Boström Kathleen, Dojan Thomas, Doll Axel, Montag Thomas, Voltz Raymond, Kremeike Kerstin
Department of Palliative Medicine, Faculty of Medicine and University Hospital, University of Cologne, Cologne, Germany.
Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf (CIO ABCD), Faculty of Medicine and University Hospital, University of Cologne, Cologne, Germany.
Palliat Med Rep. 2025 Apr 10;6(1):38-49. doi: 10.1089/pmr.2024.0075. eCollection 2025.
Severely ill patients often express a desire to die, which can turn into suicidality. To support health professionals in managing this issue, we initially created a two-day face-to-face training to enhance self-confidence, knowledge, attitudes, and skills. Due to the increasing need for more accessible formats, we aimed to transition this training online and develop a complementary website.
Multimethod approach to develop and evaluate an online training and a website on dealing with the desire to die in palliative care in Germany. This involved: (1) reviewing literature on effective didactic elements, (2) digitalizing the face-to-face training and creating the website with ongoing expert feedback, and (3) piloting and evaluating these resources through online surveys.
We retrieved suggestions for the development of online trainings and websites from = 39 publications. Through these results and expert discussion, an online version of our training and a website were developed. For evaluation, we conducted two trainings (face-to-face ( = 8) and online ( = 19)) with multiprofessional participants. All improved significantly in self-confidence after the training without differences between online and face-to-face training. Website evaluation of usability, comprehension, information quality, presentation, and sustainability by = 71 users yielded favorable feedback with improvement suggestions for structure and plain language.
Dealing with the desire to die can be taught not only face to face but also through online training and an educational website. This can ensure low-threshold access to scientifically sound information and training units for those health professionals confronted with the desire to die.
重症患者常常表达出想死的愿望，这可能演变为自杀倾向。为了帮助医疗专业人员处理这一问题，我们最初创建了一个为期两天的面对面培训，以增强自信心、知识、态度和技能。由于对更易获取的培训形式的需求不断增加，我们旨在将该培训转换为在线形式并开发一个配套网站。
采用多方法来开发和评估一个关于德国姑息治疗中应对想死愿望的在线培训和网站。这包括：（1）回顾关于有效教学要素的文献；（2）将面对面培训数字化，并在专家持续反馈的基础上创建网站；（3）通过在线调查对这些资源进行试点和评估。
我们从39篇出版物中获取了关于在线培训和网站开发的建议。通过这些结果和专家讨论，开发了我们培训的在线版本和一个网站。为了进行评估，我们对多专业参与者进行了两次培训（面对面培训8人，在线培训19人）。培训后，所有人的自信心都有显著提高，在线培训和面对面培训之间没有差异。71名用户对网站的可用性、理解性、信息质量、呈现方式和可持续性进行评估，得到了积极反馈，并对结构和语言简洁性提出了改进建议。
应对想死的愿望不仅可以通过面对面教学，也可以通过在线培训和一个教育网站来传授。这可以确保那些面临想死愿望的医疗专业人员能够以低门槛获取科学合理的信息和培训单元。
