End-of-Life Nursing and Education Consortium Communication Curriculum for Interdisciplinary Palliative Care Teams
End-of-Life Nursing and Education Consortium Communication Curriculum for Interdisciplinary Palliative Care Teams
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DOI：
10.1089/jpm.2018.0645
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发表时间：
2019-04-13
影响因子：
2.8
通讯作者：
Donesky, DorAnne
中科院分区：
文献类型：
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作者：
Ferrell, Betty;Buller, Haley;Donesky, DorAnne
背景：专业的沟通技巧对于在护理领域提供有效的姑息治疗至关重要。然而，很少有卫生保健提供者接受正式的沟通培训。为了促进跨学科姑息治疗团队的沟通教育，开发了跨学科医院姑息治疗团队的培训师课程，使他们能够教授其他医疗保健专业人员的沟通技巧。课程设计：该课程由全国协商一致项目优质姑息治疗指导方针的八个领域组织，并为加利福尼亚州的团队提供沟通技能培训。为期两天的培训师课程包括技能建设练习和互动讨论，以帮助参与者将沟通技能建设纳入其临床环境。使用目标导向的教学方法，教师协助团队制定三个机构目标，为其他医疗保健专业人员提供姑息治疗沟通培训。课程评价包括课程后即时评价和6个月和9个月的随访评价。结果如下：第一次全州跨学科沟通培训于2018年1月举行，有26个姑息治疗团队，主要由护士组成，其次是社会工作者，牧师和医生。46名学员的课后评价表明，他们对课程非常满意。按照1到5的等级（1 =最低），该课程满足了参与者的期望和目标（4.8）。团队的课程目标集中在（1）员工教育，培训和指导，（2）机构范围内的系统变革。结论：姑息治疗跨学科团队可以将沟通技巧纳入他们的实践，并为他们的机构提供沟通技巧培训。
Background: Expert communication skills are essential for the delivery of effective palliative care across the domains of care. However, few health care providers receive formal communication training. To promote communication education for interdisciplinary palliative care teams, a train-the-trainer course for interdisciplinary hospital-based palliative care teams was developed to prepare them to teach other health care professionals communication skills. Course Design: The curriculum was organized by the eight domains of the National Consensus Project Guidelines for Quality Palliative Care and provided communication skills training for California-based teams. The two-day train-the-trainer course included skill-building exercises and interactive discussions to assist participants in integrating communication skills building into their clinical settings. Using a goal-directed method of teaching, faculty assisted teams in developing three institutional goals for providing palliative care communication training to other health care professionals. Evaluation of the course included immediate postcourse evaluation and follow-up evaluation at six and nine months. Results: The first statewide interdisciplinary communication training took place in January 2018 with 26 palliative care teams consisting of primarily nurses, followed by social workers, chaplains, and physicians. The 46 course participants' postcourse evaluations demonstrated high satisfaction with the course. On a scale of 1 to 5 (1 = lowest), the course met participants' expectations and objectives (4.8). The teams' precourse goals focused on (1) staff education, training, and mentorship, and (2) institution-wide system changes. Conclusion: Palliative care interdisciplinary teams can incorporate communication skills into their practice and provide communication skills training to their institutions.