Dahlin Constance, Coyne Patrick J, Cassel J Brian
1 Hospice and Palliative Nurses Association , Pittsburgh, Pennsylvania.
2 Center to Advance Palliative Care , New York, New York.
J Palliat Med. 2016 Jul;19(7):753-9. doi: 10.1089/jpm.2015.0491. Epub 2016 May 11.
Nationally, the contribution of palliative care to high-quality health care continues to be recognized resulting in demand for palliative care services. This has resulted in an expected shortage of clinicians with palliative care knowledge and experience. The education and scope of practice of advanced practice registered nurses (APRNs) provides an ideal foundation for further palliative care education and training to fill this gap.
The authors sought a method to provide midcareer APRNs with education and training in primary palliative care.
The program took place at a well-established palliative care program at an academic medical center. This article describes an Institutional Review Board-approved week-long intensive APRN externship designed to provide education and training in primary palliative care for APRNs across disease populations. To best educate these APRNs, who did not have formal palliative care in their graduate education, the externship includes didactic, experiential, and clinical components to meet the needs of APRNs with minimal palliative care education and/or experiences.
Precourse and postcourse data collection was performed. Results demonstrated increased knowledge, skills, and confidence in palliative care.
This is a sustainable model for primary palliative care and midcareer APRNs who wish to enter palliative care. It is replicable for other disciplines as well.
在全国范围内，姑息治疗对高质量医疗保健的贡献持续得到认可，这导致了对姑息治疗服务的需求。这进而导致了预计具备姑息治疗知识和经验的临床医生短缺。高级执业注册护士（APRNs）的教育和执业范围为进一步开展姑息治疗教育和培训以填补这一缺口提供了理想基础。
作者寻求一种方法，为处于职业生涯中期的高级执业注册护士提供初级姑息治疗方面的教育和培训。
该项目在一家学术医疗中心成熟的姑息治疗项目中开展。本文描述了一项经机构审查委员会批准的为期一周的强化高级执业注册护士实习项目，旨在为不同疾病人群的高级执业注册护士提供初级姑息治疗方面的教育和培训。为了最好地教育这些在研究生教育中没有接受过正规姑息治疗培训的高级执业注册护士，该实习项目包括理论教学、实践和临床部分，以满足姑息治疗教育和/或经验最少的高级执业注册护士的需求。
进行了课程前和课程后的数据收集。结果显示在姑息治疗方面知识、技能和信心有所增加。
这是一种针对希望进入姑息治疗领域的初级姑息治疗和处于职业生涯中期的高级执业注册护士的可持续模式。它对其他学科也具有可复制性。
