Berke Charlene, Mollman Sarah, Skoglund Amy, Pravecek Brandi, Perrenoud Mari, Stewart Carol
Avera Sacred Heart Hospital, 501 Summit, Yankton, SD 57078, USA.
College of Nursing, South Dakota State University, Rapid City, SD, USA.
Palliat Care Soc Pract. 2023 Jul 30;17:26323524231179977. doi: 10.1177/26323524231179977. eCollection 2023.
Healthcare professionals trained in palliative care (PC) improve satisfaction and decrease healthcare overutilization for patients with serious illness and their families. A continuing education (CE) series on primary PC aligned to the National Clinical Practice Guidelines for Quality PC was developed by local, interdisciplinary experts for a target audience of rural, primary care healthcare professionals. The modules were accessed on an online learning management system platform.
The study objectives were to assess differences in participants' knowledge, competence, performance, and ability to improve patient care as well as commitment to change practice after taking each of the CE modules.
To achieve these objectives, a descriptive design was used with a convenience sample of healthcare professionals who registered for the CE series and completed at least one module. Participants completed demographic questions and an evaluation survey after completing each module.
So far, 158 healthcare professionals have registered for the series with the majority being nurses and social workers. Although the professionals reported having extensive healthcare experience, they did not report having the same level of PC experience. The professionals represent nine different states. All the CE modules increased teamwork skills for most participants. The CE modules on cultural aspects and self-care had the biggest influence on participants' ability to improve patient outcomes. Cultural aspects, care of the actively dying, and advance care planning had the greatest impact on participants' knowledge, competence, and performance.
The primary PC education series improved self-reported skills in teamwork, practice habits, and meeting goals of healthcare professionals from a variety of disciplines and settings. These enhanced primary PC skills will improve the incorporation of PC into a variety of practice settings, by multiple disciplines to enhance access to PC outside of, and potentially referrals to, specialty PC programs.Palliative care (PC) is an emerging field of healthcare aimed at positively affecting patients living with serious illness and their families. An important factor that influences a health professional's successful delivery of PC may be their knowledge, experiences, and confidence. PC training provided to healthcare professionals improves patients' and healthcare professionals' satisfaction and reduces healthcare expenditures through cost savings and cost avoidance..
接受过姑息治疗（PC）培训的医护人员可提高患者满意度，并减少重症患者及其家属的医疗资源过度使用情况。当地跨学科专家针对农村基层医疗保健专业人员这一目标受众，开发了一系列与《国家优质姑息治疗临床实践指南》相一致的初级姑息治疗继续教育（CE）课程。这些模块可通过在线学习管理系统平台获取。
本研究的目的是评估参与者在学习每个CE模块后，在知识、能力、表现以及改善患者护理的能力方面的差异，以及改变实践的意愿。
为实现这些目标，采用描述性设计，以注册参加CE课程并至少完成一个模块的医疗保健专业人员为便利样本。参与者在完成每个模块后填写人口统计学问题和评估调查问卷。
到目前为止，已有158名医疗保健专业人员注册参加该课程，其中大多数是护士和社会工作者。尽管这些专业人员报告称有丰富的医疗经验，但他们并未报告有相同水平的姑息治疗经验。这些专业人员来自九个不同的州。所有CE模块都提高了大多数参与者的团队合作技能。关于文化方面和自我护理的CE模块对参与者改善患者预后的能力影响最大。文化方面、临终护理和预先护理规划对参与者的知识、能力和表现影响最大。
初级姑息治疗教育系列提高了来自不同学科和环境的医疗保健专业人员在团队合作、实践习惯和实现目标方面的自我报告技能。这些增强的初级姑息治疗技能将改善将姑息治疗纳入各种实践环境的情况，使多个学科能够在专科姑息治疗项目之外增加获得姑息治疗的机会，并可能进行转诊。姑息治疗（PC）是一个新兴的医疗保健领域，旨在积极影响重症患者及其家属。影响医疗专业人员成功提供姑息治疗的一个重要因素可能是他们的知识、经验和信心。为医疗保健专业人员提供的姑息治疗培训可提高患者和医疗保健专业人员的满意度，并通过节省成本和避免成本来降低医疗支出。
