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大学生临终关怀志愿者:为临终关怀临床医生培养输送人才是否为时过早?

College Palliative Care Volunteers: Too Early to Feed the Pipeline for Palliative Care Clinicians?

机构信息

Department of Internal Medicine, Carver College of Medicine, Iowa City, Iowa.

College of Nursing, University of Iowa, Iowa City, Iowa.

出版信息

J Palliat Med. 2019 Dec;22(12):1589-1593. doi: 10.1089/jpm.2018.0662. Epub 2019 May 9.

Abstract

The University of Iowa Hospitals and Clinics (UIHC) has a palliative care (PC) volunteering program that has recruited college students since 2010. There is little research on the effects of PC volunteering on collegiate volunteers. The objective is to determine the impact of PC volunteering on college students' professional lives and on their interest in PC. The UIHC Volunteer Services office sent a 25-question survey with closed- and open-ended items to previous and current PC college volunteers. We used descriptive statistics to characterize the sample. Free text responses were analyzed using a descriptive qualitative approach with three independent coders. Seventy-one percent of respondents (23/33) reported they were more likely to pursue PC after volunteering. PC volunteering helped change views of patient care and abilities to discuss end-of-life situations. Ninety-one percent served as informal ambassadors by discussing PC with family and peers. Major themes identified include motivation to volunteer for patient contact and interest in learning about PC. Respondents described meaningful patient interactions, lessons in empathy, and the power of listening. These results suggest that PC volunteering affects career choices and helps volunteers gain needed listening skills for patient care in the future. The unique exposure and interactions with PC patients and their families have changed volunteers' understanding of health care. PC volunteers speak in their social networks about PC. This experience may increase the likelihood of student volunteers to pursue careers in PC.

摘要

爱荷华大学医院和诊所(UIHC)自 2010 年以来一直有一个姑息治疗(PC)志愿者计划,招募大学生志愿者。关于 PC 志愿服务对大学生志愿者的影响的研究很少。目的是确定 PC 志愿服务对大学生职业生活的影响,以及他们对 PC 的兴趣。UIHC 志愿者服务办公室向以前和现在的 PC 大学生志愿者发送了一份包含封闭式和开放式问题的 25 个问题的调查。我们使用描述性统计来描述样本。使用描述性定性方法,由三名独立编码员对自由文本回复进行分析。71%的受访者(23/33)报告说,他们在志愿服务后更有可能从事 PC 工作。PC 志愿服务有助于改变对患者护理的看法,提高讨论临终情况的能力。91%的人通过与家人和同龄人讨论 PC 担任非正式大使。确定的主要主题包括为与患者接触而志愿服务的动机和对 PC 学习的兴趣。受访者描述了有意义的患者互动、同理心的课程以及倾听的力量。这些结果表明,PC 志愿服务会影响职业选择,并帮助志愿者为未来的患者护理获得所需的倾听技能。与 PC 患者及其家人的独特接触和互动改变了志愿者对医疗保健的理解。PC 志愿者在他们的社交网络中谈论 PC。这种体验可能会增加学生志愿者从事 PC 职业的可能性。

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本文引用的文献

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