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跨专业姑息治疗与临终关怀教育:短期和长期结果——混合方法分析

Interprofessional palliative and end-of-life education: short-term and long-term outcomes - mixed-methods analysis.

作者信息

Shaulov Adir, Finkelstein Adi, Vashdi Inon, DeKeyser Ganz Freda, Kienski Woloski-Wruble Anna, Rubinstein Estelle, Marcus Esther-Lee, Lesser Lior, Shaham Dorith

机构信息

Department of Hematology, Hadassah Medical Center and Faculty of Medicine, Hebrew University, Jerusalem, Israel

Department of Nursing, Jerusalem College of Technology, Jerusalem, Israel.

出版信息

BMJ Support Palliat Care. 2024 Dec 19;14(e3):e2966-e2971. doi: 10.1136/spcare-2023-004290.

DOI:10.1136/spcare-2023-004290
PMID:37258087
Abstract

ObjectiveInterprofessional care is integral to end-of-life (EOL) and palliative care (PC) and may be suited for EOL and PC education.We evaluate the impact of an interprofessional EOL care curriculum on participants, during the course, on completion and 4 years laterusing quantitative (questionnaires) and qualitative (open-ended questions and interviews) methods.The course included 14 fifth and sixth-year medical students, 9 social work students and 7 nursing students enrolled in master's degree programmes. Seventeen participants completed questionnaires 4 years later and eight participated in interviews.On postcourse questionnaires, participants attributed high value to interprofessional education (IPE) (4.77/5±0.50 on a Likert scale). Four years later, participants reported that IPE impacted their professional (3.65/5±1.11) and personal lives (3.94/5±1.09) and found PC IPE important (4.88/5±0.33).Conventional content analysis showed that the course enabled discussion of death and dying and provided an opportunity for a personal-emotional journey. It offered an approach to EOL care and an opportunity to experience interprofessional teamwork at the EOL resulting in behavioural change.Interprofessional EOL education resulted in meaningful and lasting self-reported personal and professional behavioural outcomes.

摘要

目的

跨专业照护是临终关怀(EOL)和姑息治疗(PC)不可或缺的一部分,可能适用于EOL和PC教育。我们采用定量(问卷调查)和定性(开放式问题及访谈)方法,评估跨专业EOL照护课程在课程期间、课程结束时以及4年后对参与者的影响。该课程包括14名五、六年级医学生、9名社会工作专业学生和7名攻读硕士学位课程的护理专业学生。17名参与者在4年后完成了问卷调查,8人参与了访谈。

在课程结束后的问卷中,参与者对跨专业教育(IPE)给予了高度评价(李克特量表评分为4.77/5±0.50)。4年后,参与者报告称IPE对他们的职业(3.65/5±1.11)和个人生活(3.94/5±1.09)产生了影响,并认为PC IPE很重要(4.88/5±0.33)。

传统内容分析表明,该课程促进了关于死亡和临终的讨论,为个人情感历程提供了契机。它提供了一种EOL照护方法,并提供了在EOL阶段体验跨专业团队合作的机会,从而导致行为改变。

跨专业EOL教育带来了有意义且持久的自我报告的个人和职业行为结果。

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