Thiel Meghan, Harden Karen, Brazier Lori-Jene, Marks Adam, Smith Michael
Department of Internal Medicine, Division of Geriatric and Palliative Medicine, University of Michigan, Michigan Medicine, Ann Arbor, Michigan, USA.
University of Michigan School of Nursing, Ann Arbor, Michigan, USA.
Palliat Med Rep. 2020 Nov 19;1(1):270-279. doi: 10.1089/pmr.2020.0092. eCollection 2020.
Palliative care relies on a team approach to manage the complex needs of patients and families living with serious illness. This article describes an interprofessional team's aim to develop an interactive online curriculum in palliative care, with an emphasis on interprofessional education (IPE). The aim of the program is to address the need for formalized interprofessional palliative care education. The interdisciplinary team identified the need for formalized education efforts within our clinical space. To address the need, the team designed an online curriculum based in the core competencies of palliative care and IPE. A new model was established, with the themes of learning about "people," learning the "job," and learning "respect." The team followed the plan-do-study-act model to guide their process. The newly developed interprofessional online curriculum was utilized by palliative care trainees from various disciplines and levels of education. Pre- and post-tests to measure the knowledge, behavior, attitudes, and skills needed for teamwork and core palliative care competencies were completed. Forty-three medical and nursing students, undergraduate and graduate, completed the pretest, and 32 students completed the post-test. Results indicate that learners are growing in interprofessional skills and attitudes, but not in formalized knowledge of palliative care as a result of their clinical experience. Results suggest that more formalized knowledge may need to be provided to learners who come to this clinical experience, which could be delivered through the online curriculum. The knowledge survey should also be re-evaluated for clarity and content.
姑息治疗依靠团队协作来满足患有严重疾病的患者及其家庭的复杂需求。本文描述了一个跨专业团队开发姑息治疗互动在线课程的目标,重点是跨专业教育(IPE)。该项目的目的是满足对正规跨专业姑息治疗教育的需求。跨学科团队确定了在我们的临床领域进行正规教育的必要性。为满足这一需求,团队基于姑息治疗和跨专业教育的核心能力设计了一门在线课程。建立了一个新模式,主题包括了解“人”、学习“工作”和学会“尊重”。团队遵循计划 - 执行 - 研究 - 行动模型来指导他们的过程。新开发的跨专业在线课程被不同学科和教育水平的姑息治疗学员使用。完成了用于衡量团队合作所需知识、行为、态度和技能以及姑息治疗核心能力的前后测试。43名医学和护理专业的本科生和研究生完成了前测,32名学生完成了后测。结果表明,学习者的跨专业技能和态度在提升,但由于他们的临床经验,在姑息治疗的正规知识方面没有提升。结果表明,可能需要为有此临床经验的学习者提供更正规的知识,这可以通过在线课程来提供。还应重新评估知识调查的清晰度和内容。