Development of a communication curriculum for family care partners of persons living with dementia.

Suzanne S Sullivan, Elaine Wittenberg, Lori-Jeanne West, Amarjot S Gill, Caitlin Tomko, Catherine Mann
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Abstract

The healthcare system often fails family care partners of persons living with dementia as their involvement in care requires long-term planning in collaboration with healthcare providers. Unmet needs that may improve family participation in partnering in care include communication, education, and information. The objective of this study was to identify learning objectives to inform development of a communication curriculum for family care partners of persons living with dementia. This three-round Delphi study conducted from June to November 2023 adheres to Conducting and Reporting Delphi Studies (CREDES) guidelines in palliative care. Expert participants were recruited based on their experience as a healthcare professional, academic researcher, policy expert, or family care partner. Participants completed three rounds of surveys to: (a) rank the importance and relevance of learning objectives, (b) rank-order learning objectives from least to most important, and (c) priority-rank learning objectives for each stage of dementia. Participants also provided qualitative feedback for each learning objective. Nine priority learning objectives were identified, with learning objectives for communication knowledge emphasized across all stages of dementia. Unique learning objectives were found for mild stage dementia (sharing positive and negative feelings) and severe stage dementia (defining communication topics for the healthcare team). This study provides a foundation for developing a targeted communication curriculum for family care partners to enhance their skills and confidence when communicating with healthcare providers. Implementing the identified learning objectives in educational programs can improve family care partners' ability to communicate effectively with healthcare professionals, leading to better health outcomes and improved care partner experiences. Variation in learning objectives across stages of dementia suggest targeted intervention approaches.

为痴呆症患者的家庭护理伙伴制定沟通课程。
卫生保健系统常常使痴呆症患者的家庭护理伙伴失望,因为他们参与护理需要与卫生保健提供者合作进行长期规划。未被满足的需求包括沟通、教育和信息,这些需求可能会提高家庭参与护理合作的程度。本研究的目的是确定学习目标,为痴呆症患者的家庭护理伙伴制定沟通课程提供信息。这项三轮德尔福研究于2023年6月至11月进行,遵循姑息治疗德尔福研究(CREDES)指南。专家参与者是根据他们作为医疗保健专业人员、学术研究人员、政策专家或家庭护理伙伴的经验招募的。参与者完成了三轮调查:(a)对学习目标的重要性和相关性进行排序,(b)对学习目标从最不重要到最重要进行排序,以及(c)对每个痴呆阶段的学习目标进行优先级排序。参与者还对每个学习目标提供了定性反馈。确定了9个优先学习目标,在痴呆症的所有阶段都强调了沟通知识的学习目标。在轻度痴呆阶段(分享积极和消极的感受)和重度痴呆阶段(为医疗团队定义交流主题)中发现了独特的学习目标。本研究为家庭照护伙伴制定有针对性的沟通课程提供基础,以提高他们与医疗保健提供者沟通时的技能和信心。在教育项目中实施确定的学习目标可以提高家庭护理伙伴与医疗保健专业人员有效沟通的能力,从而获得更好的健康结果和改善护理伙伴的体验。不同痴呆阶段学习目标的差异提示有针对性的干预方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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