Frey Rosemary Ann, Gott Merryn, Neil Hayley
School of Nursing, University of Auckland, Auckland, New Zealand.
BMJ Support Palliat Care. 2013 Mar;3(1):114-9. doi: 10.1136/bmjspcare-2012-000306. Epub 2012 Dec 1.
The increase in the numbers of patients with palliative care needs has resulted in growing pressures on the small number of specialist palliative care providers within the New Zealand context. These pressures can potentially be eased by ensuring an adequately trained workforce, beginning with undergraduate training in the healthcare field. The goal of the present review is to ascertain what tools exist to measure the effectiveness of undergraduate palliative care education initiatives.
A systematic review of qualitative and quantitative literature was undertaken. Searches within ERIC, CINAHL Plus, Medline and Medline in Progress, and Google Scholar databases were conducted for the period 1990-2011. A checklist adapted from Hawker et al was used to select and assess data.
14 of the 112 articles met the inclusion criteria. Overall inconsistencies in the amount of validation information provided and a narrow focus on aspects of palliative care competence was apparent. No universally applicable validated questionnaire to assess the effectiveness of undergraduate palliative care education could be identified.
The increased focus by educational institutions on instilling palliative care skills in healthcare students necessitates the development of comprehensive and validated tools to evaluate the effectiveness of education initiatives.
在新西兰，需要姑息治疗的患者数量不断增加，这给少数专科姑息治疗提供者带来了越来越大的压力。通过确保拥有一支训练有素的劳动力队伍，从医疗保健领域的本科培训开始，这些压力有可能得到缓解。本综述的目的是确定有哪些工具可用于衡量本科姑息治疗教育举措的有效性。
对定性和定量文献进行了系统综述。在1990年至2011年期间，在教育资源信息中心（ERIC）、护理学与健康领域数据库（CINAHL Plus）、医学数据库（Medline）及医学数据库在线版（Medline in Progress）和谷歌学术数据库中进行了检索。采用了一份改编自霍克等人的清单来选择和评估数据。
112篇文章中有14篇符合纳入标准。所提供的验证信息数量总体上不一致，而且对姑息治疗能力方面的关注范围较窄，这一点很明显。未能确定一个普遍适用的、经过验证的问卷来评估本科姑息治疗教育的有效性。
教育机构越来越注重向医学生灌输姑息治疗技能，因此有必要开发全面且经过验证的工具来评估教育举措的有效性。
