辅助息护理教育有助于改善患者识别吗? 在CAPACITI培训计划中对初级保健提供者的集群随机对照试验
Hsien Seow1, Daryl Bainbridge1, Samantha Winemaker1
1Dept of Oncology, McMaster University, Hamilton, Canada.
Journal of palliative medicine
|May 19, 2025
概括
初级保健提供者通过CAPACITI计划改进了使用息治疗的患者的识别. 促进和自我指导的在线学习都改善了早期的息护理整合,在方法之间没有显著差异.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 医学教育 医学教育
- 主要护理实践的初级护理实践
背景情况:
- 初级保健提供者 (PCP) 对于启动息护理至关重要,但在患者鉴定方面面临挑战.
- 通过跨专业团队改进计划 (CAPACITI) 提供社区获得缓解护理的机会,为PCP提供虚拟教育.
- CAPACITI旨在为PCP提供实用工具,以使息护理成为可行的工具.
研究的目的:
- 为了比较辅助与自主导 CAPACITI 版本的有效性.
- 评估对PCP将早期息治疗方法纳入实践的能力的影响.
主要方法:
- 一个集群随机对照试验 (cRCT) 涉及加拿大PCP团队.
- 随机化按团队规模和地理位置分层.
- 干预组接受了便利的网络研讨会;对照组接受了自我指导的在线材料.
主要成果:
- 促进和自我指导的CAPACITI都增加了被确定为息治疗的患者的中位数百分比 (分别从20.0%增加到33.3%和40.0%).
- 在辅导组和自我指导组之间没有发现统计学上显著的差异 (p = 0.3).
- 息护理识别的整体改善是显著的 (p < 0.001).
结论:
- 该CAPACITI计划有效地提高了PCP的息护理识别.
- 简化和自主导的在线学习格式都有好处.
- 需要进一步的研究来探索技能发展的最佳便利化策略.
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