教育干预增强临床医生对基督教、犹太教和伊斯兰教临终关怀教义的认识。

Educational Intervention Enhances Clinician Awareness of Christian, Jewish, and Islamic Teachings around End-of-Life Care.

机构信息

1 Scholarly Concentrations Program, University of South Florida Health Morsani College of Medicine , Tampa, Florida.

6 Department of Medicine, Johns Hopkins School of Medicine , Baltimore, Maryland.

出版信息

J Palliat Med. 2019 Jan;22(1):62-70. doi: 10.1089/jpm.2018.0077. Epub 2018 Jul 13.

DOI:10.1089/jpm.2018.0077

PMID:30004831

Abstract

BACKGROUND

Patients' religious and spiritual values impact their goals and perception of illness, especially at the end of life (EOL). According to the Joint Commission, identifying spiritual beliefs may improve cultural competency and patient-centered care. However, clinicians may be uncomfortable discussing spirituality and unaware of basic religious teachings.

OBJECTIVES

To assess clinician understanding and knowledge of key Christian, Jewish, and Islamic teachings around EOL care before and after a one-hour educational intervention through video podcast.

DESIGN

After literature review and consultation with religious leaders, a pre- and post-test (10 questions per religion plus demographic questions) to assess knowledge of Christian, Jewish, and Islamic teachings and an educational video podcast were developed. The pretest was administered to healthcare providers, followed by a one-hour educational intervention through a video podcast. Next, a post-test was administered.

SUBJECTS

Seventy-three healthcare providers participated in this study.

MEASUREMENTS

Differences between pretest and post-test scores were analyzed employing paired t-test tests using SPSS software.

RESULTS

The median score on the pretest was Christian: 6 [2-9], Jewish: 6 [4-10], and Islamic: 6 [2-8]. After the educational intervention, the median Christian, Jewish, and Islamic scores improved to 8 [4-10], 9 [6-10], and 10 [3-10], respectively (p < 0.0001). Additionally, the total pretest median score improved from 17 [10-24] to 27 [16-30].

CONCLUSIONS

A one-hour educational intervention through video podcast significantly improved understanding of Christian, Jewish, and Islamic teachings around EOL care. The video podcast enabled easy distribution of the educational session to multiple facilities and providers. Additional research is needed to determine the longitudinal outcomes and impact on patient outcomes of this intervention.

摘要

背景

患者的宗教和精神价值观会影响他们的目标和对疾病的认知，尤其是在生命末期（EOL）。根据联合委员会的说法，确定患者的精神信仰可能会提高文化能力和以患者为中心的护理水平。然而，临床医生可能会对讨论精神问题感到不舒服，并且对基本的宗教教义不了解。

目的

通过视频播客进行一小时的教育干预，在干预前后评估临床医生对基督教、犹太教和伊斯兰教在 EOL 护理方面的关键教义的理解和认识。

设计

在文献回顾和与宗教领袖协商后，开发了一份包含 10 个问题（每个宗教 10 个问题加人口统计学问题）的预测试和后测试，以评估对基督教、犹太教和伊斯兰教教义的了解，并制作了一个教育视频播客。先对医疗保健提供者进行预测试，然后通过视频播客进行一小时的教育干预。之后进行后测。

研究对象

73 名医疗保健提供者参与了这项研究。

测量

采用 SPSS 软件的配对 t 检验分析了预测试和后测试分数之间的差异。

结果

预测试的中位数分数为：基督教 6 [2-9]，犹太教 6 [4-10]，伊斯兰教 6 [2-8]。在教育干预之后，基督教、犹太教和伊斯兰教的中位数分数分别提高到 8 [4-10]、9 [6-10]和 10 [3-10]（p < 0.0001）。此外，预测试的总中位数分数从 17 [10-24]提高到 27 [16-30]。