to teach multiple disciplines specific palliative care communication.
为了适应各种学习者的需求,尤其是为了弥补预计的临终关怀和姑息医学医生和护士的全国短缺,姑息治疗沟通培训的课程需要进行改革。
本研究评估了通过在线平台提供的姑息治疗沟通课程的实用性,并考察了医疗保健专业人员在姑息治疗相关主题方面的临床沟通经验。
COMFORT 沟通课程的七个模块中的四个模块在网上提供,参与者的评估和知识技能都得到了测量。
共有 177 名参与者完成并评估了这些模块,包括 105 名护士、25 名医生和一个由 47 名其他学科组成的类别。
预课程调查包括由跨学科研究团队开发的封闭式项目。课程结束后的评估和知识测验用于评估计划的有效性。
在所有参与者中,临终关怀和疾病复发被认为是最具挑战性的沟通情境,而关于治疗选择的讨论则是最不具挑战性的。在护士和医生参与者中,所有模块的课程结束后评估的平均回复都大于 1 到 5 分制的 4 分。
本研究认为 COMFORT 沟通课程是一种有效的在线课程工具,可以教授多个学科特定的姑息治疗沟通。