一项针对全科医生和护士的混合学习，旨在提高与癌症姑息治疗患者共同决策的技能：一项单组前后测试研究。

A blended learning for general practitioners and nurses on skills to support shared decision-making with patients about palliative cancer treatment: A one-group pre-posttest study.

机构信息

Amsterdam UMC location University of Amsterdam, department of Medical Psychology, Meibergdreef 9, Amsterdam, the Netherlands; Amsterdam Public Health research institute, Quality of Care program, Amsterdam, the Netherlands; Cancer Center Amsterdam, Cancer Treatment and Quality of Life, Amsterdam, the Netherlands.

出版信息

Patient Educ Couns. 2023 Jul;112:107712. doi: 10.1016/j.pec.2023.107712. Epub 2023 Mar 21.

DOI:10.1016/j.pec.2023.107712

PMID:37004502

Abstract

OBJECTIVE

To evaluate a newly developed blended learning programme for general practitioners (GPs) and nurses in supporting shared decision making (SDM) about palliative cancer treatment in a simulated setting.

METHODS

In a pre-posttest study, healthcare professionals (HCPs) participated in the blended learning (i.e. e-learning and (online) training session). HCPs filled out surveys (T0 (baseline), T1 (after e-learning) and T2 (after full blended learning)) and engaged in simulated consultations at T0 and T2. The primary outcome was observed SDM support (Triple-S; DSAT-10 for validation). Secondary outcomes included satisfaction, knowledge about and attitude towards SDM support. Repeated measures General Linear Models were conducted.

RESULTS

33 HCPs (17 GPs and 16 nurses) participated. SDM support significantly improved after training (Triple-S; medium effect). Observers' overall rating of SDM support (medium effect) as well as HCPs' knowledge (large effect) and beliefs about their capabilities (medium effect) improved after training. There was no difference in decision support skills (DSAT-10), HCPs' other clinical behavioural intentions and satisfaction. HCPs evaluated the training positively.

CONCLUSION

Blended learning for HCPs on supporting SDM in palliative cancer care improved their skills, knowledge and confidence in simulated consultations.

PRACTICE IMPLICATIONS

These first findings are promising for evaluating interprofessional SDM in clinical practice.

摘要

目的

评估一种新开发的针对全科医生（GP）和护士的混合学习计划，以在模拟环境中支持姑息治疗癌症的共同决策（SDM）。

方法

在一项前后测试研究中，医疗保健专业人员（HCP）参加了混合学习（即电子学习和（在线）培训课程）。HCP 填写了调查（T0（基线）、T1（电子学习后）和 T2（完整混合学习后）），并在 T0 和 T2 进行了模拟咨询。主要结果是观察到的 SDM 支持（Triple-S；DSAT-10 用于验证）。次要结果包括满意度、对 SDM 支持的知识和态度。进行了重复测量的一般线性模型分析。

结果

33 名 HCP（17 名 GP 和 16 名护士）参与了研究。培训后 SDM 支持显著提高（Triple-S；中等效应）。观察者对 SDM 支持的总体评价（中等效应）以及 HCP 的知识（大效应）和对自身能力的信念（中等效应）在培训后得到提高。决策支持技能（DSAT-10）、HCP 的其他临床行为意图和满意度没有差异。HCP 对培训给予了积极评价。