设计和成熟OKRA-Compass在德国儿科瘤学环境中打破坏消息:一个参与行动研究研究
Kerstin Dittmer1, Frank Vitinius2, Isabel Hamm3
1Medical Psychology, Neuropsychology and Gender Studies Center for Neuropsychological Diagnostics and Intervention (CeNDI), Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.
Patient education and counseling
|February 9, 2025
概括
OKRA-Compass提供了一个结构化的框架,以改善儿科瘤学中的坏消息 (BBN). 它与医疗保健专业人员一起开发,在困难的对话中增强了团队准备和沟通.
科学领域:
- 儿科瘤学 儿科瘤学
- 医学沟通 医学沟通
- 医疗保健专业培训 医疗保健专业培训
背景情况:
- 儿科瘤学中的坏消息 (BBN) 面临着独特的沟通挑战.
- 对于BBN的现有支持工具往往不是针对儿科瘤学的特定环境.
- 需要量身定制的资源来帮助医疗保健专业人员 (HCP) 向儿童和家庭传递敏感新闻.
研究的目的:
- 为儿童瘤学中BBN开发和完善一个特定环境的支持工具.
- 解决BBN支持医疗保健人员在这个专业领域的缺口.
- 通过参与式方法创建以用户为中心的工具.
主要方法:
- OKRA-Compass是使用参与式行动研究 (PAR) 方法开发的.
- 混合方法,包括焦点小组,调查和建议,用于代改进.
- 与跨学科团队和医疗保健专家的合作确保了五家诊所的实际适用性和以用户为中心的设计.
主要成果:
- OKRA-Compass为BBN提供了一个结构化而又灵活的框架,包括指南书,口袋指南和检查清单.
- 实施OKRA-Compass改善了团队准备,沟通策略和角色明确性.
- 该工具在情感上具有挑战性的患者和家庭接触期间支持医疗保健工作者.
结论:
- OKRA-Compass有效地将理论知识与儿科瘤学BBN.的临床实践相结合.
- 它的参与式发展促进了HCP的协作和所有权,增强了它作为沟通资源的价值.
- 整合到培训和临床程序中可以促进同情,以患者为中心的护理,建议进行专业间培训以扩大传播.
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