Levine Stacie, O'Mahony Sean, Baron Aliza, Ansari Aziz, Deamant Catherine, Frader Joel, Leyva Ileana, Marschke Michael, Preodor Michael
University of Chicago, Chicago, Illinois, USA.
Rush University Medical Center, Chicago, Illinois, USA.
J Pain Symptom Manage. 2017 Apr;53(4):728-737. doi: 10.1016/j.jpainsymman.2016.11.009. Epub 2017 Jan 3.
The rapid increase in demand for palliative care (PC) services has led to concerns regarding workforce shortages and threats to the resiliency of PC teams.
To describe the development, implementation, and evaluation of a regional interdisciplinary training program in PC.
Thirty nurse and physician fellows representing 22 health systems across the Chicago region participated in a two-year PC training program. The curriculum was delivered through multiple conferences, self-directed e-learning, and individualized mentoring by expert local faculty (mentors). Fellows shadowed mentors' clinical practices and received guidance on designing, implementing, and evaluating a practice improvement project to address gaps in PC at their institutions.
Enduring, interdisciplinary relationships were built at all levels across health care organizations. Fellows made significant increases in knowledge and self-reported confidence in adult and pediatric PC and program development skills and frequency performing these skills. Fellows and mentors reported high satisfaction with the educational program.
This interdisciplinary PC training model addressed local workforce issues by increasing the number of clinicians capable of providing PC. Unique features include individualized longitudinal mentoring, interdisciplinary education, on-site project implementation, and local network building. Future research will address the impact of the addition of social work and chaplain trainees to the program.
姑息治疗(PC)服务需求的迅速增长引发了对劳动力短缺以及PC团队适应能力受到威胁的担忧。
描述一项区域性PC跨学科培训项目的开发、实施和评估情况。
来自芝加哥地区22个卫生系统的30名护士和医师学员参加了为期两年的PC培训项目。课程通过多次会议、自主在线学习以及当地专家教员(导师)的个性化指导来进行。学员跟随导师进行临床实践,并在设计、实施和评估实践改进项目以解决其所在机构PC方面的差距时获得指导。
在整个医疗保健组织的各个层面都建立了持久的跨学科关系。学员在成人和儿科PC以及项目开发技能方面以及执行这些技能的频率方面,知识和自我报告的信心有了显著提高。学员和导师对该教育项目满意度很高。
这种跨学科PC培训模式通过增加能够提供PC的临床医生数量解决了当地劳动力问题。其独特之处包括个性化的长期指导、跨学科教育、现场项目实施以及当地网络建设。未来的研究将探讨在该项目中增加社会工作和牧师学员的影响。