居民主导的研究:一个质量改进项目,以改善严重疾病对话
Arinea Salas1, KerriAnn Boanca1, Johanna Purdy1
1Division of General Internal Medicine and Geriatrics, Oregon Health and Science University, Portland, Oregon, USA.
Gerontology & geriatrics education
|August 10, 2023
概括
培训内科医生进行严重疾病对话 (SIC) 改善了终身护理 (EOL) 沟通技巧. 同行领导的培训证明了可行性和可接受性,提高了居民对EOL讨论的舒适性.
科学领域:
- 医学教育 医学教育
- 抚慰性护理是一种缓解性护理.
- 沟通技巧培训 培训 沟通技巧培训
背景情况:
- 有效的生命终端 (EOL) 护理沟通对于减少患者的痛苦和与患者目标协调护理至关重要.
- 阿里亚德尼实验室的严重疾病对话 (SIC) 框架改善了EOL沟通,但其在住院医生中使用的研究不足.
- 住院医生需要加强严重疾病对话的培训,以改善患者护理结果.
研究的目的:
- 评估一个同行领导的培训计划的可行性和可接受性,用于Ariadne实验室严重疾病对话 (SIC) 指南的内科住院医生.
- 评估SIC培训对住院医生的态度,信心和对生命终结 (EOL) 讨论的感知障碍的影响.
- 确定有助于成功实施居民主导的沟通技能培训计划的关键因素.
主要方法:
- 一个高等学术中心的内科医生在课外培训中接受了Ariadne Labs SIC指南的课外培训.
- 进行了基线和培训后调查,以评估居民的态度,信心和与EOL讨论有关的障碍.
- 调整了招聘策略,包括确保保护时间,以改善居民参与培训.
主要成果:
- 在行政批准保护时间进行培训后,居民参与度显著增加.
- 在7名参与居民中,有6人完成了基线和培训后调查.
- 住户报告说,在SIC培训后,在讨论和记录EOL护理时,自我报告的舒适度有所提高,缺乏时间被认为是主要障碍.
- 培训师和参与者都认为SIC培训是有价值和成功的.
结论:
- 在阿里亚德尼实验室的严重疾病对话 (SIC) 框架中,同行领导的培训对住院医生来说是可行的和可以接受的.
- 机构支持,包括保护时间,教师指导和居民领导,对于成功实施居民领导的沟通培训至关重要.
- 提高住院医生的严重疾病对话技能可以改善终身护理沟通和患者的结果.
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