Hagelin Carina Lundh, Melin-Johansson Christina, Österlind Jane, Bisholt Birgitta, Pusa Susanna
Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, 171 77, Sweden.
Department of Health Care Sciences, Marie Cederschiöld University, Stockholm, Box 11189, 100 61, Sweden.
BMC Palliat Care. 2024 Dec 16;23(1):283. doi: 10.1186/s12904-024-01615-z.
With an increased number of people living with multiple progressive diseases, online education courses have been created to address the growing need for competence in palliative care. However, there is limited knowledge about the form and content of these courses, or of participants' experiences. This study aims to map the status, content, and evaluation of online palliative care courses in Sweden.
This exploratory study used both quantitative and qualitative methods. The study process involved searching for online palliative care courses on the web and through contact with Swedish palliative care organisations, and then participating in these courses, surveying education providers, and analysing and validating responses. Quantitative data were analysed using descriptive statistics, while thematic analysis was applied to the free-text responses.
Nine online courses provided by five different organisations were mapped. These courses educated over 30 000 healthcare professionals, predominantly assistant nurses and registered nurses. There was a large discrepancy between the number of people who enrolled in and the number who completed the online courses. Shortcomings identified related to lack of systematic evaluation from the participants' perspectives, if and how knowledge was integrated into clinical practice, and difficulties in making the courses sustainable.
Overarching and national systems for online education are needed. These would require sustainability considerations and guidelines for implementation, evaluation and follow-up of non-university-based online educational initiatives in palliative care. In addition, it is crucial for employers to support professionals undergoing such education, ensuring that they are given opportunities to share their feelings and discuss any challenging thoughts that arise during and after the course.
随着患有多种进行性疾病的人数增加，为满足对姑息治疗能力日益增长的需求，已创建了在线教育课程。然而，对于这些课程的形式和内容，或参与者的体验，了解有限。本研究旨在梳理瑞典在线姑息治疗课程的现状、内容和评估情况。
这项探索性研究采用了定量和定性方法。研究过程包括在网络上搜索并通过与瑞典姑息治疗组织联系来查找在线姑息治疗课程，然后参与这些课程、对教育提供者进行调查，并分析和验证回复。定量数据使用描述性统计进行分析，而主题分析则应用于自由文本回复。
梳理出了由五个不同组织提供的九门在线课程。这些课程培训了超过30000名医疗保健专业人员，主要是助理护士和注册护士。报名参加在线课程的人数与完成课程的人数之间存在很大差异。发现的不足之处涉及从参与者角度缺乏系统评估、知识是否以及如何融入临床实践，以及使课程具有可持续性方面的困难。
需要全面的国家在线教育系统。这些系统将需要考虑可持续性，并制定关于姑息治疗中非大学在线教育举措的实施、评估和跟进的指导方针。此外，雇主支持接受此类教育的专业人员至关重要，要确保他们有机会分享自己的感受，并讨论课程期间及之后出现任何具有挑战性的想法。
