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弥合照护差距:将家庭照护者伙伴关系纳入医疗服务提供者教育

Bridging the Care Gap: Integrating Family Caregiver Partnerships into Healthcare Provider Education.

作者信息

Parmar Jasneet, L'Heureux Tanya, Anderson Sharon, Lobchuk Michelle, Charles Lesley, Pollard Cheryl, Powell Linda, Chaudhuri Esha Ray, Fawcett-Arsenault Joelle, Mosaico Sarah, Sim Cindy, Walker Paige, Shapkin Kimberly, Weir Carolyn, Sproule Laurel, Strickfaden Megan, Tarnowski Glenda, Lee Jonathan, Cameron Cheryl

机构信息

Department of Family Medicine, Faculty of Medicine & Dentistry, University of Alberta, Edmonton, AB T6G 2T4, Canada.

Rady Faculty of Health Sciences, College of Nursing, University of Manitoba, Winnipeg, MB R3T 2N2, Canada.

出版信息

Healthcare (Basel). 2025 Aug 4;13(15):1899. doi: 10.3390/healthcare13151899.

Abstract

: Family caregivers are a vital yet often under-recognized part of the healthcare system. They provide essential emotional, physical, and logistical support to individuals with illness, disability, or frailty, and their contributions improve continuity of care and reduce system strain. However, many healthcare and social service providers are not equipped to meaningfully engage caregivers as partners. In Alberta, stakeholders validated the Caregiver-Centered Care Competency Framework and identified the need for a three-tiered education model-Foundational, Advanced, and Champion-to help providers recognize, include, and support family caregivers across care settings. This paper focuses on the development and early evaluation of the Advanced Caregiver-Centered Care Education modules, designed to enhance the knowledge and skills of providers with more experience working with family caregivers. The modules emphasize how partnering with caregivers benefits not only the person receiving care but also improves provider effectiveness and supports better system outcomes. : The modules were co-designed with a 154-member interdisciplinary team and grounded in the competency framework. Evaluation used the first three levels of the Kirkpatrick-Barr health workforce education model. We analyzed pre- and post-surveys from the first 50 learners in each module using paired -tests and examined qualitative feedback and SMART goals through inductive content analysis. : Learners reported a high level of satisfaction with the education delivery and the knowledge and skill acquisition. Statistically significant improvements were observed in 53 of 54 pre-post items. SMART goals reflected intended practice changes across all six competency domains, indicating learners saw value in engaging caregivers as partners. : The Advanced Caregiver-Centered Care education improved providers' confidence, knowledge, and skills to work in partnership with family caregivers. Future research will explore whether these improvements translate into real-world practice changes and better caregiver experiences in care planning, communication, and navigation.

摘要

家庭照护者是医疗保健系统中至关重要但往往未得到充分认识的一部分。他们为患病、残疾或体弱的个人提供至关重要的情感、身体和后勤支持,他们的贡献改善了护理的连续性并减轻了系统负担。然而,许多医疗保健和社会服务提供者没有能力让照护者作为合作伙伴进行有意义的参与。在艾伯塔省,利益相关者验证了以照护者为中心的照护能力框架,并确定需要一个三层教育模式——基础、高级和卓越——以帮助提供者在各种护理环境中认识、接纳并支持家庭照护者。本文重点关注高级以照护者为中心的照护教育模块的开发和早期评估,这些模块旨在提高与家庭照护者合作经验更丰富的提供者的知识和技能。这些模块强调与照护者合作不仅有利于接受护理的人,还能提高提供者的效率并支持更好的系统结果。

这些模块是与一个由154名成员组成的跨学科团队共同设计的,并以能力框架为基础。评估使用了柯克帕特里克-巴尔卫生人力教育模型的前三个层次。我们使用配对检验分析了每个模块前50名学习者的课前和课后调查,并通过归纳性内容分析检查了定性反馈和具体、可衡量、可实现、相关和有时限的(SMART)目标。

学习者对教育交付以及知识和技能的获取表示高度满意。在54项课前和课后项目中的53项中观察到了具有统计学意义的改善。SMART目标反映了所有六个能力领域预期的实践变化,表明学习者认为让照护者作为合作伙伴具有价值。

高级以照护者为中心的照护教育提高了提供者与家庭照护者合作的信心、知识和技能。未来的研究将探讨这些改进是否会转化为实际的实践变化以及在护理计划、沟通和导航方面为照护者带来更好的体验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94d7/12346123/bea19170d1cc/healthcare-13-01899-g001.jpg

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