Kortes-Miller Katherine, Jones-Bonofiglio Kristen, Hendrickson Stephanie, Kelley Mary Lou
Lakehead University, Thunder Bay, Ontario, Canada
Lakehead University, Thunder Bay, Ontario, Canada.
J Appl Gerontol. 2016 Dec;35(12):1259-1278. doi: 10.1177/0733464815577139. Epub 2015 Mar 29.
This article examines the development, implementation, and evaluation of a pilot project utilizing high-fidelity simulation (HFS) to improve frontline staff members' confidence and skills to communicate about death and dying in long-term care homes. The target group was unregulated care providers who provide palliative care for residents and their families. Eighteen participants engaged in the educational intervention and evaluation. Results supported the effectiveness of HFS as an educational tool for unregulated health care providers. Quantitative data showed statistically significant improvements in participants' self-efficacy scores related to communicating about death and dying and end-of-life care. Qualitative data indicated that the experience was a valuable learning opportunity and helped participants develop insights into their own values, beliefs, and fears providing end-of-life care. HFS is therefore recommended as an innovative training strategy to improve palliative care communication in long-term care homes.
本文探讨了一个试点项目的开展、实施和评估情况，该项目利用高保真模拟（HFS）来提高一线工作人员在长期护理机构中就死亡和临终问题进行沟通的信心和技能。目标群体是为居民及其家属提供姑息治疗的非正规护理提供者。18名参与者参与了教育干预和评估。结果支持了高保真模拟作为一种教育工具对非正规医疗保健提供者的有效性。定量数据显示，参与者在与死亡、临终及临终护理沟通方面的自我效能得分有统计学意义的显著提高。定性数据表明，该经历是一次宝贵的学习机会，有助于参与者深入了解自己在提供临终护理方面的价值观、信念和恐惧。因此，建议将高保真模拟作为一种创新的培训策略，以改善长期护理机构中的姑息治疗沟通。
