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在姑息性家庭护理协作过程中,医护专业人员从何处、如何以及向谁学习:一项初级姑息治疗的横断面研究

What, how and from whom do health care professionals learn during collaboration in palliative home care: a cross-sectional study in primary palliative care.

作者信息

Pype Peter, Peersman Wim, Wens Johan, Stes Ann, Van den Eynden Bart, Deveugele Myriam

出版信息

BMC Health Serv Res. 2014 Nov 7;14:501. doi: 10.1186/s12913-014-0501-9.

Abstract

BACKGROUND

Palliative care often requires inter-professional collaboration, offering opportunities to learn from each other. General practitioners often collaborate with specialized palliative home care teams. This study seeks to identify what, how and from whom health care professionals learn during this collaboration.

METHODS

Cross-sectional survey in Belgium. All palliative home care teams were invited to participate. General practitioners (n = 267) and palliative care nurses (n = 73) filled in questionnaires.

RESULTS

General practitioners (GPs) and palliative care nurses learned on all palliative care aspects. Different learning activities were used. Participants learned from all others involved in patient care. The professionals' discipline influences the content, the way of learning and who learns from whom. Multiple linear regression shows significant but limited association of gender with amount of learning by GPs (M < F; p = 0.042; Adj R2 = 0.07) and nurses (M > F; p = 0.019; Adj R2 = 0.01).

CONCLUSIONS

This study is the first to reveal what, how and from whom learning occurs during collaboration in palliative care. Training professionals in sharing expertise during practice and in detecting and adequately responding to others' learning needs, could optimize this way of learning.

摘要

背景

姑息治疗通常需要跨专业协作,从而提供相互学习的机会。全科医生经常与专业姑息家庭护理团队合作。本研究旨在确定医护人员在这种协作过程中学到了什么、如何学习以及从谁那里学习。

方法

在比利时进行横断面调查。邀请了所有姑息家庭护理团队参与。全科医生(n = 267)和姑息护理护士(n = 73)填写了问卷。

结果

全科医生和姑息护理护士在姑息治疗的各个方面都有所学习。采用了不同的学习活动。参与者从参与患者护理的所有其他人身上学习。专业人员的学科影响学习内容、学习方式以及谁向谁学习。多元线性回归显示,性别与全科医生(男性<女性;p = 0.042;调整R2 = 0.07)和护士(男性>女性;p = 0.019;调整R2 = 0.01)的学习量之间存在显著但有限的关联。

结论

本研究首次揭示了姑息治疗协作过程中学习的内容、方式以及学习的对象。在实践中培训专业人员分享专业知识,以及检测并充分响应他人的学习需求,可以优化这种学习方式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d355/4226882/8269ab515c46/12913_2014_501_Fig1_HTML.jpg

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