Shalev Daniel, Chammas Danielle, Brenner Keri O, Moxley Jerad H, Reid M Carrington, Rosenberg Leah B
Division of Geriatrics and Palliative Medicine, Weill Cornell Medicine, New York, NY, USA.
Division of Palliative Medicine, University of California San Francisco, San Francisco, CA, USA.
Am J Hosp Palliat Care. 2025 Jul;42(7):705-709. doi: 10.1177/10499091241265107. Epub 2024 Jul 24.
Palliative care (PC) clinicians provide mental healthcare to individuals with serious illnesses. Despite this, there is limited knowledge regarding their mental health training opportunities. To identify predictors of satisfaction with mental health training opportunities and assess the relationship between training opportunities and clinician comfort in managing mental health comorbidities, we conducted a secondary analysis of a nationwide survey involving 708 PC clinicians. Satisfaction with mental health training was moderate (M = 2.75/5, SD = .915). Access to lectures/webinars was the most common training opportunity (54%). Significant predictors of satisfaction with training included access to lectures/webinars (β = .328, <.001) and case discussions (β = .231, = .007). Academic practice settings and satisfactory mental health referrals were associated with a greater number of different training opportunities. Clinicians in academic settings had higher odds of accessing various training opportunities, such as lectures/webinars (OR = 2.58, <.001) and longitudinal training pathways (OR = 4.51, <.001). A moderate, positive correlation was found between training satisfaction and comfort in managing mental health comorbidities (r = .30, <.001). This study is among the first to elucidate factors influencing PC clinicians' satisfaction with mental health training. Low-resource training opportunities, such as webinars and lectures, significantly predict satisfaction, suggesting the potential of these scalable solutions to enhance training. The findings underscore the importance of expanding evidence-based mental health training for PC clinicians to improve patient care.
姑息治疗（PC）临床医生为患有严重疾病的个体提供心理保健服务。尽管如此，关于他们的心理健康培训机会的了解却很有限。为了确定对心理健康培训机会满意度的预测因素，并评估培训机会与临床医生管理心理健康合并症时的舒适度之间的关系，我们对一项涉及708名PC临床医生的全国性调查进行了二次分析。对心理健康培训的满意度为中等水平（M = 2.75/5，标准差 = 0.915）。参加讲座/网络研讨会是最常见的培训机会（54%）。对培训满意度的显著预测因素包括参加讲座/网络研讨会（β = 0.328，P < 0.001）和病例讨论（β = 0.231，P = 0.007）。学术实践环境和令人满意的心理健康转诊与更多不同的培训机会相关。在学术环境中的临床医生获得各种培训机会的几率更高，例如参加讲座/网络研讨会（OR = 2.58，P < 0.001）和纵向培训途径（OR = 4.51，P < 0.001）。在培训满意度与管理心理健康合并症的舒适度之间发现了中等程度的正相关（r = 0.30，P < 0.001）。本研究是首批阐明影响PC临床医生对心理健康培训满意度的因素的研究之一。低资源培训机会，如网络研讨会和讲座，显著预测了满意度，表明这些可扩展的解决方案在加强培训方面的潜力。研究结果强调了为PC临床医生扩大循证心理健康培训以改善患者护理的重要性。
