Enhancing end-of-life care in nursing homes: Palliative Care Educational Resource Team (PERT) program.
Enhancing end-of-life care in nursing homes: Palliative Care Educational Resource Team (PERT) program.
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DOI：
10.1089/jpm.2005.8.556
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发表时间：
2005-06-01
影响因子：
2.8
通讯作者：
Kraybill, Beth Miller
中科院分区：
文献类型：
--
作者：
Ersek, Mary;Grant, Marcia M;Kraybill, Beth Miller
背景：到本世纪中叶，大约40%将死于慢性病的人预计将在疗养院死亡。这一趋势将给养老院带来挑战，确保工作人员拥有必要的知识和技能来照顾临终住院医生。目的：本文的目的是描述一种名为姑息护理教育资源团队(PERT)的综合课程的开发和评估，该课程旨在提高护理助理和在养老院工作的执业护士的临终能力。受试者被分成三个连续的队列，每个队列针对不同的地理区域。测量：计划评估包括评估参与者提供EOL护理的知识、技能和信心的多种工具。结果：结果评估显示EOL知识、EOL技能的自我评估和主管对参与者EOL护理的评估显著增加。结论：这些结果表明，PERT计划是提高养老院工作人员姑息护理专业知识的有效手段。除了描述PERT计划及其评价外，本文还提出了实施类似计划的建议。
BACKGROUND: By the middle of this century, approximately 40% of people who will die from chronic illness are expected to do so in a nursing home. This trend will create challenges for nursing homes to ensure that staff possess the necessary knowledge and skills to care for dying residents.OBJECTIVE: The purpose of this paper is to describe the development and evaluation of a comprehensive curriculum called Palliative Care Educational Resource Team (PERT), which is designed to enhance end-of-life (EOL) abilities of nursing assistants and licensed nurses working in nursing homes.SUBJECTS: Sixty-one nursing assistants and 108 licensed nursing staff from 44 facilities have participated in PERT. Subjects were recruited in three successive cohorts, each targeting a different geographic area.MEASUREMENTS: Program evaluation included multiple tools evaluating participants' knowledge, skills, and confidence in providing EOL care.RESULTS: Evaluation of outcomes revealed significant increases in EOL knowledge, self-evaluation of EOL skills, and supervisors' evaluations of participants' EOL care.CONCLUSIONS: These results show that the PERT Program is an effective means to enhance the palliative care expertise of nursing home staff. In addition to describing the PERT program and its evaluation, suggestions for implementing similar programs are included in this paper.