Pype Peter, Mertens Fien, Wens Johan, Stes Ann, Van den Eynden Bart, Deveugele Myriam
Department of Family Medicine and Primary Health Care, Ghent University, Ghent, Belgium
Department of Family Medicine and Primary Health Care, Ghent University, Ghent, Belgium.
Palliat Med. 2015 May;29(5):458-63. doi: 10.1177/0269216314560391. Epub 2014 Dec 18.
Palliative care requires a multidisciplinary care team. General practitioners often ask specialised palliative home care teams for support. Working with specialised nurses offers learning opportunities, also called workplace learning. This can be enhanced by the presence of a learning facilitator.
To describe the development and evaluation of a training programme for nurses in primary care. The programme aimed to prepare palliative home care team nurses to act as facilitators for general practitioners' workplace learning.
A one-group post-test only design (quantitative) and semi-structured interviews (qualitative) were used.
A multifaceted train-the-trainer programme was designed. Evaluation was done through assignments with individual feedback, summative assessment through videotaped encounters with simulation-physicians and individual interviews after a period of practice implementation.
A total of 35 nurses followed the programme. The overall satisfaction was high. Homework assignments interfered with the practice workload but showed to be fundamental in translating theory into practice. Median score on the summative assessment was 7 out of 14 with range 1-13. Interviews revealed some aspects of the training (e.g. incident analysis) to be too difficult for implementation or to be in conflict with personal preferences (focus on patient care instead of facilitating general practitioners' learning).
Training palliative home care team nurses as facilitator of general practitioners' workplace learning is a feasible but complex intervention. Personal characteristics, interpersonal relationships and contextual variables have to be taken into account. Training expert palliative care nurses to facilitate general practitioners' workplace learning requires careful and individualised mentoring.
姑息治疗需要一个多学科护理团队。全科医生经常向专业姑息家庭护理团队寻求支持。与专业护士合作提供了学习机会，也称为职场学习。学习促进者的存在可以增强这种学习效果。
描述一项针对初级护理护士的培训计划的开发与评估。该计划旨在使姑息家庭护理团队的护士能够担任全科医生职场学习的促进者。
采用单组后测设计（定量）和半结构化访谈（定性）。
设计了一个多方面的培训培训师计划。通过带有个人反馈的作业、与模拟医生的录像会诊进行的总结性评估以及在实践实施一段时间后的个人访谈来进行评估。
共有35名护士参加了该计划。总体满意度较高。家庭作业干扰了实践工作量，但在将理论转化为实践方面显示出至关重要的作用。总结性评估的中位数分数为14分中的7分，范围为1 - 13分。访谈显示，培训的某些方面（如事件分析）实施起来过于困难，或者与个人偏好（专注于患者护理而非促进全科医生学习）相冲突。
将姑息家庭护理团队的护士培训为全科医生职场学习的促进者是一项可行但复杂的干预措施。必须考虑个人特征、人际关系和背景变量。培训专业姑息护理护士以促进全科医生的职场学习需要仔细且个性化的指导。
