Enhancing Cultural Congruence in Hospice Care

描述（由申请人提供）：低质量的患者提供者沟通显著导致了生命结束时的差异，特别是在来自种族多样化或服务不足人群的个体中。本研究的目的为：（1）评估网络文化能力沟通干预对临终关怀护理人员沟通质量的影响;（2）评估网络文化能力沟通干预对临终关怀护理人员焦虑、护理人员负担和护理人员信任的影响;（3）评估网络文化能力沟通干预对临终关怀护理人员沟通质量的影响。（3）评估网路文化能力沟通介入对安宁疗护护士文化能力反应历程的影响。我们的跨学科研究团队将招募60名临终关怀护士和护理人员。临终关怀护士将被随机分配到一个文化能力沟通干预或一个控制程序，包括一个相当长度的基于网络的培训，在他们的工作相关的技能，但不影响文化能力。护理人员将完成问卷调查，评估护士在提供符合文化的姑息治疗方面的技能。本研究将提供一个重要的新的见解的影响，文化一致的照顾对病人的姑息治疗的经验，认为病人的家庭照顾者。这项研究将产生所需的知识，为未来的项目，将定制的文化能力沟通干预，根据个人护士的需要，根据他们的文化能力得分。结果将有助于改善文化一致的姑息治疗。低质量的患者提供者沟通导致了生命结束时的差异，特别是对于来自种族多样化或服务不足人群的个人。公共卫生相关性：本研究旨在探讨以网路为基础的文化能力沟通介入对安宁疗护人员沟通品质的影响。结果将有助于改善文化一致的姑息治疗。

DESCRIPTION (provided by applicant): Poor quality patient provider communication contributes significantly to disparities at end of life, particularly among individuals from ethnically diverse or underserved populations. The proposed cluster-randomized trial has three specific aims: (1) Evaluate the effect of a web-based cultural competence communication intervention for hospice nurses on quality of communication as assessed by family caregivers; (2) Evaluate the effect of a web-based cultural competence communication intervention for hospice nurses on family caregiver outcomes of anxiety, caregiver burden, and trust of the nurse; and (3) Evaluate the effect of a web-based cultural competence communication intervention on the processes reflective of hospice nurse's cultural competence. Our interdisciplinary research team will recruit 60 hospice nurse and caregiver dyads. Hospice nurses will be randomized to either a cultural competence communication intervention or to a control program consisting of a comparable length web-based training in a skill relevant to their work but not affecting cultural competence. Caregivers will complete questionnaires assessing the nurse's skill at providing culturally congruent palliative care. This study will provide an important new insight into the effect of culturally congruent care on patients' palliative care experiences as perceived by the patients' family caregivers. This study will generate the knowledge required for a future project that will tailor the cultural competence communication intervention according to the needs of individual nurses based on their cultural competence scores. The results will be instrumental in improving culturally congruent palliative care. Poor quality patient provider communication contributes to disparities at end of life, especially for individuals from ethnically diverse or underserved populations. PUBLIC HEALTH RELEVANCE: This research will evaluate the effect of a web-based cultural competence communication intervention for hospice nurses on quality of communication as assessed by family caregivers. The results will be instrumental in improving culturally congruent palliative care.