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中东和东北非的缓和护理护理发展:来自阿曼的经验教训。

Palliative Care Nursing Development in the Middle East and Northeast Africa: Lessons From Oman.

机构信息

Collaborative Science & Innovation Department, Billings Clinic, Billings, MT, USA.

Higher Institute of Health Specialties, Ministry of Health, Muscat, Sultanate of Oman.

出版信息

J Cancer Educ. 2021 Jul;36(Suppl 1):69-77. doi: 10.1007/s13187-021-02044-9. Epub 2021 Jun 15.

DOI:10.1007/s13187-021-02044-9
PMID:34129197
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8204607/
Abstract

Nurses are on the frontline of palliative care, and in some countries, are the only contact for patients and families facing life-threatening illness. The Oman Cancer Association in the Sultanate of Oman, in collaboration with the Middle Eastern Cancer Consortium and the Oncology Nursing Society, led a palliative care initiative over the past decade to better integrate palliative care into the health care system. Components of this initiative include integrating palliative care into the health care curricula and providing palliative care education to over 400 nurses and other health care professionals within Oman. The four-part education series includes the following courses: (1) Foundations of Palliative Care, (2) Advanced Concepts in Palliative Care, (3) Palliative Care Leadership, and (4) Palliative Care Research. Additional participants from 17 different countries in the Middle East and northern Africa also attended the training. Twenty of the trainees who were considered palliative care leaders in their countries then participated in a Train the Trainer course. This group trained the last cohort of health care professionals in Oman and then took learned concepts and strategies back to their respective countries in order to provide country-wide education and build palliative care capacity in the region. Outcomes include the development of palliative care units, quality improvement projects that improved care, and advocacy projects to increase opioid availability within some countries. The collaborative continues its work and connections through social medial, email, and virtual collaboration. Other countries can use this model to permeate palliative care within their regions.

摘要

护士是姑息治疗的第一线人员,在一些国家,他们是面临危及生命疾病的患者和家庭的唯一联系人。阿曼癌症协会在阿曼苏丹国与中东癌症联合会和肿瘤护理学会合作,在过去十年中领导了一项姑息治疗计划,以更好地将姑息治疗纳入医疗保健系统。该计划的组成部分包括将姑息治疗纳入医疗保健课程,并为阿曼的 400 多名护士和其他医疗保健专业人员提供姑息治疗教育。该四部分教育系列包括以下课程:(1)姑息治疗基础,(2)姑息治疗高级概念,(3)姑息治疗领导力,和(4)姑息治疗研究。来自中东和北非 17 个不同国家的额外参与者也参加了培训。20 名被认为是他们国家姑息治疗领域的领导者的学员随后参加了培训师培训课程。该小组培训了阿曼的最后一批医疗保健专业人员,然后将所学的概念和策略带回各自的国家,以在该地区提供全国性的教育和建立姑息治疗能力。成果包括姑息治疗单位的发展、改善护理的质量改进项目,以及在一些国家增加阿片类药物供应的宣传项目。该合作通过社交媒体、电子邮件和虚拟合作继续其工作和联系。其他国家可以使用这种模式在其地区普及姑息治疗。

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本文引用的文献

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Redefining Palliative Care-A New Consensus-Based Definition.重新定义姑息治疗——基于共识的新定义
J Pain Symptom Manage. 2020 Oct;60(4):754-764. doi: 10.1016/j.jpainsymman.2020.04.027. Epub 2020 May 6.
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Global Survey of the Roles, Satisfaction, and Barriers of Home Health Care Nurses on the Provision of Palliative Care.全球居家医疗护理护士在提供姑息治疗方面的角色、满意度和障碍调查。
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CARES: AACN's New Competencies and Recommendations for Educating Undergraduate Nursing Students to Improve Palliative Care.CARES:美国危重症护理协会关于培养本科护理学生以改善姑息治疗的新能力与建议
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Global Pediatric Oncology: Lessons From Partnerships Between High-Income Countries and Low- to Mid-Income Countries.全球儿科肿瘤学:高收入国家与中低收入国家合作的经验教训
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