姑息医学中的精神护理:专家互动式虚拟研讨会。

IF 2 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
David White, Deborah Barham, Judith McEniery, Martha Mherekumombe, Douglas Bridge
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引用次数: 0

摘要

背景:在接受姑息治疗的患者中,精神上的痛苦和痛苦通常没有被认识到,然而,即使在痛苦中,与一个人的灵性接触也可以使治疗发生。姑息治疗临床医生缺乏评估和管理患者精神痛苦的培训。目的:发展一种虚拟的灵性研讨会,以提高临床医生对自己的灵性的理解和对解决患者经验的灵性维度的信心。方法:来自澳大利亚和新西兰的32名姑息治疗临床医生连续几周参加了四次1.5小时的会议,并在会议前和会议后提供额外的书面和视听内容。参与者完成了一项前后评估调查,评估他们对提供精神护理的知识和技能的信心。结果:所有参与者至少完成了四次研讨会中的三次,其中19人回答了前后评估调查。在研讨会之后,所有技能的信心评分都有了显著提高。大多数参与者报告说,在记录精神病史、评估病人的精神问题和管理经历精神痛苦的病人方面,他们的信心有所提高。所有人都报告说他们会向同事推荐研讨会,大多数人(11/19)认为研讨会的内容和活动是适合的。结论:精神训练可以通过虚拟工作坊安全有效地提供给姑息治疗临床医生。这次训练很受重视,加深了参与者对自己灵性的理解。进一步探索如何将虚拟学习和面对面学习结合起来,可能会为学习者提供一种灵活而引人入胜的体验。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Spiritual care in palliative medicine: interactive, virtual workshop for specialists.

Background: Spiritual pain and distress are commonly unrecognised among patients receiving palliative care, yet engaging with a person's spirituality can allow healing to occur even amid suffering. Palliative care clinicians lack training in assessing and managing spiritual distress among patients.

Objectives: Development of a virtually delivered spirituality workshop to improve clinicians' understanding of their own spirituality and confidence in addressing the spiritual dimension of patients' experience.

Method: 32 palliative care clinicians across Australia and New Zealand attended four 1.5-hour sessions across consecutive weeks, with additional pre-session and post-session written and audiovisual content. Participants completed a pre-post evaluation survey, rating their confidence in knowledge and skills relating to the provision of spiritual care.

Results: All participants completed at least three of the four workshop sessions, and 19 responded to the pre-post evaluation survey. Confidence ratings across all skills significantly improved following the workshop. Most participants reported improved confidence in taking a spiritual history, assessing patients for spiritual issues and managing patients experiencing spiritual pain. All reported that they would recommend the workshop to a colleague, and most (11/19) felt virtual delivery of the workshop was appropriate for the content and activities.

Conclusions: Spirituality training can be safely and effectively delivered through a virtual workshop for palliative care clinicians. The training was highly valued and deepened participants' understanding of their own spirituality. Further exploration of how virtual and face-to-face learning can be combined may identify a flexible and engaging experience for learners.

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来源期刊
BMJ Supportive & Palliative Care
BMJ Supportive & Palliative Care Medicine-Medicine (miscellaneous)
CiteScore
4.60
自引率
7.40%
发文量
170
期刊介绍: Published quarterly in print and continuously online, BMJ Supportive & Palliative Care aims to connect many disciplines and specialties throughout the world by providing high quality, clinically relevant research, reviews, comment, information and news of international importance. We hold an inclusive view of supportive and palliative care research and we are able to call on expertise to critique the whole range of methodologies within the subject, including those working in transitional research, clinical trials, epidemiology, behavioural sciences, ethics and health service research. Articles with relevance to clinical practice and clinical service development will be considered for publication. In an international context, many different categories of clinician and healthcare workers do clinical work associated with palliative medicine, specialist or generalist palliative care, supportive care, psychosocial-oncology and end of life care. We wish to engage many specialties, not only those traditionally associated with supportive and palliative care. We hope to extend the readership to doctors, nurses, other healthcare workers and researchers in medical and surgical specialties, including but not limited to cardiology, gastroenterology, geriatrics, neurology, oncology, paediatrics, primary care, psychiatry, psychology, renal medicine, respiratory medicine.
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