Green Sarah B, Markaki Adelais
School of Nursing, University of Alabama at Birmingham, 1720 2nd Ave. South, Birmingham, AL, 35294-1210, USA.
Children's Hospital Los Angeles, 4650 Sunset Blvd. #54, Los Angeles, CA, 90027-6062, USA.
BMC Res Notes. 2018 Nov 7;11(1):797. doi: 10.1186/s13104-018-3905-5.
Clinician education and expertise in palliative care varies widely across pediatric oncology programs. The purpose of this evidence-based practice review was to identify interprofessional palliative care education models applicable to pediatric oncology settings as well as methods for evaluating their impact on clinical practice.
Based on a literature search in PubMed, CINAHL and Embase, which identified 13 articles meeting inclusion/exclusion criteria, the following three themes emerged: (1) establishment of effective modalities and teaching strategies, (2) development of an interprofessional palliative care curriculum, and (3) program evaluation to assess impact on providers' self-perceived comfort in delivering palliative care and patient/family perceptions of care received. Remarkably, health professionals reported receiving limited palliative care training, with little evidence of systematic evaluation of practice changes following training completion. Improving palliative care delivery was linked to the development and integration of an interprofessional palliative care curriculum. Suggested evaluation strategies included: (1) eliciting patient and family feedback, (2) standardizing care delivery measures, and (3) evaluating outcomes of care.
在儿科肿瘤项目中，临床医生在姑息治疗方面的教育背景和专业知识差异很大。本次基于循证实践的综述旨在确定适用于儿科肿瘤环境的跨专业姑息治疗教育模式，以及评估其对临床实践影响的方法。
通过在PubMed、CINAHL和Embase数据库中进行文献检索，共筛选出13篇符合纳入/排除标准的文章，从中提炼出以下三个主题：（1）建立有效的教学模式和教学策略；（2）制定跨专业姑息治疗课程；（3）进行项目评估，以评估对医护人员提供姑息治疗时自我感知舒适度的影响以及患者/家属对所接受护理的看法。值得注意的是，卫生专业人员报告称接受的姑息治疗培训有限，而且几乎没有证据表明在培训完成后对实践变化进行了系统评估。改善姑息治疗的提供与跨专业姑息治疗课程的开发和整合相关。建议的评估策略包括：（1）征求患者和家属的反馈；（2）规范护理提供措施；（3）评估护理结果。
