Ms. Thiel: Chaplain, Department of Spiritual Care, Hebrew SeniorLife, Roslindale, MA. Department of Anesthesia, Dr. Luff: Director of Curriculum Design and Quality, Boston Children's Hospital Simulator Program and Assistant Professor of Anesthesiology, Harvard Medical School, Boston Children's Hospital and Harvard Medical School, Landmark Center, Boston, MA. Ms. Kerr: Research Associate, Department of Preventive Medicine, Brigham and Women's Hospital, Boston, MA. Ms. Robinson: Retired Chaplain, Department of Chaplaincy, Boston Children's Hospital, Boston, MA. Dr. Meyer: Senior Attending Psychologist, Boston Children's Hospital and Associate Professor of Psychology, Harvard Medical School, Department of Psychiatry, Boston Children's Hospital, Center for Bioethics, Harvard Medical School, Boston, MA.
J Contin Educ Health Prof. 2020 Fall;40(4):228-234. doi: 10.1097/CEH.0000000000000318.
Meeting spiritual needs of patients is an important aspect of quality health care, but continuing professional development and training to provide spiritual care remains inadequate. The purpose was to identify participants' learning from simulation-based spiritual generalist workshops and application to practice.
Interdisciplinary participants completed self-report demographic questionnaires before the workshops and questionnaires after workshops that listed open-ended take-home learning. Responses were analyzed using qualitative content analysis. A subgroup was surveyed 3 to 9 months after training to examine whether and how participants had incorporated workshop learning into clinical work.
Workshop participants 181/211 (85.8%) reported learning in four categories: core values and skills of spiritual generalists, understanding spirituality/religion and its role in health care, interfacing with chaplaincy, and interprofessional teamwork. Of the subsample, 73.5% (25/34) completed surveys 3 to 9 months after training. Of those, 25/25 (100%) reported drawing on what they learned in workshops, and 24/25 (96%) reported making clinical practice changes.
One-day spiritual generalist simulation-based workshops can improve continuing professional development learning experiences to provide generalist level of spiritual care. Workshops offered valuable learning and resulted in applicable clinical skills across professional roles. At 3 to 9 months after training, participants reported improved spiritual screening, recognition of spiritual distress, and referral to chaplaincy.
满足患者的精神需求是医疗质量的一个重要方面，但持续的专业发展和培训以提供精神关怀仍然不足。目的是确定参与者从基于模拟的精神通才研讨会中学习并将其应用于实践。
跨学科参与者在研讨会之前完成自我报告的人口统计学问卷，并在研讨会后完成列出开放式学习的问卷。使用定性内容分析对回答进行分析。在培训后 3 至 9 个月对一个小组进行调查，以检查参与者是否以及如何将研讨会的学习融入临床工作。
181/211（85.8％）名研讨会参与者报告了四个方面的学习：精神通才的核心价值观和技能、理解灵性/宗教及其在医疗保健中的作用、与牧师的接口以及跨专业团队合作。在亚样本中，73.5％（25/34）在培训后 3 至 9 个月完成了调查。其中，25/25（100％）报告了利用他们在研讨会中学到的知识，并且 24/25（96％）报告了临床实践的改变。
为期一天的基于模拟的精神通才研讨会可以改善继续专业发展的学习体验，以提供通才水平的精神关怀。研讨会提供了有价值的学习机会，并在跨专业角色中产生了实用的临床技能。在培训后 3 至 9 个月，参与者报告称提高了精神筛查、识别精神困扰和向牧师的转介。
