学习如何谈论临近死亡:关于混合学习方法有效性的前测试后测试试验结果
Felix Michael Schmitz1,2, Ann-Lea Buzzi3, Sibylle Jeanine Felber4
1Institute for Medical Education, University of Bern, Bern, 3010, Switzerland. felix.schmitz@unibe.ch.
BMC medical education
|July 2, 2025
概括
混合学习方法改善了医疗保健专业人员的沟通技巧,以便在生命结束时进行对话. 谈论死亡 (TAD) 计划增强了知识,自我效能和技能,减少了医学学生的焦虑.
科学领域:
- 医学教育 医学教育
- 沟通技巧培训 培训 沟通技巧培训
- 在生命末期的护理.
背景情况:
- 医疗保健专业人员在生命终端 (EOL) 沟通方面只有有限的培训机会.
- 有效的沟通对于照顾垂死患者及其家属至关重要.
- 一种混合学习方法,即谈论死亡 (TAD),是为了弥补这个差距而开发的.
研究的目的:
- 评估TAD混合学习方法对医学学习者的影响.
- 评估与EOL沟通相关的知识,焦虑,自我效能和技能的变化.
- 为了确定TAD对学前和研究生医学学习者的有效性.
主要方法:
- 一个前测试后测试试验,涉及12名医学学生和11名护理专业人员.
- 在基线,在线模块后和现场研讨会后收集数据.
- 评估知识 (多选题),焦虑 (Thanatophobia Scale),自我效能 (Bandura规模) 和技能 (模拟的患者遭遇).
主要成果:
- 在线和现场干预后,在知识,自我效能和技能方面观察到显著的改善.
- 医学学生中,但护理专业人员中没有减少超恐惧症.
- 混合方法在统计和实践上产生了显著的积极学习成果.
结论:
- 结合在线模块和现场研讨会的混合学习方法有效地增强了EOL沟通的认知,情感和行为维度.
- "TAD计划是改善医疗和护理专业人员之间生命结束对话的宝贵方法.
- 建议将这种混合学习方法整合到医学和护理教育中.
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