Polibienestar Research Institute, University of Valencia, Valencia, Spain.
Patient Educ Couns. 2022 Aug;105(8):2671-2682. doi: 10.1016/j.pec.2022.04.003. Epub 2022 Apr 7.
The present mixed-method systematic review identifies facilitators and barriers in palliative care communication among health professionals and older people.
The review process was conducted by three reviewers who searched studies in four different databases (January 2009-January 2022), exploring experiences of communication among health professionals and older people without cognitive impairments. Relevant articles were quality assessed with a standardized tool.
Twenty-eight articles were included and the following 5 clusters were identified: 1) training and education for health professionals, 2) team working and coordination among health professionals, 3) communication skills, 4) time and availability, 5) emotional, cultural and psychological factors. The articles highlighted the need for greater preparation of health professionals around the management of palliative care communication with older people.
Palliative care communication among health professionals and older people are characterized by several challenges. However, there are facilitating aspects that may be considered to improve the quality of communication.
Facilitators are promising approaches to support health professionals in providing high-quality palliative care communication to older people, developing a person-centred practice. Facilitators include palliative care training and educational opportunities for health professionals, like ELNEC Geriatric Curriculum, permitting them to develop specific competences in communication and aging.
本混合方法系统评价确定了卫生专业人员与老年人之间进行姑息治疗沟通的促进因素和障碍。
该评价过程由三名评审员进行，他们在四个不同的数据库中搜索研究（2009 年 1 月至 2022 年 1 月），探索卫生专业人员与无认知障碍的老年人之间的沟通经验。使用标准化工具对相关文章进行质量评估。
共纳入 28 篇文章，确定了以下 5 个聚类：1）卫生专业人员的培训和教育，2）卫生专业人员之间的团队合作和协调，3）沟通技巧，4）时间和可用性，5）情感、文化和心理因素。这些文章强调了需要加强卫生专业人员在管理与老年人姑息治疗沟通方面的准备。
卫生专业人员与老年人之间的姑息治疗沟通存在诸多挑战。然而，也存在一些促进因素，可以考虑这些因素来提高沟通质量。
促进因素是支持卫生专业人员为老年人提供高质量姑息治疗沟通的有希望的方法，有助于发展以患者为中心的实践。促进因素包括姑息治疗培训和教育机会，如 ELNEC 老年课程，使他们能够在沟通和老龄化方面发展特定的能力。
