Slater Penelope J, Osborne Caroline J, Herbert Anthony R
Oncology Services Group, Queensland Children's Hospital, Children's Health Queensland, South Brisbane, Queensland, Australia.
Paediatric Palliative Care Service, Queensland Children's Hospital, Children's Health Queensland, South Brisbane, Queensland, Australia.
Adv Med Educ Pract. 2021 Oct 10;12:1189-1198. doi: 10.2147/AMEP.S334872. eCollection 2021.
Novice and experienced professionals who care for children with life limiting conditions throughout Australia were provided with pediatric palliative care (PPC) education through the Quality of Care Collaborative Australia (QuoCCA). Impact evaluation has shown this education to be beneficial. This study examines the longer term outcomes reported by the participants more than 4 months following education.
An online survey measuring quantitative and qualitative education outcomes was sent to all participants of QuoCCA 2 education throughout Australia, at least 4 months following their education. There were 152 respondents between February 2018 and June 2020.
More than 4 months after the QuoCCA education, 98% of respondents rated it as extremely valuable or valuable and 78% of respondents rated it extremely or very helpful in improving clinical practice. Improvements in knowledge, skills or confidence were reported by 90% or more respondents in the areas of PPC referral, responding to psychosocial needs, the benefits of the PPC approach, PPC resources and communication skills. Between 84% and 89% of respondents reported improvements in advance care planning, assessment and intervention, responding to physical needs, supporting spiritual needs and supporting health professionals and self care. Providing bereavement care improved in 85% of responses. The most valuable aspects of the education, changes in practice and barriers to the implementation of learning were discussed.
The interprofessional QuoCCA education in PPC continued to provide value and clinical practice improvements for the majority of respondents more than four months after the session. Respondents particularly mentioned improvements in awareness of the network of care, the practical management of patients and communication skills. Reflection on clinical practice, in a proactive clinical learning environment, enabled the translation of education into improvements to the quality of PPC.
通过澳大利亚护理质量协作组织（QuoCCA），为澳大利亚各地照顾患有危及生命疾病儿童的新手和经验丰富的专业人员提供儿科姑息治疗（PPC）教育。影响评估表明这种教育是有益的。本研究调查了参与者在接受教育四个多月后报告的长期结果。
在接受教育至少四个月后，向澳大利亚所有参加QuoCCA 2教育的参与者发送了一项测量定量和定性教育结果的在线调查。2018年2月至2020年6月期间共有152名受访者。
在QuoCCA教育四个多月后，98%的受访者将其评为极有价值或有价值，78%的受访者认为其在改善临床实践方面极有帮助或非常有帮助。90%或更多的受访者报告在PPC转诊、应对心理社会需求、PPC方法的益处、PPC资源和沟通技巧等方面知识、技能或信心有所提高。84%至89%的受访者报告在预先护理计划、评估和干预、应对身体需求、支持精神需求以及支持卫生专业人员和自我护理方面有所改善。85%的回复表明提供丧亲护理有所改善。讨论了教育中最有价值的方面、实践中的变化以及学习实施的障碍。
PPC方面的跨专业QuoCCA教育在课程结束四个多月后，继续为大多数受访者提供价值并改善临床实践。受访者特别提到在护理网络意识、患者的实际管理和沟通技巧方面有所改善。在积极的临床学习环境中对临床实践进行反思，能够将教育转化为PPC质量的提升。
