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一种针对肾脏病团队的新型跨专业姑息治疗与老年医学课程。

A Novel Interprofessional Palliative Care and Geriatrics Curriculum for Nephrology Teams.

作者信息

Fulton Ana Tuya, Richman Katherine, Azar Maroun, Sanzen Kelley, Devine Jessica, Ferrone Christine, Tanzer Joshua Ray, Lally Kate

机构信息

Geriatrics & Palliative Care, Care New England Health System, Providence, RI, USA.

The Warren Alpert School of Medicine, Brown University, Providence, RI, USA.

出版信息

Am J Hosp Palliat Care. 2020 Nov;37(11):913-917. doi: 10.1177/1049909120915462. Epub 2020 Apr 1.

Abstract

BACKGROUND

The population of older adults with chronic kidney disease (CKD) is increasing and nephrologists need education on the principles of geriatrics and palliative care to effectively care for this population.

OBJECTIVES

Our objective was to develop and deliver a curriculum to interprofessional clinicians caring for older adults with CKD. The aim of this curriculum would be to improve knowledge of the principles of geriatrics and palliative care.

DESIGN

We have previously developed a curriculum on geriatrics and palliative care targeted toward primary care teams. In this project, we used an interdisciplinary steering committee to modify the curriculum for nephrology teams.

SETTING

This curriculum was delivered in a live grand rounds setting and was recorded and made available via online platform for virtual learning.

PARTICIPANTS

The 6-session curriculum was delivered to 611 live and online learners between January 2018 and April 2019, with more than half of the participants (n = 317) completing more than 1 session. Participants came from a variety of disciplines including medicine, nursing, pharmacy, and social work.

RESULTS

Participants had a high rate of agreement with the statement that the curriculum met learning objectives, with live participants having stronger agreement. Participants reported that the activity would change their practice behavior by calling palliative care earlier, as well as improving their communication skills.

CONCLUSION

Interprofessional collaboration can result in improved learning around the management of patients with CKD or end-stage kidney disease.

摘要

背景

患有慢性肾脏病(CKD)的老年人口正在增加,肾病学家需要接受老年医学和姑息治疗原则方面的教育,以便有效地照料这一人群。

目的

我们的目标是为照料患有CKD的老年人的跨专业临床医生开发并提供一门课程。该课程的目的是提高对老年医学和姑息治疗原则的认识。

设计

我们之前已经为初级保健团队开发了一门关于老年医学和姑息治疗的课程。在这个项目中,我们使用了一个跨学科指导委员会来为肾病团队修改该课程。

背景

本课程是在现场大查房时授课,并进行了录制,通过在线平台提供以供虚拟学习。

参与者

在2018年1月至2019年4月期间,为611名现场和在线学习者提供了这一为期6节的课程,超过一半的参与者(n = 317)完成了不止1节课程。参与者来自医学、护理、药学和社会工作等多个学科。

结果

参与者对该课程达到学习目标这一说法的认同率很高,现场参与者的认同度更高。参与者报告说,该活动将通过更早地寻求姑息治疗以及提高他们的沟通技巧来改变他们的实践行为。

结论

跨专业合作可以改善围绕CKD或终末期肾病患者管理的学习。

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