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关爱家庭护理人员:针对本科护理专业学生的在线COMFORT™沟通培训模块的试点测试

Caring for Family Caregivers: a Pilot Test of an Online COMFORT™ Communication Training Module for Undergraduate Nursing Students.

作者信息

Wittenberg Elaine, Goldsmith Joy V, Williams Y'Esha, Lee Angella

机构信息

Department of Communication Studies, California State University, Los Angeles, 5151 State University Drive, Los Angeles, CA, 90032, USA.

Communication Studies, Art & Communication Bldg 235, University of Memphis, Memphis, TN, 38152, USA.

出版信息

J Cancer Educ. 2020 Feb;35(1):138-143. doi: 10.1007/s13187-018-1452-3.

Abstract

Family caregivers who provide care and support to cancer patients experience distress, burden, and decreased quality of life as a result of caregiving. Caregivers often turn to nurses for support; however, there is little training available for nurses on how to care for the family caregiver. Undergraduate nursing students have a high need to learn about engaging caregivers in care, but little content is presented to fulfill that need. Derived from the COMFORT™ communication curriculum, we developed a 1-h online educational module specifically addressing communication with family caregivers of cancer patients. Undergraduate nursing students (n = 128) from two accredited nursing programs completed a survey at the beginning and end of the module, in addition to answering unfolding response opportunities within the module. There was a significant increase in communication knowledge, attitude, and behaviors (p < .000) in post-test responses for students across all years of study. Knowledge based on responses to case study scenarios was more than 75% correct. Student open-ended responses to case-based scenarios featured in the module revealed student mastery and ability to apply module content (range, 40-56% across four scenarios). This online COMFORT™ communication training module is an innovative online cancer education tool for teaching about communication with family caregivers. This study finds the module effective for teaching undergraduate nursing students about communication with family and shows promise in interprofessional curricula as well.

摘要

为癌症患者提供护理和支持的家庭护理人员会因护理工作而经历痛苦、负担并导致生活质量下降。护理人员常常向护士寻求支持;然而,针对护士如何护理家庭护理人员的培训却很少。本科护理专业学生非常需要学习如何让护理人员参与到护理工作中,但能满足这一需求的教学内容却很少。基于COMFORT™沟通课程,我们开发了一个1小时的在线教育模块,专门针对与癌症患者家庭护理人员的沟通。来自两个认证护理项目的128名本科护理专业学生在该模块开始和结束时完成了一项调查,此外还回答了模块中的展开式回应问题。在所有学习年份的学生的测试后回应中,沟通知识、态度和行为都有显著增加(p <.000)。基于对案例研究场景的回应的知识正确率超过75%。学生对模块中基于案例的场景的开放式回应显示出学生对模块内容的掌握程度和应用能力(四个场景的范围为40 - 56%)。这个在线COMFORT™沟通培训模块是一种创新的在线癌症教育工具,用于教授与家庭护理人员的沟通。本研究发现该模块在教授本科护理专业学生与家人沟通方面是有效的,并且在跨专业课程中也很有前景。

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