Miller Sally, Lee Deborah A, Muhimpundu Sylvie, Maxwell Cathy A
Vanderbilt University School of Nursing, 461 21 Ave South, Nashville, TN 37240, USA.
Middle Tennessee State University, 1301 East Main Street, Murfreesboro, TN 37132, USA.
PEC Innov. 2021 Dec 16;1:100013. doi: 10.1016/j.pecinn.2021.100013. eCollection 2022 Dec.
To describe development and pilot testing of a multi-modal frailty-focused education and communication training workshop for health care clinicians.
Pilot testing was conducted via two workshops (#1:face-to-face [2019], #2:virtual [2020]). Participants: convenience sample of clinicians and students who volunteered. Workshop #1 included registered nurses working in an acute care and one medical student (=14); #2: nursing students enrolled in an APRN program. Design: Pre/post observational study. Data analysis: descriptive statistics, paired -tests and Wilcoxon rank test.
Statistically significant increases in frailty knowledge (#1: = 0.02, = 0.44; #2: = 0.006, = 0.55) and self-reported competency with older adult interactions (#1: < 0.001, = 0.62; #2: = 0.001, = 0.63) were reported for both workshops. Post course evaluations of the workshop were positive, with scores ranging from 3.5-3.9 (range: 0-4) for increased understanding of the concept of frailty, communication to support health-related behavior, and best practice empathic communication skills.
The FCOM workshop was successful. Participants gained knowledge and skills for use in working with older adults across the aging continuum from non-frail to frail.
Our FCOM training workshop expands prior communication training on shared decision-making with frail individuals to a broader population of all older adults.
描述针对医疗保健临床医生开展的以多模式衰弱为重点的教育与沟通培训工作坊的开发及试点测试情况。
通过两个工作坊进行试点测试（工作坊1：面对面[2019年]；工作坊2：虚拟[2020年]）。参与者：自愿参加的临床医生和学生的便利样本。工作坊1包括在急症护理部门工作的注册护士和一名医学生（共14人）；工作坊2包括参加高级实践注册护士项目的护理专业学生。设计：前后观察性研究。数据分析：描述性统计、配对t检验和威尔科克森秩和检验。
两个工作坊均报告称，衰弱知识有统计学意义的增加（工作坊1：t = 0.02，p = 0.44；工作坊2：t = 0.006，p = 0.55），且自我报告的与老年人互动的能力有所提高（工作坊1：p < 0.001，d = 0.62；工作坊2：p = 0.001，d = 0.63）。工作坊的课程后评估结果为积极，在对衰弱概念的理解加深、支持健康相关行为的沟通以及最佳实践共情沟通技巧方面的得分在3.5 - 3.9分之间（范围：0 - 4分）。
FCOM工作坊取得了成功。参与者获得了知识和技能，可用于在从非衰弱到衰弱的整个衰老过程中与老年人合作。
我们的FCOM培训工作坊将先前关于与衰弱个体共同决策的沟通培训扩展到了所有老年人这一更广泛的人群。
