Palliative and Supportive Services, Flinders University, Bedford Park, SA, Australia.
Research Centre for Palliative Care, Death and Dying, Flinders University, Adelaide, SA, Australia.
J Child Health Care. 2024 Mar;28(1):116-131. doi: 10.1177/13674935221076214. Epub 2022 Apr 5.
Providing quality end-of-life care to a child who is dying in hospital can be stressful and challenging, and health professionals often feel ill-prepared and require additional support. End-of-Life Essentials offers online education modules for health professionals working in acute hospitals, including one on end-of-life care in pediatric settings. This study aimed to evaluate this module and explore learners' views on challenges faced when caring for a dying child and their family in a hospital setting. Learners comprised nurses, doctors, and allied health professionals. A quantitative pre-/post-evaluation analysis was conducted using learner data ( = 552) on knowledge and skills gained from engagement with the module, along with a qualitative thematic content analysis on learner responses ( = 395) to a post-evaluation free-text response question, between May 2019 and May 2020. Learners' post-evaluation ranks of perceived knowledge, skill, attitude, and confidence were significantly higher than pre-evaluation ranks ( < 0.001). Effect sizes were small to medium, ranging from 0.31 to 0.38 (95% confidence intervals from 0.23 to 0.45). Emerging themes from the qualitative data were and . This evaluation suggests that the Pediatrics module could be a useful online learning resource for health professionals. A planned longitudinal study will further investigate practice change.
为在医院中濒临死亡的儿童提供高质量的临终关怀可能会带来压力和挑战，医疗保健专业人员通常会感到准备不足，需要额外的支持。《临终要点》为在急症医院工作的医疗保健专业人员提供了在线教育模块，其中包括儿科临终关怀模块。本研究旨在评估该模块，并探讨学习者在医院环境中照顾临终儿童及其家庭时所面临的挑战的看法。学习者包括护士、医生和辅助医疗专业人员。在 2019 年 5 月至 2020 年 5 月期间，我们使用学习者在模块参与中获得的知识和技能（n = 552）的学习者数据进行了定量的预/后评估分析，以及对后评估自由文本响应问题（n = 395）的学习者反应的定性主题内容分析。学习者的后评估感知知识、技能、态度和信心等级明显高于前评估等级（<0.001）。效果大小为小到中等，范围从 0.31 到 0.38（95%置信区间为 0.23 到 0.45）。定性数据中的主题为 和 。这项评估表明，儿科模块可能是医疗保健专业人员的有用在线学习资源。一项计划中的纵向研究将进一步调查实践变化。
