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医疗专业人员资格本科课程中姑息治疗教学的证据映射:一项系统综述方案

Mapping Evidence in Teaching Palliative Care in Undergraduate Curriculum of Healthcare Professionals Qualification: A Systematic Scoping Review Protocol.

作者信息

Nkambule Sphamandla Josias, Gaede Bernhard

机构信息

University of KwaZulu-Natal School of Nursing and Public Health.

University of KwaZulu-Natal Nelson R Mandela School of Medicine: University of KwaZulu-Natal College of Health Sciences.

出版信息

Res Sq. 2024 Jul 3:rs.3.rs-4313706. doi: 10.21203/rs.3.rs-4313706/v1.

Abstract

BACKGROUND

Clinical Practice Guidelines recommend interprofessional collaboration in palliative care. However, healthcare profession educators lack clear curricular guidance, particularly for undergraduate programs, to adequately train future professionals for effective participation in such teams.

OBJECTIVE

This systematic scoping review protocol aims to address this gap by: (i) mapping evidence on key characteristics of teaching palliative and end-of-life (EOL) care to undergraduate healthcare and social care students, and (ii) identifying the nature and effectiveness of educational interventions for improving palliative care education in the undergraduate curriculum.

METHODS AND EXPECTED OUTPUTS

The protocol adheres to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocol Extension for Scoping Reviews (PRISMA-P-ScR) guidelines, while the proposed systematic scoping review study will be conducted based on methods and steps identified by Arksey and O'Malley and experts in the field. We will conduct systematic searches across five EBSCOhost databases using relevant search terms. Additionally, a limited grey literature search will be conducted on the first 100 results of Google Scholar and Open-Grey. The selection process will follow PRISMA-Extension for Scoping Reviews. Two independent reviewers will screen titles and abstracts for eligibility. Data extraction will be done on standardized forms in duplicate with cross-checking by a third reviewer. Braun and Clarke's thematic analysis approach, combining thematic and directed content analysis, will be employed for analysis. Intervention effectiveness will be narratively summarized based on the TIDieR checklist. Meta-analysis will be considered if applicable and data is homogeneous.

DISCUSSION

Palliative care education (PCE) is a crucial element of undergraduate health professions education. This study's findings may aid educators in fostering optimal learning among healthcare students, who can then positively influence community health outcomes.

ETHICS AND DISSEMINATION

The protocol was submitted for ethical clearance to the University of KwaZulu-Natal's Biomedical Research Ethics Committee and granted exemption from ethics review (00024289). We will disseminate findings through scientific journal publication and by sharing a summary with relevant institutions and attendees at health promotion and interprofessional education conferences.

摘要

背景

临床实践指南推荐在姑息治疗中开展跨专业协作。然而,医疗保健专业教育工作者缺乏明确的课程指导,尤其是针对本科课程,无法充分培训未来的专业人员有效参与此类团队。

目的

本系统综述方案旨在通过以下方式弥补这一差距:(i)梳理针对本科医疗保健和社会护理专业学生开展姑息治疗与临终关怀(EOL)护理教学关键特征的证据,以及(ii)确定本科课程中改善姑息治疗教育的教育干预措施的性质和效果。

方法与预期产出

本方案遵循系统评价与Meta分析方案扩展版的系统综述优先报告项目(PRISMA-P-ScR)指南,而拟开展的系统综述研究将基于Arksey和O'Malley以及该领域专家确定的方法和步骤进行。我们将使用相关检索词在五个EBSCOhost数据库中进行系统检索。此外,将对谷歌学术和Open-Grey的前100条结果进行有限的灰色文献检索。筛选过程将遵循系统综述的PRISMA扩展版。两名独立评审员将筛选标题和摘要以确定是否符合纳入标准。数据提取将在标准化表格上进行一式两份,并由第三名评审员进行交叉核对。将采用Braun和Clarke的主题分析方法,结合主题分析和定向内容分析进行分析。干预效果将根据TIDieR清单进行叙述性总结。若适用且数据同质,将考虑进行Meta分析。

讨论

姑息治疗教育(PCE)是本科卫生专业教育的关键要素。本研究的结果可能有助于教育工作者促进医学生的最佳学习,进而对社区健康结果产生积极影响。

伦理与传播

本方案已提交给夸祖鲁-纳塔尔大学的生物医学研究伦理委员会进行伦理审查,并获得伦理审查豁免(00024289)。我们将通过科学期刊发表以及在健康促进和跨专业教育会议上与相关机构和参会者分享总结来传播研究结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32a8/11247943/92fe4af39d0a/nihpp-rs4313706v1-f0001.jpg

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