Training to Reduce Home Care Aides' Work Stress Associated with Patient Death: A Scoping Review
Training to Reduce Home Care Aides' Work Stress Associated with Patient Death: A Scoping Review
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DOI：
10.1089/jpm.2019.0441
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发表时间：
2019-12-18
影响因子：
2.8
通讯作者：
Baron, Sherry
中科院分区：
文献类型：
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作者：
Tsui, Emma K.;Wang, Wei-Qian;Baron, Sherry
背景：家庭护理工作者（HCW）-包括家庭健康助理，个人护理助理和其他直接护理工作者-提供功能和其他必要的支持，使老年人，残疾人和重病患者能够住在家里。随着越来越多的患者在家中衰老和死亡，HCW越来越多地在生命结束时提供护理。尽管之前的定性研究表明，患者死亡对HCW来说是一种具有影响力和挑战性的经历，但大多数HCW几乎没有接受过有关EOL问题的培训。目的：本次范围界定审查的目标是确定描述医疗保健工作者在EOL问题方面培训的干预研究，以绘制培训类型，并评估现有努力解决医疗保健工作者健康和福祉的程度。设计：我们的范围审查涵盖了三个数据库，并侧重于自2000年以来发表的英文文章。结果：在筛选的393篇文章中，26篇进行了全文审查，6篇符合纳入标准。只有一篇文章专门讨论了为HCW设计和实施的培训。其他培训同时针对多种工人。支持HCWs在减少他们的压力和提高他们的应对技能，基本上是在一个文章中，虽然HCWs的情感需求，解决了其他几个集中。结论：我们的研究结果表明，有一个专门针对HCW的经验和定位的EOL培训干预的匮乏。我们建议，未来的干预研究解决多方面的HCW的压力与病人死亡，以改善终末期护理在家里。
Background:Home care workers (HCWs)-including home health aides, personal care aides, and other direct care workers-provide functional and other essential support that allows older, disabled, and seriously ill people to live at home. As a growing number of patients are aging and dying at home, HCWs are increasingly providing care at the end of life (EOL). Although prior qualitative studies have shown that patient death is an impactful and challenging experience for HCWs, the majority of HCWs receive almost no training on EOL issues. Objective:The goal of this scoping review is to identify intervention studies describing training of HCWs in EOL issues to map types of training and to assess the degree to which existing efforts address HCW health and well-being. Design:Our scoping review covered three databases and focused on articles published in English since 2000. Results:Of the 393 articles screened, 26 underwent full-text review and 6 met inclusion criteria. Only one article discussed training designed for and implemented with HCWs exclusively. Other trainings simultaneously targeted multiple kinds of workers. Supporting HCWs in reducing their stress and improving their coping skills was substantially addressed in only one article, although HCWs' emotional needs were addressed less centrally in several others. Conclusion:Our findings suggest that there is a paucity of EOL training interventions tailored specifically to the experiences and positioning of HCWs. We recommend that future intervention studies address the multiple facets of HCWs' stress related to patient death to improve EOL care in the home.