“SPA-LTC声音”视频系列的开发和初步评估,作为阐明长期护理环境中姑息治疗方法的手段

IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Paulette V. Hunter, Abigail Wickson-Griffiths, Susan M. Tupper, Allison Cammer, Lynn McCleary, Sharon Kaasalainen, Tamara Sussman, Genevieve Thompson
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引用次数: 0

摘要

姑息治疗作为一种受人尊敬的医学方法已经赢得了它的地位,它侧重于生活质量、症状管理、团队方法和家庭参与,通常是在诊断出限制生命的疾病之后。为了改善卫生公平,重要的是鼓励在临终关怀之外和一系列护理环境中采用姑息治疗实践和理念。为了支持长期护理的进一步适应,我们的研究团队在长期护理中加强姑息治疗方法(SPA-LTC)创建了视频教育资源“SPA-LTC之声”,以探讨在长期护理背景下姑息治疗方法需要什么,并消除关于姑息治疗的持久神话。在咨询了姑息治疗专家和家庭护理人员后,我们设计了一个四部分的系列,使用三幕叙事结构(即设置,紧张和解决)中的讲故事方法(即呈现生活经历)。然后,我们采用嵌入式干预混合方法设计,在16名参与者的结构化访谈中,对视频系列的可接受性和知识转移的结果进行初步测试,这些参与者要么是家庭照顾者(12),要么是医疗保健提供者(4)。综合定性和定量调查结果证实了对两种受众之间的知识转移可能产生的积极影响,包括提高对姑息治疗所涉及的价值观和做法的理解。综合调查结果还证实了叙事格式和故事讲述者的多样性的高可接受性。总的来说,这项试点研究表明,“SPA-LTC之声”视频系列有望成为支持长期护理环境中教育的工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Development and Preliminary Evaluation of the “SPA-LTC Voices” Video Series as a Means of Articulating a Palliative Approach in Long-Term Care Settings

Palliative care has earned its place as a respected approach to medicine that focuses on quality of life, symptom management, a team approach, and family involvement, typically following the diagnosis of a life-limiting illness. To improve health equity, it is important to encourage the adaptation of palliative care practice and philosophy beyond hospices and within a range of care settings. To support further adaptation in long-term care, our research team Strengthening a Palliative Approach in Long-Term Care (SPA-LTC) created the video education resource “SPA-LTC Voices” to explore what a palliative approach entails in a long-term care context and to dispel persistent myths about palliative care. After consulting with palliative care experts and family caregivers, we designed a four-part series using a storytelling approach (i.e., presenting accounts of lived experience) within a three-act narrative structure (i.e., setup, tension, and resolution). We then employed an embedded intervention mixed methods design to pilot-test the acceptability of the video series and the outcome of knowledge transfer during structured interviews with 16 participants, who were either family caregivers (12) or healthcare providers (4). Integrated qualitative and quantitative findings confirmed potential for positive impact on knowledge transfer across both audiences, including an improved understanding of the values and practices involved in palliative care. Integrated findings also confirmed high acceptability of the narrative format and the diversity of the storytellers. Overall, this pilot research suggests that the “SPA-LTC Voices” video series holds promise as a tool to support education within long-term care settings.

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来源期刊
CiteScore
4.50
自引率
8.30%
发文量
423
期刊介绍: Health and Social Care in the community is an essential journal for anyone involved in nursing, social work, physiotherapy, occupational therapy, general practice, health psychology, health economy, primary health care and the promotion of health. It is an international peer-reviewed journal supporting interdisciplinary collaboration on policy and practice within health and social care in the community. The journal publishes: - Original research papers in all areas of health and social care - Topical health and social care review articles - Policy and practice evaluations - Book reviews - Special issues
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