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利用虚拟学习提升参与孟加拉国罗兴亚难民应对工作的人道主义卫生工作者的姑息治疗技能。

Using Virtual Learning to Develop Palliative Care Skills Among Humanitarian Health Workers in the Rohingya Refugee Response in Bangladesh.

作者信息

Doherty Megan, Lynch-Godrei Anisha, Azad Tasnim, Ladha Fatima, Ferdous Lailatul, Ara Rowsan, Richardson Kathryn, Groninger Hunter

机构信息

CHEO Research Institute, Ottawa, Ontario, Canada.

Roger Neilson House, Ottawa, Ontario, Canada.

出版信息

J Med Educ Curric Dev. 2022 Aug 22;9:23821205221096099. doi: 10.1177/23821205221096099. eCollection 2022 Jan-Dec.

Abstract

BACKGROUND

Palliative care is an essential component of health responses in humanitarian settings, yet it remains largely unavailable in these settings, due to limited availability of palliative care training for healthcare professionals. Online training programs which connect experts to clinicians in the field have been proposed as an innovative strategy to build palliative care capacity humanitarian settings.

OBJECTIVE

To describe the implementation and evaluate the impact of delivering palliative care education using an established virtual learning model (Project ECHO) for healthcare clinicians working in the Rohingya refugee response in Bangladesh. Program acceptability and the impacts on learners' self-reported knowledge, comfort, and practice changes were evaluated.

METHODS

Using the Project ECHO model, an education program consisting of 7 core sessions and monthly mentoring sessions was developed. Each session included a didactic lecture, case presentation and interactive discussion. Surveys of participants were conducted before and after the program to assess knowledge, confidence, and attitudes about palliative care as well as learning experiences from the program.

RESULTS

This virtual palliative care training program engaged 250 clinicians, including nurses (35%), medical assistants (28%) and physicians (20%). Most participants rated the program as a valuable learning experience (96%) that they would recommend to their colleagues (98%). Participants reported improvements in their knowledge and comfort related to palliative care after participation in the program, and had improved attitudes towards palliative care with demonstrated statistical significance (p < 0.05).

CONCLUSIONS

Virtual training is a feasible model to support healthcare providers in a humanitarian health response. Project ECHO can help to address the urgent need for palliative care in humanitarian responses by supporting healthcare workers to provide essential palliative care to the growing number of individuals with serious health-related suffering in humanitarian settings.

摘要

背景

姑息治疗是人道主义环境中卫生应对措施的重要组成部分,但由于医疗保健专业人员的姑息治疗培训机会有限,在这些环境中仍基本无法获得。将专家与该领域的临床医生联系起来的在线培训项目已被提议作为一种创新战略,以建设人道主义环境中的姑息治疗能力。

目的

描述使用既定的虚拟学习模式(ECHO项目)为在孟加拉国罗兴亚难民应对工作中工作的医疗临床医生提供姑息治疗教育的实施情况,并评估其影响。评估了项目的可接受性以及对学习者自我报告的知识、舒适度和实践变化的影响。

方法

采用ECHO项目模式,开发了一个由7个核心课程和每月辅导课程组成的教育项目。每个课程都包括一次理论讲座、病例展示和互动讨论。在项目前后对参与者进行调查,以评估他们对姑息治疗的知识、信心和态度以及从项目中获得的学习体验。

结果

这个虚拟姑息治疗培训项目吸引了250名临床医生参与,其中包括护士(35%)、医疗助理(28%)和医生(20%)。大多数参与者将该项目评为有价值的学习体验(96%),并表示会向同事推荐(98%)。参与者报告称,参与项目后他们在姑息治疗方面的知识和舒适度有所提高,对姑息治疗的态度也有所改善,且具有统计学意义(p<0.05)。

结论

虚拟培训是在人道主义卫生应对中支持医疗服务提供者的一种可行模式。ECHO项目可以通过支持医护人员为越来越多在人道主义环境中遭受严重健康相关痛苦的人提供基本的姑息治疗,来帮助满足人道主义应对中对姑息治疗的迫切需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e72/9403457/ee50ed8536dc/10.1177_23821205221096099-fig1.jpg

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