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首页> 外文期刊>Journal of pain and symptom management. >A Systematic Review of End-of-Life Care Communication Skills Training for Generalist Palliative Care Providers: Research Quality and Reporting Guidance
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A Systematic Review of End-of-Life Care Communication Skills Training for Generalist Palliative Care Providers: Research Quality and Reporting Guidance

机译：对综合性姑息治疗提供者的临终关怀沟通技能培训的系统评价：研究质量和报告指南

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Context: End-of-life care (EoLC) communication skills training for generalist palliative care providers is recommended in policy guidance globally. Although many training programs now exist, there has been no comprehensive evidence synthesis to inform future training delivery and evaluation. Objectives: To identify and appraise how EoLC communication skills training interventions for generalist palliative care providers are developed, delivered, evaluated, and reported. Methods: Systematic review. Ten electronic databases (inception to December 2015) and five relevant journals (January 2004 to December 2015) were searched. Studies testing the effectiveness of EoLC communication skills training for generalists were included. Two independent authors assessed study quality. Descriptive statistics and narrative synthesis are used to summarize the findings. Results: From 11,441 unique records, 170 reports were identified (157 published, 13 unpublished), representing 160 evaluation studies of 153 training interventions. Of published papers, eight were of low quality, 108 medium, and 41 high. Few interventions were developed with service user involvement (n = 7), and most were taught using a mixture of didactics (n = 123), reflection and discussion (n = 105), and role play (n = 86). Evaluation designs were weak: <30% were controlled, <15% randomized participants. Over half (n = 85) relied on staff self-reported outcomes to assess effectiveness, and 49% did not cite psychometrically validated measures. Key information (e.g., training duration, participant flow) was poorly reported. Conclusions: Despite a proliferation of EoLC communication skills training interventions in the literature, evidence is limited by poor reporting and weak methodology. Based on our findings, we present a CONSORT statement supplement to improve future reporting and encourage more rigorous testing.
机译：背景信息：全球政策指南中建议对通才姑息治疗提供者进行临终护理（EoLC）沟通技能培训。尽管现在存在许多培训计划，但是还没有综合的证据综合资料可以为将来的培训提供和评估提供信息。目标：识别和评估针对综合性姑息治疗提供者的EoLC沟通技能培训干预措施是如何开发，提供，评估和报告的。方法：系统评价。搜索了十个电子数据库（成立至2015年12月）和五本相关期刊（2004年1月至2015年12月）。包括测试EoLC对通才的沟通技巧培训的有效性的研究。两名独立作者评估了研究质量。描述性统计和叙事综合用于总结研究结果。结果：从11,441条独特记录中，鉴定出170份报告（157篇已发表，未发表13篇），代表153项培训干预措施的160项评估研究。在已发表的论文中，有八篇是低质量的，108篇中等，高41篇。很少有服务用户参与的干预措施（n = 7），大多数方法是通过混合使用教学法（n = 123），反思和讨论（n = 105）和角色扮演（n = 86）来进行的。评估设计薄弱：<30％受控制，<15％随机参与者。超过一半（n = 85）依靠员工的自我报告结果来评估有效性，而49％的受访者未引用经过心理计量学验证的措施。关键信息（例如培训持续时间，参与者流量）报告不佳。结论：尽管文献中EoLC交流技能培训干预措施的泛滥，但报告不力和方法不力限制了证据。根据我们的发现，我们提出了CONSORT声明补充，以改善未来的报告并鼓励进行更严格的测试。

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