Assistant Professor of Medicine-Nephrology, The University of Vermont Larner College of Medicine, Burlington, VT.
Associate Professor of Medicine, the University of Pittsburgh School of Medicine, Department of General Medicine, Section of Palliative Care and Medical Ethics and the Division of Renal-Electrolyte, Pittsburgh, PA.
Nephrol Nurs J. 2021 Nov-Dec;48(6):547-552.
Palliative care initiatives are needed in nephrology, yet implementation is lacking. We created a 6-hour workshop to teach the skills of active listening, responding to emotion, and exploring goals and values to nurses and social workers working in dialysis units. The workshop consisted of interactive didactics and structured role play with trained simulated patients. We assessed preparedness using a Likert scale and utilized paired t tests to measure the impact using a self-assessment survey following the training. Ten nurses and two social workers from six dialysis units completed the training. Mean scores improved in all domains: demonstrating empathic behaviors, responding to emotion and end-of-life concerns, eliciting family's concerns at end-of-life and patient's goals, and discussing spiritual concerns. Further testing in larger samples may help to confirm these results.
在肾脏病学中需要姑息治疗措施，但实施情况却很缺乏。我们创建了一个 6 小时的工作坊，向在透析单位工作的护士和社会工作者教授积极倾听、回应情绪以及探索目标和价值观的技能。该工作坊包括互动教学和使用经过培训的模拟患者进行结构化角色扮演。我们使用李克特量表评估准备情况，并在培训后使用自我评估调查来衡量配对 t 检验的影响。来自六个透析单位的十名护士和两名社会工作者完成了培训。所有领域的平均得分都有所提高：表现出同理心、回应情绪和临终关怀问题、引出家庭在临终时的担忧和患者的目标，以及讨论精神关怀问题。在更大的样本中进行进一步的测试可能有助于证实这些结果。
