U.S. Department of Veterans Affairs Medical Center, Central Arkansas Veterans Healthcare System, HSR & D Center of Innovation, Center for Mental Healthcare & Outcomes Research, 2200 Fort Roots Drive, North Little Rock, AR, 72114, USA.
Saint Louis University, School of Social Work, 3500 Lindell Blvd, Saint Louis, MO, 63103, USA.
BMC Med Educ. 2024 Oct 13;24(1):1134. doi: 10.1186/s12909-024-06151-1.
Within the healthcare settings of the United States Department of Veterans Affairs (VA), one patient-centered intervention, Advance Care Planning via Group Visits (ACP-GV), engages veterans and those they trust in advance care planning (ACP) by facilitating a discussion that encourages participants to plan for future healthcare needs. ACP-GV is a one-hour, single session group intervention facilitated by a trained clinical professional (e.g., physician, nurse, social worker, psychologist, chaplain) and delivered in a healthcare or community-based setting. Using reporting guidelines for group-based and educational interventions, this paper aims to describe the ACP-GV Facilitator Training used to prepare clinical professionals to offer the ACP-GV intervention to participants. We provide health professional students and early career health professionals with an overview of the training and key tips for using group modalities in the clinical setting. Although the training is initially directed towards health professionals who are learning to offer ACP-GV for the first time, our tips for teaching also focus on and extend to facilitating ACP-GV directly with veterans, caregivers, and those they trust. The ACP-GV Facilitator Training is sequential in that it expects clinicians to first learn the required educational content and how to plan a group, then it engages clinicians in practicing group facilitation skills. At the conclusion of the training, clinicians are then instructed to use the training materials to transfer the information and skills they learned about ACP-GV to patients they encounter in their respective work settings. The culmination of the ACP-GV Facilitator Training is, therefore, when the clinician is able to facilitate their own group, guide discussions and activities, actively use training materials, and encourage veterans and those they trust to participate in a discussion regarding ACP in a group setting. Finally, we share key resources for publicly available and accessible online trainings to promote spread outside of VA. ACP-GV's Facilitator Training can assist healthcare professionals in implementing ACP-GV in a variety of care settings.
在美国退伍军人事务部（VA）的医疗保健环境中，有一种以患者为中心的干预措施，即通过小组访问进行预先护理计划（ACP-GV），通过促进讨论来吸引退伍军人及其信任的人参与预先护理计划（ACP），鼓励参与者规划未来的医疗需求。ACP-GV 是一种由经过培训的临床专业人员（例如医生、护士、社会工作者、心理学家、牧师）主持的、时长为一小时的单一小组干预措施，在医疗保健或社区环境中进行。本文件使用针对基于小组和教育干预的报告准则，旨在描述 ACP-GV 促进者培训，以培训临床专业人员为参与者提供 ACP-GV 干预。我们为卫生专业学生和初级卫生专业人员提供培训概述以及在临床环境中使用小组模式的关键提示。尽管该培训最初是针对首次学习提供 ACP-GV 的卫生专业人员，但我们的教学提示也侧重于并扩展到直接与退伍军人、护理人员和他们信任的人一起促进 ACP-GV。ACP-GV 促进者培训是按顺序进行的，它期望临床医生首先学习所需的教育内容和如何计划小组，然后让临床医生练习小组促进技能。培训结束后，临床医生会被指示使用培训材料将他们在 ACP-GV 中学到的信息和技能转移到他们在各自工作环境中遇到的患者身上。因此，ACP-GV 促进者培训的高潮是，当临床医生能够促进自己的小组、指导讨论和活动、积极使用培训材料并鼓励退伍军人及其信任的人在小组环境中参与 ACP 讨论时。最后，我们分享了可公开获取的在线培训的关键资源，以促进 VA 之外的推广。ACP-GV 的促进者培训可以帮助医疗保健专业人员在各种护理环境中实施 ACP-GV。
