Palliative and Supportive Services, Flinders University, Adelaide, South Australia, Australia.
Emerg Med Australas. 2021 Dec;33(6):983-991. doi: 10.1111/1742-6723.13776. Epub 2021 May 5.
To evaluate the End-of-Life Essentials education module 'Emergency Department End-of-Life Care' and explore learners' views on what constitutes a compassionate response in the ED.
The present study used a multi-methods approach. Learners comprised a mix of nurses, doctors and allied health professionals. A quantitative pre-post evaluation analysis of learners' (n = 959) knowledge, skills, attitude and confidence was conducted, along with a qualitative thematic content analysis on learner responses (n = 538) to the post-evaluation question, 'What is a compassionate response for you in the emergency department?' Data were extracted for a 12-month period, 6 May 2019 to 6 May 2020.
Learners' post-evaluation ranks of knowledge, skill, attitude and confidence were significantly higher than the pre-evaluation ranks (P < 0.001). Emerging themes from the qualitative data were organised into three overarching categories: communication skills (e.g. listening and use of names), care discussion and provision (e.g. provide information and discuss care plans) and humanising healthcare (e.g. emotional support and empathy, taking the time, and offering kindness and comfort).
The 'Emergency Department End-of-Life Care' module had a significant positive impact on learners in relation to perceived knowledge, skill, attitude and confidence. This evaluation suggests that the End-of-Life Essentials ED module could be a useful online learning resource for health professionals.
评估生命终末期基础课程“急诊生命终末期护理”模块，并探讨学习者对急诊科富有同情心的反应的看法。
本研究采用了多种方法。学习者包括护士、医生和其他健康专业人员。对学习者（n=959）的知识、技能、态度和信心进行了定量的预-后评估分析，并对学习者对后评估问题“对您来说，急诊科的同情反应是什么？”的回答进行了定性的主题内容分析（n=538）。数据在 2019 年 5 月 6 日至 2020 年 5 月 6 日的 12 个月期间提取。
学习者的后评估知识、技能、态度和信心等级明显高于预评估等级（P<0.001）。定性数据中出现的主题分为三个总体类别：沟通技巧（例如倾听和使用姓名）、护理讨论和提供（例如提供信息和讨论护理计划）以及人性化医疗保健（例如情感支持和同理心、花时间、以及提供善意和安慰）。
“急诊生命终末期护理”模块对学习者在感知知识、技能、态度和信心方面产生了显著的积极影响。这项评估表明，生命终末期基础课程的急诊模块可以成为健康专业人员有用的在线学习资源。
