School of Nursing, 97810Morinomiya University of Medical Sciences, Osaka, Japan.
School of Physical Therapy, 97810Morinomiya University of Medical Sciences, Osaka, Japan.
Am J Hosp Palliat Care. 2023 Feb;40(2):202-215. doi: 10.1177/10499091221108344. Epub 2022 Jun 16.
An accelerating aging society and rise in serious illnesses has led to an increase in deaths and made the demand for palliative care even greater. An integrated review was conducted to identify the impact of interprofessional education (IPE) on palliative/end of life (EOL) care for unlicensed health care students with a multidisciplinary approach. The databases searched included MEDLINE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Education Resources Information Center (ERIC), PsycINFO, and the Cochrane Library's CENTRAL. Fifteen studies were included. Participants' disciplines included medicine, nursing, pharmacy, physical therapy, occupational therapy, social work, chaplain, public health and psychology. Nine were pre-post design and others were post course evaluations. One research study was an interventional trial with a comparative group. The selected studies included a variety of teaching strategies such as simulation or role play, clinical experience, case study, and TOSCE training. The importance of an interprofessional approach to palliative/EOL care has been highlighted, and our review suggests that combined IPE and palliative/EOL interventions can potentially impact palliative/EOL patient outcomes. More studies are needed to clarify the effectiveness of interprofessional palliative/EOL educational interventions including facilitators, learning outcomes, variable methods or teaching strategy, and the level of students.
人口老龄化加速和严重疾病的增加导致死亡人数增加，对姑息治疗的需求更大。本综述采用多学科方法，旨在确定跨专业教育（IPE）对未获得许可的医疗保健学生的姑息/终末期（EOL）护理的影响。检索的数据库包括 MEDLINE、护理与联合健康文献累积索引（CINAHL）、教育资源信息中心（ERIC）、PsycINFO 和 Cochrane 图书馆的 CENTRAL。共纳入 15 项研究。参与者的学科包括医学、护理、药学、物理治疗、职业治疗、社会工作、牧师、公共卫生和心理学。其中 9 项为前后设计，其他为课程后评估。一项研究是一项具有对照组的干预试验。选定的研究包括各种教学策略，如模拟或角色扮演、临床经验、案例研究和 TOSCE 培训。姑息/EOL 护理的跨专业方法的重要性已经得到强调，我们的综述表明，综合 IPE 和姑息/EOL 干预措施可能会对姑息/EOL 患者的结局产生影响。需要更多的研究来阐明包括促进因素、学习成果、不同方法或教学策略以及学生水平在内的姑息/EOL 教育干预措施的有效性。
