School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland.
Institute of Nursing and Health Research, Ulster University, Belfast, UK.
BMC Palliat Care. 2024 Nov 21;23(1):268. doi: 10.1186/s12904-024-01601-5.
Health and social care professionals (professionals) often lack knowledge, skills and confidence to support adults at end of life with significant caregiving responsibilities for children, < 18. A recent systematic review highlighted a dearth of educational interventions (n = 2) to equip professionals to provide supportive care to families when a parent has cancer. Addressing an evident gap in education, this paper details the adaption and optimisation of a face-to-face educational intervention to an accessible eLearning resource.
Guided by the 'Person-based Approach', a theory-driven and evidence-based face-to-face educational intervention was adapted and optimised as an eLearning resource. This incorporated current evidence, alongside insights from an expert group, learning technologists and research team, leading to the design of an eLearning prototype. This was optimised for acceptability and usability using think-aloud interviews with end-users (n = 13) and patient and public involvement (n = 4).
An iterative adaption and optimisation process enabled implementation of navigational improvements, changes to enhance clarity on language and appropriateness of images and interactive components. During optimisation, positive feedback was reported; especially regarding the 'look and feel' and on the educational videos and reflective exercises embedded throughout the eLearning resource.
The systematic adaption and optimisation of this novel eLearning resource has aimed to promote relevance, appropriateness, and applicability of an accessible evidence-based and theory-driven training resource for professionals. It has the potential to promote family-centred supportive end of life cancer care, which ultimately can promote better bereavement outcomes. An evaluation of the intervention is required to explore impact on practice.
健康和社会保健专业人员(专业人员)通常缺乏知识、技能和信心,无法为 18 岁以下有重大照顾儿童责任的临终成年人提供支持。最近的系统评价强调,缺乏教育干预措施(n=2),以使专业人员具备在父母患有癌症时为家庭提供支持性护理的能力。为了解决教育方面的明显差距,本文详细介绍了如何将面对面的教育干预措施改编和优化为可访问的电子学习资源。
在“以人为本方法”的指导下,将基于理论和循证的面对面教育干预措施改编和优化为电子学习资源。这包括当前的证据,以及专家组、学习技术人员和研究团队的见解,从而设计出电子学习原型。通过与最终用户(n=13)和患者和公众参与(n=4)进行思考 aloud 访谈,对可接受性和可用性进行了优化。
迭代改编和优化过程实现了导航改进的实施,改变了语言清晰度、图像和交互组件的适当性。在优化过程中,报告了积极的反馈;特别是关于“外观和感觉”,以及嵌入电子学习资源中的教育视频和反思性练习。
对这种新的电子学习资源进行系统改编和优化,旨在提高相关、适当和适用的可访问循证和基于理论的培训资源的相关性、适当性和适用性。它有可能促进以家庭为中心的临终关怀,最终可以促进更好的丧亲结果。需要对干预措施进行评估,以探讨其对实践的影响。