{"title":"评估一个混合学习计划,旨在提高护理帕金森病患者的初级医疗保健专业人员的临床实践技能","authors":"Koichi Nagaki , Wataru Matsushita , Makio Takahashi","doi":"10.1016/j.prdoa.2025.100367","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><div>Specialized healthcare facilities for Parkinson’s disease (PD) patients require professionals with comprehensive knowledge of disease management and palliative care. This intervention study evaluated a blended learning program for healthcare professionals (n = 117) at five newly established PD care facilities in Japan.</div></div><div><h3>Methods</h3><div>The program integrated theoretical education, active learning, and role-playing exercises. Outcomes were evaluated by scores on self-rated knowledge and confidence in palliative care for PD patients, End-of-Life Professional Caregiver Survey (EPCS), and Team STEPPS Teamwork Attitudes Questionnaire.</div></div><div><h3>Results</h3><div>The scores for self-rated knowledge of palliative care increased from 3.36 to 5.28, and confidence improved from 3.79 to 5.05 (<em>p</em> < 0.001). Although overall teamwork attitudes remained stable, situation-monitoring skills improved (<em>p</em> = 0.045). The EPCS total score increased from 2.36 to 2.55 (<em>p</em> < 0.001), with improvements in all subscales. Multiple regression analysis revealed that pre-intervention knowledge (β = 0.586, <em>p</em> < 0.001) and professional role were associated with improvement of post-intervention knowledge scores. Notably, professional physiotherapists showed higher improvements than care management workers (β = 1.995, <em>p</em> = 0.002).</div></div><div><h3>Conclusion</h3><div>The blended learning program, combining theoretical education, active learning, and role-playing exercises, effectively enhanced the palliative care competencies of healthcare professionals in PD care facilities. Future studies should examine the long-term retention of these competencies and their impact on patient care outcomes.</div></div>","PeriodicalId":33691,"journal":{"name":"Clinical Parkinsonism Related Disorders","volume":"13 ","pages":"Article 100367"},"PeriodicalIF":1.8000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Evaluation of a blended learning program designed to improve clinical practice skills in novice healthcare professionals caring for patients with Parkinson’s disease\",\"authors\":\"Koichi Nagaki , Wataru Matsushita , Makio Takahashi\",\"doi\":\"10.1016/j.prdoa.2025.100367\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><div>Specialized healthcare facilities for Parkinson’s disease (PD) patients require professionals with comprehensive knowledge of disease management and palliative care. This intervention study evaluated a blended learning program for healthcare professionals (n = 117) at five newly established PD care facilities in Japan.</div></div><div><h3>Methods</h3><div>The program integrated theoretical education, active learning, and role-playing exercises. Outcomes were evaluated by scores on self-rated knowledge and confidence in palliative care for PD patients, End-of-Life Professional Caregiver Survey (EPCS), and Team STEPPS Teamwork Attitudes Questionnaire.</div></div><div><h3>Results</h3><div>The scores for self-rated knowledge of palliative care increased from 3.36 to 5.28, and confidence improved from 3.79 to 5.05 (<em>p</em> < 0.001). Although overall teamwork attitudes remained stable, situation-monitoring skills improved (<em>p</em> = 0.045). The EPCS total score increased from 2.36 to 2.55 (<em>p</em> < 0.001), with improvements in all subscales. Multiple regression analysis revealed that pre-intervention knowledge (β = 0.586, <em>p</em> < 0.001) and professional role were associated with improvement of post-intervention knowledge scores. Notably, professional physiotherapists showed higher improvements than care management workers (β = 1.995, <em>p</em> = 0.002).</div></div><div><h3>Conclusion</h3><div>The blended learning program, combining theoretical education, active learning, and role-playing exercises, effectively enhanced the palliative care competencies of healthcare professionals in PD care facilities. Future studies should examine the long-term retention of these competencies and their impact on patient care outcomes.</div></div>\",\"PeriodicalId\":33691,\"journal\":{\"name\":\"Clinical Parkinsonism Related Disorders\",\"volume\":\"13 \",\"pages\":\"Article 100367\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical Parkinsonism Related Disorders\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2590112525000714\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Parkinsonism Related Disorders","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2590112525000714","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0
摘要
介绍:帕金森病(PD)患者的专业医疗设施需要具有疾病管理和姑息治疗综合知识的专业人员。本干预研究评估了日本五家新成立的PD护理机构的医疗保健专业人员(n = 117)的混合学习计划。方法采用理论教育、主动学习和角色扮演练习相结合的教学方法。结果通过PD患者姑息治疗知识和信心自评、临终专业照护者调查(EPCS)和Team STEPPS团队合作态度问卷进行评估。结果姑息治疗知识自评得分由3.36分提高到5.28分,信心由3.79分提高到5.05分(p <;0.001)。虽然整体团队合作态度保持稳定,但情境监控技能有所提高(p = 0.045)。EPCS总分由2.36分提高到2.55分(p <;0.001),所有亚量表均有改善。多元回归分析显示,干预前知识(β = 0.586, p <;0.001)和专业角色与干预后知识得分的提高相关。值得注意的是,专业物理治疗师比护理管理工作者有更高的改善(β = 1.995, p = 0.002)。结论将理论教育、主动学习和角色扮演练习相结合的混合式学习方案能有效提高PD护理机构医护人员的姑息治疗能力。未来的研究应该检查这些能力的长期保留及其对患者护理结果的影响。
Evaluation of a blended learning program designed to improve clinical practice skills in novice healthcare professionals caring for patients with Parkinson’s disease
Introduction
Specialized healthcare facilities for Parkinson’s disease (PD) patients require professionals with comprehensive knowledge of disease management and palliative care. This intervention study evaluated a blended learning program for healthcare professionals (n = 117) at five newly established PD care facilities in Japan.
Methods
The program integrated theoretical education, active learning, and role-playing exercises. Outcomes were evaluated by scores on self-rated knowledge and confidence in palliative care for PD patients, End-of-Life Professional Caregiver Survey (EPCS), and Team STEPPS Teamwork Attitudes Questionnaire.
Results
The scores for self-rated knowledge of palliative care increased from 3.36 to 5.28, and confidence improved from 3.79 to 5.05 (p < 0.001). Although overall teamwork attitudes remained stable, situation-monitoring skills improved (p = 0.045). The EPCS total score increased from 2.36 to 2.55 (p < 0.001), with improvements in all subscales. Multiple regression analysis revealed that pre-intervention knowledge (β = 0.586, p < 0.001) and professional role were associated with improvement of post-intervention knowledge scores. Notably, professional physiotherapists showed higher improvements than care management workers (β = 1.995, p = 0.002).
Conclusion
The blended learning program, combining theoretical education, active learning, and role-playing exercises, effectively enhanced the palliative care competencies of healthcare professionals in PD care facilities. Future studies should examine the long-term retention of these competencies and their impact on patient care outcomes.