美国物理医学和康复住院计划中的息护理教育:当前实践,感知需求和障碍
Jonathan C Yeh1, Leena Ambady2, Ryan Lewis3
1Section of Palliative Care, Division of General Medicine and Primary Care, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
Journal of palliative medicine
|June 19, 2023
概括
物理医学和康复 (PM&R) 临床医生需要息治疗 (PC) 培训. 大多数PM&R计划提供有限的PC教育,面临诸如教师可用性和时间等障碍,尽管感知到居民的好处.
科学领域:
- 医学教育 医学教育
- 康复医学 康复医学 康复医学
- 抚慰性护理是一种缓解性护理.
背景情况:
- 物理医学和康复 (PM&R) 临床医生经常管理患有严重疾病或伤害的患者.
- 对于PM&R临床医生来说,初级息护理 (PC) 培训至关重要,以提高患者护理.
- 在PM&R住院内现有的PC教育需要评估.
研究的目的:
- 评估美国PM&R住院计划中息护理 (PC) 教育的现状.
- 确定项目领导者对居民PC培训的态度.
- 确定阻碍在PM&R中实施PC教育的障碍.
主要方法:
- 采用了横截面研究设计.
- 一项电子调查,包含23个问题,分发给美国PM&R居住计划的项目负责人.
- 从21个响应程序中收集数据,得到23%的响应率.
主要成果:
- 只有14个 (67%) 被调查的课程提供了任何形式的PC教育 (讲座,选修课,阅读).
- 疼痛管理,沟通和非疼痛症状管理是优先考虑的PC领域.
- 尽管91%的受访者认为居民需要更多的PC教育,但只有24%的受访者报告了课程变化,称缺乏教师和时间是关键障碍.
结论:
- 息护理 (PC) 教育在PM&R住院计划中存在很大差异,尽管其已被公认的重要性.
- PC和PM&R教育工作者之间的合作对于发展教师专业知识和将PC原则纳入课程至关重要.
- 解决教师可用性和专用教学时间等障碍对于推动PM&R的PC教育至关重要.
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