Daubman Bethany-Rose, Bernacki Rachelle, Stoltenberg Mark, Wilson Erica, Jacobsen Juliet
Division of Palliative Care and Pediatrics, Massachusetts General Hospital, Boston, Massachusetts, USA.
Harvard Medical School, Boston, Massachusetts, USA.
Palliat Med Rep. 2020 Jul 28;1(1):135-142. doi: 10.1089/pmr.2020.0066. eCollection 2020.
With the palliative care workforce shortage and changes in advance care planning reimbursement, many institutions are requesting that palliative care specialists provide serious illness communication training across their institution's workforce. Based on our experience training clinicians to use the Partners Serious Illness Conversation Guide, a structured guide to teach basic palliative care communication skills, we propose a set of best practices to help others teach use of a communication guide at their institution, including fostering a safe learning environment, explicit teaching of structured communication, and preparing cofacilitators to adapt to differing skill levels of learners.
随着姑息治疗劳动力短缺以及预先护理计划报销政策的变化,许多机构要求姑息治疗专家为其机构内的全体员工提供严重疾病沟通培训。基于我们培训临床医生使用《医患严重疾病沟通指南》(这是一本教授基本姑息治疗沟通技巧的结构化指南)的经验,我们提出了一套最佳实践方法,以帮助其他机构在其内部教授如何使用沟通指南,包括营造安全的学习环境、明确教授结构化沟通方式,以及培训共同 facilitator 以适应不同技能水平的学习者。 (注:这里的“facilitator”可能是指协助培训、引导学习过程的人,具体含义需结合上下文确定,暂时保留英文未翻译)