...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of paediatrics and child health >Improving paediatric advance care planning: Results of a learning needs analysis and simulation-based education programme
【24h】

Improving paediatric advance care planning: Results of a learning needs analysis and simulation-based education programme

机译：改善儿科预付款规划：学习需求分析和基于模拟教育计划的结果

获取原文
获取原文并翻译 | 示例
   

获取外文期刊封面封底 >>

       
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Aim To assess clinicians' experience, attitudes and confidence with advance care planning (ACP) at a quaternary paediatric referral centre using a learning-needs survey, and then apply this information to develop and examine the feasibility of simulation-based education for this topic. Methods An electronic learning-needs survey was distributed to medical, nursing and allied health clinicians from departments who provide primary care for children with life-limiting conditions. Results were incorporated into the design of a simulation-based education session which was piloted with the Royal Children's Hospital Oncology Department. Results A total of 157 learning-needs surveys were included in analysis, and included quantitative and qualitative responses from nursing, allied health, senior and junior medical staff from intensive care, general and subspecialty medical teams. Most (75.0%) participants had participated in ACP discussions previously. Only 40.1% of participants felt confident to assess appropriate timing of, and 45.2% felt adequately prepared to participate in ACP discussions. Barriers identified were both clinician and patient/parent related, including clinicians not knowing when to address issues (43.9%) or what to say (21.0%). Participants indicated that ACP discussions are most frequently initiated when death is clearly imminent. Following a pilot of simulation-based education with the oncology department, 90% of participants expressed confidence to participate in ACP discussions. Conclusions Barriers to paediatric ACP, including lack of clinician training, continue to contribute to delayed conversations. Simulation-based education is a valuable and feasible educational tool that can increase clinicians' understanding and confidence in this area.
机译：目的通过学习需求调查，评估四级儿科转诊中心临床医生对提前护理计划（ACP）的经验、态度和信心，然后应用这些信息开发和检验基于模拟的教育的可行性。方法将一份电子学习需求调查分发给来自为生命受限儿童提供初级保健的科室的医疗、护理和相关健康临床医生。研究结果被纳入了一个基于模拟的教育课程的设计中，该课程由皇家儿童医院肿瘤科试行。结果共有157项学习需求调查纳入分析，包括来自护理、联合医疗、重症监护、普通和亚专业医疗团队的高级和初级医务人员的定量和定性回答。大多数（75.0%）参与者之前曾参加过ACP讨论。只有40.1%的参与者有信心评估合适的时间安排，45.2%的参与者有充分准备参加非加太会议的讨论。确定的障碍与临床医生和患者/家长有关，包括临床医生不知道何时解决问题（43.9%）或说什么（21.0%）。与会者表示，非加太国家方案的讨论最经常是在死亡显然即将到来时发起的。在肿瘤科进行模拟教育试点后，90%的参与者表示有信心参与ACP讨论。结论儿科ACP的障碍，包括缺乏临床医生培训，继续导致对话延迟。基于模拟的教育是一种有价值且可行的教育工具，可以提高临床医生对这一领域的理解和信心。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号