Miguel Antonio Sánchez-Cárdenas, Camila Andrea Navarro Tibaquirá, Nidia Mantilla-Manosalva, David Andrade Fonseca, Alexandra Marin Morales, Martha Ximena León Delgado
{"title":"Palliative care education in undergraduate medical and nursing programs in Colombia: a cross-sectional analysis.","authors":"Miguel Antonio Sánchez-Cárdenas, Camila Andrea Navarro Tibaquirá, Nidia Mantilla-Manosalva, David Andrade Fonseca, Alexandra Marin Morales, Martha Ximena León Delgado","doi":"10.1186/s12904-024-01477-5","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The number of people suffering from chronic diseases requiring palliative care (PC) is increasing rapidly. Therefore, PC teaching in undergraduate health science programs is necessary to improve primary PC based on international recommendations and available scientific evidence.</p><p><strong>Methods: </strong>A descriptive cross-sectional study was conducted. Active undergraduate medical and nursing programs that were approved by the Colombian Ministry of Education and integrated PC teaching into their curricula were included in the study. The total sample consisted of 48 programs: 31 nursing and 17 medical programs.</p><p><strong>Results: </strong>PC competencies are distributed throughout the curriculum in 41.67% of programs, in elective courses in 31.25%, and in mandatory courses in 27.08% of the programs. The average PC teaching hours is 81 for nursing and 57.6 for medicine. PC clinical rotations are not offered in 75% of the programs. For undergraduate nursing programs, the most frequent competencies taught are the definition and history of PC and identifying common symptoms associated with advanced disease. In undergraduate medicine, the most common competencies are pharmacological and non-pharmacological pain management and identification of PC needs.</p><p><strong>Conclusions: </strong>PC teaching in undergraduate health science programs mainly addresses the conceptual and theoretical aspects of PC, which are part of the competencies present throughout the programs' curricula. Low availability of PC clinical rotations was identified. Future studies should assess whether the low availability of clinical rotations in PC limits the ability of students to develop the practical competencies necessary to provide quality PC.</p><p><strong>Trial registration: </strong>Not applicable.</p>","PeriodicalId":48945,"journal":{"name":"BMC Palliative Care","volume":null,"pages":null},"PeriodicalIF":2.5000,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11170879/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Palliative Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12904-024-01477-5","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
Abstract
Background: The number of people suffering from chronic diseases requiring palliative care (PC) is increasing rapidly. Therefore, PC teaching in undergraduate health science programs is necessary to improve primary PC based on international recommendations and available scientific evidence.
Methods: A descriptive cross-sectional study was conducted. Active undergraduate medical and nursing programs that were approved by the Colombian Ministry of Education and integrated PC teaching into their curricula were included in the study. The total sample consisted of 48 programs: 31 nursing and 17 medical programs.
Results: PC competencies are distributed throughout the curriculum in 41.67% of programs, in elective courses in 31.25%, and in mandatory courses in 27.08% of the programs. The average PC teaching hours is 81 for nursing and 57.6 for medicine. PC clinical rotations are not offered in 75% of the programs. For undergraduate nursing programs, the most frequent competencies taught are the definition and history of PC and identifying common symptoms associated with advanced disease. In undergraduate medicine, the most common competencies are pharmacological and non-pharmacological pain management and identification of PC needs.
Conclusions: PC teaching in undergraduate health science programs mainly addresses the conceptual and theoretical aspects of PC, which are part of the competencies present throughout the programs' curricula. Low availability of PC clinical rotations was identified. Future studies should assess whether the low availability of clinical rotations in PC limits the ability of students to develop the practical competencies necessary to provide quality PC.
背景：需要姑息治疗（PC）的慢性病患者人数正在迅速增加。因此，有必要在健康科学本科课程中开展姑息关怀教学，以便根据国际建议和现有科学证据改进初级姑息关怀：方法：我们进行了一项描述性横断面研究。研究对象包括经哥伦比亚教育部批准并将 PC 教学纳入其课程的在学医学和护理学本科专业。样本共包括 48 个专业，其中护理专业 31 个，医学专业 17 个：研究结果显示41.67%的专业将 PC 能力贯穿于整个课程，31.25%的专业将其纳入选修课程，27.08%的专业将其纳入必修课程。护理专业的 PC 教学时数平均为 81 小时，医学专业为 57.6 小时。75% 的专业不提供 PC 临床轮转课程。在护理本科专业中，最常讲授的能力是 PC 的定义和病史以及识别与晚期疾病相关的常见症状。在本科医学专业中，最常见的能力是药物和非药物疼痛管理以及识别 PC 需求：结论：本科健康科学课程中的 PC 教学主要涉及 PC 的概念和理论方面，这也是整个课程设置中能力的一部分。结论：本科健康科学课程中的疼痛治疗教学主要涉及概念和理论方面的内容，这些内容是整个课程中能力的一部分。未来的研究应评估个人护理临床轮转较少是否会限制学生发展提供高质量个人护理所需的实践能力：试验注册：不适用。
期刊介绍：
BMC Palliative Care is an open access journal publishing original peer-reviewed research articles in the clinical, scientific, ethical and policy issues, local and international, regarding all aspects of hospice and palliative care for the dying and for those with profound suffering related to chronic illness.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
