Cox Sarah, Brighton Lisa Jane, Russell Sarah
Chelsea and Westminster NHS Foundation Trust, London, UK.
Cicely Saunders Institute of Palliative Care, Policy and Rehabilitation, King's College London, London, UK.
Future Healthc J. 2018 Feb;5(1):21-24. doi: 10.7861/futurehosp.5-1-21.
End-of-life care (EoLC) should be seen as everyone's business in acute hospital settings; a focus on targeted education and training in EoLC has the potential to improve the delivery of care for, and experiences of, patients and their families. We discuss the challenges associated with providing EoLC education in acute settings, and make recommendations around what should be delivered, to whom, when and how, including the measurement of impact of educational interventions. To deliver excellent education, content and delivery needs to be multifaceted, tailored to the needs of staff, and, importantly, led by the voices of patients and their families. We call on senior trust executives to resource and support the development and delivery of an EoLC education strategy to improve competencies of all staff, fostering an organisational culture of person-centred EoLC throughout any acute setting.
在急症医院环境中，临终关怀应被视为每个人的职责；专注于临终关怀的针对性教育和培训，有可能改善对患者及其家属的护理服务和体验。我们讨论了在急症环境中提供临终关怀教育所面临的挑战，并围绕应提供什么内容、针对谁、何时以及如何提供提出建议，包括对教育干预效果的衡量。为了提供卓越的教育，内容和授课方式需要多方面考量，根据员工的需求进行定制，重要的是，要以患者及其家属的意见为主导。我们呼吁高级信托管理人员为制定和实施临终关怀教育战略提供资源和支持，以提高所有员工的能力，在任何急症环境中营造以患者为中心的临终关怀组织文化。
