Training Intervention for Health Care Staff in the Provision of Existential Support to Patients With Cancer: A Randomized, Controlled Study
Training Intervention for Health Care Staff in the Provision of Existential Support to Patients With Cancer: A Randomized, Controlled Study
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DOI：
10.1016/j.jpainsymman.2013.01.013
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发表时间：
2013-12-01
影响因子：
4.7
通讯作者：
Melin-Johansson, Christina
中科院分区：
文献类型：
--
作者：
Henoch, Ingela;Danielson, Ella;Melin-Johansson, Christina
上下文当一个病人被诊断出癌症时，生存问题变得更加引人注目。在整个疾病轨迹中，癌症患者在肿瘤病房、家庭护理团队或临终关怀机构接受护理。与这些患者一起工作的护士有时会意识到患者的存在需求，但在讨论这些问题时并不自信。为了确定培训干预的效果，重点是存在的问题和护士在沟通中的自信心和他们对照顾临终病人的态度。这是一项随机、对照试验，包括存在主义问题的理论培训以及个人和团体反思。总共有102名肿瘤科和临终关怀病房以及姑息性家庭护理团队的护士被随机分配到培训组或非培训组。在基线、培训后即刻和5 - 6个月后测量主要结果、沟通信心和对临终患者护理的态度。从基线（培训前）到第一次和第二次随访，即培训后立即和五个月后，培训组的沟通信心显着改善。培训组对临终关怀的态度没有改善。这项研究表明，短期培训与反思提高了医疗保健工作人员的信心时，沟通，这是很重要的医疗保健管理人员与有限的资源。需要进一步的研究，以探讨患者如何体验的沟通技巧的医疗保健人员后，这样的培训。(C)2013年美国癌症疼痛缓解委员会。爱思唯尔公司出版All rights reserved.
Context. When a patient receives a cancer diagnosis, existential issues become more compelling. Throughout the illness trajectory, patients with cancer are cared for in oncology wards, by home care teams or in hospices. Nurses working with these patients are sometimes aware of the patients' existential needs but do not feel confident when discussing these issues.Objectives. To determine the effects of a training intervention, where the focus is on existential issues and nurses' perceived confidence in communication and their attitude toward caring for dying patients.Methods. This was a randomized, controlled trial with a training intervention comprising theoretical training in existential issues combined with individual and group reflection. In total, 102 nurses in oncology and hospice wards and in palliative home care teams were randomized to a training or non-training group. Primary outcomes, confidence in communication, and attitude toward the care of dying patients were measured at baseline, immediately after the training, and five to six months later.Results. Confidence in communication improved significantly in the training group from baseline (before the training) to both the first and second follow-up, that is, immediately after the training and five months later. The attitude toward caring for the dying did not improve in the training group.Conclusion. This study shows that short-term training with reflection improves the confidence of health care staff when communicating, which is important for health care managers with limited resources. Further studies are needed to explore how patients experience the communication skills of health care staff after such training. (C) 2013 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.