姑息治疗教育及其效果:系统评价。
Palliative care education and its effectiveness: a systematic review.
机构信息
Department of Psychology, James Cook University, Australia.
Department of Psychology, James Cook University, Australia.
出版信息
Public Health. 2021 May;194:96-108. doi: 10.1016/j.puhe.2021.02.033. Epub 2021 Apr 16.
BACKGROUND
Palliative care education (PCE) is an important public health approach to palliative care and is crucial to improving its utilisation. The present study aims to develop a comprehensive understanding of PCE and its effectiveness.
METHOD
A systematic review approach, including narrative synthesis, was used to review qualitative and quantitative studies published in the English language between January 1969 and January 2019, focussing on PCE programs.
RESULTS
Thirty-nine research studies were included in the systematic review. The target audience of the included studies were mostly healthcare professionals, followed by family caregivers. Definitions of death and palliative care, symptom management and communication were leading themes in the reviewed PCE programs. The educational resources used in PCE programs were mainly self-developed teaching materials, with some programs utilising eLearning resources. The included PCE programs were effective in improving knowledge, attitude and confidence in palliative care and the satisfaction of participant learning experience.
CONCLUSION
PCE is a useful tool to improve knowledge of, confidence in and attitudes towards palliative care amongst healthcare professionals and carers. To make palliative care a public health issue, PCE should be expanded to the public and policy-makers.
背景
缓和医疗教育(Palliative care education,PCE)是缓和医疗的重要公共卫生方法,对于提高其利用率至关重要。本研究旨在全面了解 PCE 及其效果。
方法
采用系统综述方法,包括叙事综合,对 1969 年 1 月至 2019 年 1 月期间发表的英文的 PCE 项目的定性和定量研究进行综述。
结果
系统综述纳入了 39 项研究。纳入研究的目标人群主要是医疗保健专业人员,其次是家庭照顾者。已审查的 PCE 计划的主要主题包括对死亡和缓和医疗、症状管理和沟通的定义。PCE 计划中使用的教育资源主要是自行开发的教材,一些计划利用电子学习资源。纳入的 PCE 计划在提高医疗保健专业人员和护理人员对缓和医疗的知识、态度和信心,以及参与者对学习体验的满意度方面是有效的。
结论
PCE 是提高医疗保健专业人员和护理人员对缓和医疗的认识、信心和态度的有用工具。为了将缓和医疗作为一个公共卫生问题,应将 PCE 扩大到公众和决策者。