整合心理治疗概念以增强严重疾病沟通:对模型课程的评估
Danielle Chammas1, Keri Brenner2, Amanda Moment3
1Division of Palliative Medicine, Department of Medicine, University of California San Francisco, San Francisco, California, USA.
Journal of palliative medicine
|May 19, 2025
概括
一个研讨会增强了息护理临床医生的心理治疗概念的知识,如心理表述和反转移. 参与者报告了临床实践和合作的显著改善,表明有效的沟通培训.
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.
- 心理治疗 心理治疗
背景情况:
- 严重疾病沟通培训往往缺乏整合心理社会概念,以提高治疗效果.
- 现有的框架主要集中在医疗信息和护理目标上,忽视了心理治疗原则.
研究的目的:
- 开发,实施和评估一个工作坊,将心理治疗概念整合到息护理沟通中.
- 评估这次培训对临床医生的知识,技能和实践在不同环境中的影响.
主要方法:
- 利用Kern的六步课程开发模型来设计一个关于心理表述和反转移的交互式研讨会.
- 向四个不同的息护理临床医生队伍提供了研讨会.
- 雇员进行了前,后和八周的后续调查,以评估使用Kirkpatrick的四个级别的培训有效性.
主要成果:
- 观察到心理表述 (p < 0.001) 和反转移 (p < 0.001) 的知识显著增加.
- 参与者满意度高 (92%),并在八周后报告对临床实践 (89%),教学 (93%) 和合作 (93%) 有意义的影响.
- 203名临床医生完成了前期调查,168人完成了后期调查,79人完成了8周的随访.
结论:
- 一个多站点的半日研讨会有效地增强了息护理临床医生的心理治疗概念的知识和应用.
- 培训对参与者的认知能力和实践产生了显著的积极影响.
- 未来的研究应该探索远程和纵向培训模式,以持续培养技能.
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