推进针对安宁疗护与姑息治疗工作人员的创伤知情护理教育:教育视频的开发与评估。

IF 1.2 4区 医学 Q3 NURSING
Kelly A O'Malley, Anna G Etchin, Elizabeth J Auguste, Anica Pless Kaiser, Lynn Korsun, Rachel E Weiskittle, Hannah M Bashian, Zachary S Sager, Jennifer Moye
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引用次数: 0

摘要

护士在管理创伤后应激障碍(PTSD)等精神疾病方面发挥着至关重要的作用,尤其是在农村地区,因为那里的精神医疗服务非常有限。创伤后应激障碍可能会在生命末期出现,并使医疗保健工作复杂化,这也是年迈的越战退伍军人特别关注的问题。我们介绍了 3 个视频的开发过程,这些视频说明了如何识别创伤后应激障碍、如何应对创伤披露以及如何在居家安宁疗护护士访问期间管理认知障碍中的创伤后应激障碍。通过问题识别和需求评估,我们确定了 6 个目标和 28 个具体的内容目标,通过电影动作和倒叙或画外音旁白和图形来呈现。通过调查(N = 155)和对网络研讨会上临床医生(N = 345)针对目标问题的 "聊天 "回复(N = 186)的分析,对视频进行了评估。约 75% 的人认为视频 "非常 "贴近需求,有助于学习新知识,而且真实可信。对聊天回复的分析表明,视频传达了大部分内容目标(92%)。此外,参与者还表示视频有助于展示倾听、回应和移情等护理技能,以及展示涉及认知障碍和患者体验的案例演示。参与者表示希望视频时间更长/信息更多,包括更广泛的创伤后应激障碍表现和合并症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Advancing Trauma-Informed Care Education for Hospice and Palliative Staff: Development and Evaluation of Educational Videos.

Nurses play an essential role in managing mental health conditions, such as posttraumatic stress disorder (PTSD), especially in rural areas where access to mental health care is limited. Posttraumatic stress disorder may emerge at the end of life and complicate health care and is a particular concern for aging Vietnam veterans. We describe the development of 3 videos that illustrate how to recognize PTSD, respond to trauma disclosures, and manage PTSD in cognitive impairment during an in-home hospice nurse visit. Through problem identification and needs assessment, we identified 6 goals and 28 specific content objectives presented through cinematic action with flashbacks or voice-over narration with graphics. Videos were evaluated through a survey (N = 155) and analysis of "chat" responses (N = 186) to targeted questions during a webinar presentation to clinicians (N = 345). Approximately 75% rated videos as "very much" relevant to needs, having helped learn something new, and realistic. Analysis of chat responses showed videos conveyed most content objectives (92%). In addition, participants stated videos were helpful in demonstrating nursing skills of listening, responding, and displaying empathy, as well as showing case presentations involving cognitive impairment and the patient experience. Participants expressed a desire for longer videos/more information including a wider range of PTSD presentations and comorbidities.

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来源期刊
CiteScore
2.60
自引率
11.10%
发文量
203
审稿时长
6-12 weeks
期刊介绍: Journal of Hospice & Palliative Nursing (JHPN) is the official journal of the Hospice & Palliative Nurses Association and is the professional, peer-reviewed journal for nurses in hospice and palliative care settings. Focusing on the clinical, educational and research aspects of care, JHPN offers current and reliable information on end of life nursing. Feature articles in areas such as symptom management, ethics, and futility of care address holistic care across the continuum. Book and article reviews, clinical updates and case studies create a journal that meets the didactic and practical needs of the nurse caring for patients with serious illnesses in advanced stages.
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