息护理课程和社区卫生工作者培训计划
Olivia Monton1,2, Aida Abou-Zamzam1, Shannon Fuller3
1Department of Surgery, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.
BMJ supportive & palliative care
|September 7, 2023
概括
社区卫生工作者 (CHWs) 在息护理方面的培训提高了他们的知识和能力. 这项干预旨在减少非洲裔美国癌症患者获得缓和护理的差异.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 与白人患者相比,非洲裔美国患者在获得息治疗方面面临重大障碍.
- 社区卫生工作者 (CHWs) 由于他们与社区的联系和非临床角色,在弥合这一差距方面处于独特的地位.
- 解决息护理差异对于改善晚期癌症护理患者的治疗结果和生活质量至关重要.
研究的目的:
- 评估为CHWs设计的息护理课程和培训计划的有效性.
- 评估培训对CHW知识,认知能力和满意度的影响.
- 建立一个可扩展的培训模型,用于CHWs在息治疗,瘤学和健康差异.
主要方法:
- 开发了一个为期3个月的息护理课程,并使用混合学习方法 (同步,异步,体验) 交付给CHW.
- 使用培训前后调查和半结构面试来衡量培训有效性.
- 该研究涉及来自不同医疗保健机构的三名医疗保健工作者,他们参与了一项随机对照试验.
主要成果:
- 医疗保健工作人员的知识显著增加,平均测试成绩从培训前的85%上升到培训后的96%.
- 该培训提高了CHW在提供息护理支持方面的认知能力.
- 来自CHW的反确定了未来课程改进和培训增强的领域.
结论:
- 息护理课程和培训计划有效地提高了CHW的知识和能力.
- 这种培训模式有望为医疗保健工作者提供设备,以满足息护理需求,并减少晚期癌症患者的健康差异.
- 该课程可以作为培训医疗保健医生的基础模板,在诸如息护理和瘤学等专业领域培训医疗保健医生.
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