Competence Center for Palliative Care, Department of Radiation Oncology, University Hospital and University of Zurich, Zurich, Switzerland.
Institute of Emergency Medicine, University Hospital Zurich, Zurich, Switzerland.
J Palliat Med. 2024 Jul;27(7):926-929. doi: 10.1089/jpm.2023.0465. Epub 2024 May 21.
The aim is to implement knowledge of basic palliative care in selected departments by the Hub and Spokes model. Implementation of basic palliative care was designed as a stepwise training model by skills lectures over a time period of 2 years. In each of the six selected oncological and nononcological departments, one physician and two nurses were trained in semi-annual half-day meetings as expert representatives within their departments. Semi-structured interviews were conducted to assess implementation outcomes with 12 nurses and 6 physicians. Overall acceptability was high for all departments and professions. Feasibility was given in all departments. Adoption and penetration of a trained expert representative differed between medical and nursing professions. Implementation was more appropriate in the stationary sector. Implementation costs were low. Expansion of the system into a second follow-up period, including more departments, is planned to ensure sustainability.
目的是通过枢纽辐射模型在选定科室实施基本的姑息治疗知识。基本姑息治疗的实施设计为一个分阶段的培训模式，通过技能讲座在 2 年的时间内进行。在六个选定的肿瘤学和非肿瘤学科室中的每一个科室中，一名医生和两名护士作为其科室内部的专家代表，在半年一次的为期半天的会议中接受培训。对 12 名护士和 6 名医生进行了半结构化访谈，以评估实施结果。所有科室和专业的总体接受度都很高。所有科室都具有可行性。接受和渗透经过培训的专家代表在医学和护理专业之间存在差异。在固定部门实施的效果更好。实施成本较低。计划将该系统扩展到第二个随访期，包括更多科室，以确保可持续性。
