Department of Medicine, University of Otago, 2 Riccarton Avenue, Christchurch 8140, New Zealand.
Nurse Maude Hospice Palliative Care Service, Merivale, Christchurch, New Zealand.
J Prim Health Care. 2022 Sep;14(3):207-213. doi: 10.1071/HC22045.
Introduction General practitioners (GP) are key in the delivery of primary palliative care in the community, so appropriate knowledge and skills are needed. Previous research has suggested there may be gaps in training opportunities. Aims To develop and evaluate a Master Class series presented by a hospice palliative care service to their local GPs and other health-care professionals. A secondary aim was to measure the lasting impacts of the educational intervention. Methods The study setting was the Canterbury region of Aotearoa New Zealand (NZ). GPs and other health-care professionals were surveyed using a research team-designed questionnaire rating self confidence in the nominated learning objectives before and after the Master Classes. The participants were also asked to self-rate the application of the knowledge to their practice 3 years after the Master Class sessions were attended. Results There were 56 sets of questionnaires completed. The participants tended to be experienced female GPs with a range of palliative care patients in their practice. There was significant improvement in most learning outcomes across the Master Classes series. The attendees reported the Master Classes were relevant and clear, with useful resources. The improvements in the learning outcomes were largely sustained over 3 years. Discussion The provision of palliative care education that aligns with clinical practice improves knowledge, skills and confidence in GPs who provide most of the end-of-life care in New Zealand.
简介 全科医生(GP)是社区提供初级姑息治疗的关键,因此需要具备适当的知识和技能。先前的研究表明,培训机会可能存在差距。 目的 为他们当地的全科医生和其他医疗保健专业人员开发和评估由临终关怀服务机构提供的大师班系列课程。次要目的是衡量教育干预的持久影响。 方法 研究地点是新西兰(NZ)坎特伯雷地区。使用研究团队设计的问卷对全科医生和其他医疗保健专业人员进行调查,在参加大师班前后,他们对指定学习目标的自信心进行自我评估。参与者还被要求在参加大师班课程 3 年后,对知识在实践中的应用进行自我评估。 结果 共完成了 56 套问卷。参与者往往是经验丰富的女性全科医生,他们的实践中也有各种姑息治疗患者。在整个大师班系列中,大多数学习成果都有显著提高。与会者报告说,大师班课程内容相关且清晰,提供了有用的资源。学习成果的提高在 3 年内基本保持不变。 讨论 提供与临床实践相一致的姑息治疗教育可以提高为新西兰大多数临终关怀提供服务的全科医生的知识、技能和信心。