Chandak Alaka, Kulkarni Priyadarshini Bhalchandra
Symbiosis International University (SIU), Lavale, Pune, 412115, India.
Symbiosis University Hospital and Research Centre, (SUHRC), Lavale Hill Base, Pune, India.
BMC Palliat Care. 2025 Jun 7;24(1):160. doi: 10.1186/s12904-025-01795-2.
University-community partnerships (UCPs) represent a transformative model for integrating student experiential learning with community-based palliative care. These partnerships enhance empathy, interdisciplinary collaboration, and service delivery, while addressing gaps in end-of-life care.
This systematic review evaluated the effectiveness of UCPs in palliative care, focusing on their impact on student learning, community outcomes, and innovative practices.
Following the PRISMA 2020 guidelines, a systematic search was conducted across PubMed, Scopus, Web of Science, and CINAHL databases for studies published between January 2014 and March 2024. This search yielded 206 unique citations. Nine studies were included after the full-text screening. Grey literature sources (e.g., reports and web-based articles) were screened but excluded due to insufficient methodological rigor, and thematic synthesis was conducted using NVivo, with two independent reviewers performing data extraction. The Risk of bias was assessed using the ROBIS (qualitative) and RoB 2 (quantitative) tools.
Of the 206 records screened, nine studies (eight qualitative and one quantitative) met the inclusion criteria. The identified UCP models include transactional, transformational, and community-based participatory research (CBPR), with CBPR noted for contextual adaptability. UCPs contributed to improving student empathy, interprofessional learning, and community empowerment. Barriers include limited resources, cultural mismatches, and inconsistent stakeholder alignments. Innovations, such as telehealth and virtual learning, were also observed.
UCPs have strong potential to enhance palliative care education and delivery. Scaling these models requires sustainable funding, culturally responsive approaches, and policy integration. Future research must emphasize longitudinal designs and standardized evaluation structures.
大学与社区合作关系（UCPs）是一种变革性模式，可将学生的体验式学习与基于社区的姑息治疗相结合。这些合作关系增强了同理心、跨学科协作和服务提供，同时弥补了临终关怀方面的差距。
本系统评价评估了大学与社区合作关系在姑息治疗中的有效性，重点关注其对学生学习、社区成果和创新实践的影响。
遵循PRISMA 2020指南，在PubMed、Scopus、Web of Science和CINAHL数据库中对2014年1月至2024年3月发表的研究进行系统检索。此次检索共获得206条独特的引文。经过全文筛选，纳入了9项研究。对灰色文献来源（如报告和网络文章）进行了筛选，但由于方法严谨性不足而被排除，并使用NVivo进行主题综合分析，由两名独立评审员进行数据提取。使用ROBIS（定性）和RoB 2（定量）工具评估偏倚风险。
在筛选的206条记录中，9项研究（8项定性研究和1项定量研究）符合纳入标准。确定的大学与社区合作关系模式包括交易型、变革型和基于社区的参与性研究（CBPR），其中CBPR以情境适应性著称。大学与社区合作关系有助于提高学生的同理心、跨专业学习和社区赋权。障碍包括资源有限、文化不匹配以及利益相关者不一致。还观察到了远程医疗和虚拟学习等创新。
大学与社区合作关系在加强姑息治疗教育和服务提供方面具有巨大潜力。扩大这些模式需要可持续的资金、具有文化响应性的方法和政策整合。未来的研究必须强调纵向设计和标准化评估结构。
