内科实习医生半天工作坊在开展告知坏消息讨论教育方面的效果
Efficacy of Half-Day Workshops for Internal Medicine Interns in Educating Breaking-Bad-News Discussions.
作者信息
Thomas Colin, Kurian Christine, Houtmann Sarah, Palmisiano Neil
机构信息
Department of Internal Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
Department of Medical Oncology, Sidney Kimmel Cancer Center at Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
出版信息
Palliat Med Rep. 2021 May 17;2(1):132-136. doi: 10.1089/pmr.2020.0097. eCollection 2021.
Adequate end-of-life (EOL) care/breaking-bad-news (BBN) discussions with patients are becoming increasingly essential to adequate patient care. Whether a half-day workshop would lead to improved confidence in EOL/BBN care discussions for internal medicine interns. Internal medicine interns ( = 43) were assigned to participate in a half-day workshop at Thomas Jefferson University Hospital. The workshop involved two standardized patient (SP) interactions involving delivering news of a terminal illness/initiating goals of care discussion with the intervention of SP feedback, a didactic and lecture on proper EOL/BBN discussion. Voluntary anonymous surveys before and after the workshop were utilized to assess impact. A majority of interns felt more comfortable with leading EOL care/BBN discussions after the workshop and had a positive experience. A half-day curriculum is efficacious in educating EOL/BBN communication to internal medicine interns, but should be further assessed in a larger more standardized study involving an objective assessment.
与患者进行充分的临终关怀（EOL）/告知坏消息（BBN）讨论对于提供充分的患者护理变得越来越重要。一个为期半天的研讨会是否会提高内科实习生在EOL/BBN护理讨论方面的信心。43名内科实习生被分配到托马斯·杰斐逊大学医院参加一个为期半天的研讨会。该研讨会包括两次标准化患者（SP）互动，涉及在SP反馈的干预下传达绝症消息/启动护理目标讨论，以及一次关于适当的EOL/BBN讨论的教学和讲座。利用研讨会前后的自愿匿名调查来评估影响。大多数实习生在研讨会后对主导EOL护理/BBN讨论感觉更自在，并获得了积极的体验。一个为期半天的课程在向内科实习生传授EOL/BBN沟通方面是有效的，但应该在一项涉及客观评估的更大规模、更标准化的研究中进一步评估。
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