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首页> 外文期刊>International journal of older people nursing >Building capacity in palliative care for personal support workers in long-term care through experiential learning
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Building capacity in palliative care for personal support workers in long-term care through experiential learning

机译：通过体验式学习为长期护理中的个人支持工作者提供姑息治疗能力

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Background: Providing palliative care in long-term care (LTC) homes is an area of growing importance. As a result, attention is being given to exploring effective palliative care learning strategies for personal support workers (PSWs) who provide the most hands-on care to LTC residents. Aim: The purpose of this intervention was to explore hospice visits as an experiential learning strategy to increase the capacity of PSWs in palliative care, specifically related to their new learning, and how they anticipated this experience changed their practices in LTC. Design: This study utilised a qualitative descriptive design. Methods: Eleven PSWs from four Ontario LTC homes were sent to their local hospice to shadow staff for one to two days. After the visit, PSWs completed a questionnaire with open-ended questions based on critical reflection. Data were analysed using thematic content analysis. Results: PSWs commented on the extent of resident-focused care at the hospice and how palliative care interventions were tailored to meet the needs of residents. PSWs were surprised with the lack of routine at the hospice but felt that hospice staff prioritised their time effectively in order to meet family and client care needs. Some PSWs were pleased to see how well integrated the PSW role is on the community hospice team without any hierarchical relationships. Finally, PSWs felt that other LTC staff would benefit from palliative care education and becoming more comfortable with talking about death and dying with other staff, residents and family members. Conclusion: This study highlighted the benefits of PSWs attending a hospice as an experiential learning strategy. Future work is needed to evaluate this strategy using more rigorous designs as a way to build capacity within PSWs to provide optimal palliative care for LTC residents and their family members. Implications for practice: PSWs need to be recognised as important members within the interdisciplinary team. PSWs who shadow staff at hospices view this experience as a positive strategy to meet their learning needs related to palliative care.
机译：背景：在长期护理（LTC）房屋中提供姑息治疗是一个日益重要的领域。结果，我们正在关注为个人支持工作者（PSW）探索有效的姑息治疗学习策略，这些工作者为LTC居民提供最实际的护理。目的：该干预的目的是探索临终关怀访问作为一种体验式学习策略，以增加PSW在姑息治疗中的能力，特别是与他们的新学习有关，以及他们如何期望这种经历改变了他们在LTC中的行为。设计：本研究采用定性描述设计。方法：将安大略省四个LTC房屋中的11个PSW送往当地的临终关怀处，向影子人员进行一到两天。拜访之后，PSW会根据批判性思考完成一份带有开放性问题的问卷。使用主题内容分析来分析数据。结果：PSW评述了临终关怀以居民为中心的护理程度以及如何调整姑息治疗干预措施以满足居民的需求。 PSW对临终关怀医院缺乏常规服务感到惊讶，但他们认为临终关怀医院工作人员有效地安排了时间，以满足家庭和服务对象的需求。一些PSW高兴地看到PSW角色在没有任何层次关系的情况下在社区临终关怀团队中的整合程度如何。最终，PSW认为其他LTC员工将从姑息治疗教育中受益，并且更愿意与其他员工，居民和家庭成员谈论死亡和死亡。结论：本研究强调了PSW参加临终关怀作为体验式学习策略的好处。需要使用更严格的设计来评估该策略的未来工作，以此作为在PSW中建立能力以为LTC居民及其家人提供最佳姑息治疗的一种方式。实践的意义：PSW必须被视为跨学科团队中的重要成员。陪护医院的PSW将这种经历视为满足他们与姑息治疗相关的学习需求的积极策略。

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