Expanding the Palliative Care Workforce during the COVID-19 Pandemic: An Evaluation of Core Palliative Care Skills in Health Social Workers.
Expanding the Palliative Care Workforce during the COVID-19 Pandemic: An Evaluation of Core Palliative Care Skills in Health Social Workers.
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在 COVID-19 大流行期间扩大姑息治疗队伍：对卫生社会工作者的姑息治疗核心技能的评估。
DOI：
10.1089/jpm.2021.0027
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发表时间：
2021
影响因子：
2.8
通讯作者：
Gelfman,LauraP
中科院分区：
文献类型：
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作者：
Pelleg,Ayla;Chai,Emily;Morrison,RSean;Farquhar,DianeW;Berglund,Keisha;Gelfman,LauraP
背景：为了满足重症SARS-CoV-2（COVID-19）患者的需求，需要部署卫生社会工作者（SW）的新模式，以扩大姑息治疗工作队伍。为了告知这种扩展，了解卫生SW的核心姑息治疗技能的现状是必要的。方法：经过最低限度的培训，纽约市一家医院的卫生SW进行了调查，了解他们使用核心姑息治疗技能的频率，能力和信心。结果：在接受调查的170名卫生SW中，有46名（27%）做出了回应，其中21名（46%）和24名（52%）分别在COVID-19激增之前和期间接受过姑息治疗培训。卫生工作者报告说，在使用三种技能方面有“适度改善”：“确定医疗决策者”、“评估预后理解”和“协调护理”。有“最小的下降”，“没有改善”，“最小的改善”的能力和信心的技能use.Conclusion：我们的研究结果表明，教育举措可以提高健康SW的核心姑息治疗技能的使用。
Background:Meeting the needs of seriously ill SARS-CoV-2 (COVID-19) patients requires novel models of deploying health social workers (SWs) to expand the palliative care workforce. To inform such expansion, understanding the current state of health SWs' core palliative care skills is necessary.Methods:Following minimal training, health SWs in one New York City hospital were surveyed about their frequency, competence, and confidence in using core palliative care skills.Results:Of the 170 health SWs surveyed, 46 (27%) responded, of whom 21 (46%) and 24 (52%) had palliative care training before and during the COVID-19 surge, respectively. Health SWs reported a “moderate improvement” in the use of three skills: “identify a medical decision maker,” “assess prognostic understanding,” and “coordinate care.” There was “minimal decrease” to “no improvement” to “minimal improvement” in competence and confidence of skill use.Conclusion:Our findings suggest that educational initiatives can improve health SWs' use of core palliative care skills.