van Zuilekom Ingrid, Thiesen-van Staveren Jojanneke, Dericks-Issing Marijke, van den Brand Marieke, van Os-Medendorp Harmieke, Metselaar Suzanne
Research Group Smart Health, School of Health, Saxion University of Applied Science, Postbus 70.000, 7500 KB Enschede, The Netherlands.
Amsterdam UMC, Location VUmc, Postbus 7057, 1007 MB Amsterdam, The Netherlands.
Palliat Care Soc Pract. 2024 Nov 20;18:26323524241298288. doi: 10.1177/26323524241298288. eCollection 2024.
Every healthcare professional (HCP) in the Netherlands is expected to provide palliative care based on their initial education. This requires national consensus and clarity on the quality and goals of palliative care education and accessible education opportunities nationwide. These requirements were not met in the Netherlands, posing a major obstacle to improving the organization and delivery of palliative care. Therefore, a program, Optimizing Education and Training in Palliative Care (OPZ), was established to improve palliative care education on a national level.
The main task of the OPZ program from 2018 to 2021 was to implement and improve palliative care education in initial education for nursing and medical professionals. The program's ultimate goal was that every HCP be sufficiently educated to provide high-quality generalist palliative care.
The OPZ program consists of four projects to improve and consolidate generalist palliative care education nationwide.
All projects used a participatory approach, that is, participatory development, implementation, and co-creation with stakeholders, mainly HCPs and education developers. Appreciative inquiry was used to assess, improve, and integrate existing local palliative care education initiatives.
(1) Establishment of an Education Framework for palliative care for all HCPs, including an interprofessional collaboration model; (2) optimization of palliative care education in the (initial) curricula of vocational education institutions and (applied) universities; (3) establishment of an online platform to disseminate materials to improve palliative care education; and (4) installment of seven regional palliative care education hubs, of which one hub was devoted to pediatric palliative care, as well as one national hub.
We discuss some lessons learned and challenges in accomplishing the goals of the OPZ program in 2018-2021 and address how these challenges were dealt with. We maintain that co-creation with stakeholders at policy, organizational, and operational levels, as well as ongoing communication and collaboration, is essential to consolidating and implementing results.
Over the past 4 years, we have improved generalist palliative care education nationwide for all HCPs through four projects in which we collaborated closely with stakeholders. This has resulted in more attention to and implementation of palliative care in education, a national Education Framework for palliative care, including an interprofessional collaboration model, an online platform for palliative care education, and palliative care education hubs covering all regions of the Netherlands.
荷兰的每位医疗保健专业人员（HCP）都应根据其初始教育提供姑息治疗。这需要在全国范围内就姑息治疗教育的质量和目标达成共识并明确界定，同时要有可获得的教育机会。荷兰并未满足这些要求，这对改善姑息治疗的组织和提供构成了重大障碍。因此，设立了一个名为“优化姑息治疗教育与培训（OPZ）”的项目，以在国家层面改善姑息治疗教育。
2018年至2021年OPZ项目的主要任务是在护理和医学专业人员的初始教育中实施并改善姑息治疗教育。该项目的最终目标是让每位医疗保健专业人员都接受充分的教育，以提供高质量的全科姑息治疗。
OPZ项目由四个项目组成，旨在在全国范围内改善和巩固全科姑息治疗教育。
所有项目都采用了参与式方法，即与利益相关者（主要是医疗保健专业人员和教育开发者）进行参与式开发、实施和共同创造。采用肯定性探究来评估、改进和整合现有的地方姑息治疗教育举措。
（1）为所有医疗保健专业人员建立了姑息治疗教育框架，包括一个跨专业协作模式；（2）优化了职业教育机构和（应用）大学（初始）课程中的姑息治疗教育；（3）建立了一个在线平台来传播材料，以改善姑息治疗教育；（4）设立了七个区域姑息治疗教育中心，其中一个中心专门负责儿童姑息治疗，还有一个国家中心。
我们讨论了在实现2018 - 2021年OPZ项目目标过程中吸取的一些经验教训和面临的挑战，并阐述了如何应对这些挑战。我们认为，在政策、组织和运营层面与利益相关者共同创造，以及持续的沟通与协作，对于巩固和实施成果至关重要。
在过去四年里，我们通过四个与利益相关者密切合作的项目，在全国范围内改善了所有医疗保健专业人员的全科姑息治疗教育。这导致了教育中对姑息治疗的更多关注和实施，一个全国性的姑息治疗教育框架，包括一个跨专业协作模式，一个姑息治疗教育在线平台，以及覆盖荷兰所有地区的姑息治疗教育中心。
