处理渴望死亡的愿望-对医学学生的选修课程的评估
M Schallenburger1,2, J Schwartz1,2, Yann-Nicolas Batzler3,4
1Interdisciplinary Centre for Palliative Medicine, Heinrich-Heine-University Duesseldorf, University Hospital Duesseldorf, Duesseldorf, Germany.
BMC medical education
|March 18, 2024
概括
一个关于管理息患者死亡欲望的课程改善了医学学生的知识和沟通技巧. 这种培训影响了他们对辅助死亡的态度,在不同的医疗保健专业群体中观察到不同的意愿.
科学领域:
- 抚慰性护理医学 抚慰性护理医学
- 医学教育 医学教育
- 生物伦理学生物伦理学
背景情况:
- 死亡的愿望影响高达22%的息护理患者,往往源于各种负担.
- 医疗保健专业人员需要培训,以有效地解决患者的死亡愿望和相关负担.
- 一个为医学学生的选修课程是基于一个评估程序来处理死亡的愿望开发出来的.
研究的目的:
- 评估选修课程对医学学生关于在息治疗中死亡的愿望的知识和技能的影响.
- 为了比较学生们对辅助死亡的态度,他们选择了选修课,学生们参加了强制性息治疗课程,以及有密集/紧急医疗背景的医生.
主要方法:
- 通过使用五分利克特尺度进行的在线评估,评估了参与者的满意度和感知到的知识/技能增长.
- 基于结果的评估使用了比较自我评估收益.
- 三组参与者进行了调查:选修学生 (第一组),本科医学学生 (第二组) 和医生 (第三组).
主要成果:
- 第1组对混合学习形式和课程表示高度满意 (100%),其中81%的知识深化和71.2%的培训技能.
- 调查包括37名学生 (2组) 和258名医生 (3组).
- 愿意协助或陪伴协助死亡的选择在第二组学生中最高,其次是第三组医生,然后是第一组学生.
结论:
- 关于管理死亡欲望的课程可以提高医疗保健专业人员的知识,沟通技巧和自信.
- 了解死亡愿望的背景,对辅助死亡的知识和个人态度影响了对辅助死亡的专业立场.
- 培训干预可以积极影响医疗保健提供者的准备和对终身护理讨论和决策的态度.
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