Faculty of Health and Social Development, School of Nursing, University of British Columbia, Kelowna, British Columbia, Canada.
J Nurs Manag. 2019 Apr;27(3):461-481. doi: 10.1111/jonm.12714. Epub 2018 Dec 18.
To explore collaborative and interdisciplinary palliative educational strategies and corresponding outcomes for health care assistants.
Health care assistants are frontline staff who provide almost all hands-on care to seniors. Health care managers are responsible to provide ongoing support and a working environment conducive to health care assistants' abilities to provide quality, safe, evidence-based care.
A Qualitative metasummary of collaborative and interdisciplinary teaching strategies was conducted following guidelines developed by Sandelowski et al. ().
The gold standard of palliative care is interdisciplinary delivery of care, yet education is often monodisciplinary. Furthermore, evaluation of interdisciplinary continuing education is most often subjective via self-report questionnaires.
Findings from 16 articles representing 15 studies conducted between 2007 and 2017 were grouped thematically and summarized. Collaborative or interdisciplinary palliative interventions offer health care assistants opportunities to debrief, build their confidence, and critically reflect on the importance of psychosocial care for patients, family and colleagues.
The metasummary provides six suggestions for managers who are considering implementing a collaborative palliative educational workshop and draws attention to the need to create contextual changes that support health care assistants to enact newly acquired knowledge and skills.
探索针对医疗助理人员的协作式跨学科缓和医疗教育策略及其相应成果。
医疗助理人员是为老年人提供几乎所有日常护理的一线工作人员。医疗管理人员有责任提供持续的支持和有利于医疗助理人员发挥能力、提供优质、安全、基于证据的护理的工作环境。
按照桑德洛斯基等人制定的指南(),对协作式跨学科教学策略进行了定性荟萃分析。
缓和医疗的金标准是跨学科护理,但教育往往是单学科的。此外,对跨学科继续教育的评估最常见的是通过自我报告问卷进行主观评估。
对 2007 年至 2017 年间开展的 15 项研究中的 16 篇文章进行了主题分组和总结。协作式或跨学科缓和医疗干预为医疗助理人员提供了机会,可以进行汇报、增强信心,并对患者、家属和同事的心理社会护理的重要性进行批判性反思。
该荟萃分析为正在考虑实施协作式缓和医疗教育研讨会的管理人员提供了 6 条建议,并提请注意需要进行情境改变,以支持医疗助理人员实施新获得的知识和技能。