Durham VA Health Care System, Durham, NC, USA.
Duke University, Durham, NC, USA.
Perm J. 2023 Mar 15;27(1):28-35. doi: 10.7812/TPP/22.037. Epub 2023 Mar 10.
Background Caregivers play a key role in supporting patient health; however, they have largely been excluded from participating in health care teams. This paper describes development and evaluation of web-based training for health care professionals about including family caregivers, implemented within the Department of Veterans Affairs Veterans Health Administration. Systematically training health care professionals constitutes a critical step toward shifting to a culture of purposefully and effectively utilizing and supporting family caregivers for better patient and health system outcomes. Methods Module development included Department of Veterans Affairs health care stakeholders and consisted of preliminary research and a design approach to set the framework, followed by iterative, collaborative team processes to write the content. Evaluation included pre- and postassessments of knowledge, attitudes, and beliefs. Results Overall, 154 health professionals completed pretest questions and 63 additionally completed the posttest. There was no observable change in knowledge. However, participants indicated a perceived desire and need for practicing inclusive care as well as an increase in self-efficacy (belief in their ability to accomplish a task successfully under certain conditions). Conclusion This project demonstrates the feasibility of developing web-based training to improve the beliefs and attitudes of health care professionals about inclusive care. Training constitutes one step toward shifting to a culture of inclusive care, and research should identify longer-term effects and other evidence-based interventions.
背景 照护者在支持患者健康方面发挥着关键作用；然而，他们在很大程度上被排除在医疗团队之外。本文描述了为医疗保健专业人员开发和评估的关于将家庭照护者纳入其中的基于网络的培训，该培训在退伍军人事务部退伍军人健康管理局内实施。系统地培训医疗保健专业人员是向有目的和有效地利用和支持家庭照护者以实现更好的患者和医疗系统结果的文化转变的关键步骤。 方法 模块开发包括退伍军人事务部的医疗保健利益相关者，包括初步研究和设计方法来设定框架，然后是迭代的、协作的团队流程来编写内容。评估包括知识、态度和信念的预评估和后评估。 结果 共有 154 名医疗专业人员完成了前测问题，其中 63 名另外完成了后测。知识没有明显变化。然而，参与者表示渴望并需要进行包容性护理，并且自我效能感（对在特定条件下成功完成任务的能力的信心）有所提高。 结论 该项目展示了开发基于网络的培训以改善医疗保健专业人员对包容性护理的信念和态度的可行性。培训是向包容性护理文化转变的一步，研究应确定更长期的影响和其他基于证据的干预措施。
