大病沟通技能培训对临床医生脑死亡器官捐献决策自我准备的持续影响

IF 2.1 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Masaaki Matsuo, Kaori Ito, Misuzu Yuasa, Saaya Morton, Shunichi Nakagawa, Eriko Onishi, Takeshi Uemura, Kei Ouchi
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引用次数: 0

摘要

背景:日本的临床医生经常报告在脑死亡器官捐赠方面与家属沟通困难,这可能会给支持家属在生命结束时做出决定带来挑战。目的:评估一个结构化的严重疾病沟通研讨会对临床医生自我报告准备参与捐赠相关对话的影响。设计:重复测量的前瞻性单臂教育干预。背景/对象:与日本13家医院不同部门的医生和护士进行了两次同步网络研讨会。共有58名临床医生参与,其中44名(76%)完成了所有三项调查。测量方法:在基线、课程结束后和8周后,使用五点李克特量表对12项核心沟通任务的自我准备进行评估。使用重复测量方差分析和bonferroni校正配对t检验来评估随时间的变化。结果:在课程结束后,各领域的准备得分均有显著提高(平均提高:0.48-1.00;均p < 0.01),并持续到8周。特别是,讨论脑死亡器官捐赠的自我感知准备程度从基线时的平均2.4提高到治疗后的3.3 (p < 0.001),并在随访时保持稳定。结论:虚拟交流研讨会显著且持久地增强了日本临床医生参与脑死亡器官捐赠讨论的准备。将此类培训纳入临床教育可能会提高临终沟通的质量和频率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sustained Effect of Serious Illness Communication Skills Training on Clinicians' Self-Preparedness in Brain-Death Organ Donation Decision-Making.

Background: Clinicians in Japan often report difficulty communicating with families about brain-death organ donation, which may contribute to challenges in supporting families' decision-making at the end of life. Objectives: To evaluate the impact of a structured serious illness communication workshop on clinicians' self-reported preparedness to engage in donation-related conversations. Design: Prospective single-arm educational intervention with repeated measures. Setting/Subjects: Two synchronous web-based workshops were conducted with physicians and nurses from various departments across 13 hospitals in Japan. A total of 58 clinicians participated, and 44 (76%) completed all three surveys. Measurements: Self-preparedness for the 12 core communication tasks was assessed using a five-point Likert scale at baseline, immediately after the course, and 8 weeks later. Repeated-measures ANOVA and Bonferroni-adjusted paired t-tests were used to assess changes over time. Results: Preparedness scores improved significantly across all domains immediately after the course (mean increase: 0.48-1.00; all p < 0.01) and were sustained at 8 weeks. In particular, self-perceived preparedness to discuss brain-death organ donation improved from a mean of 2.4 at baseline to 3.3 post-course (p < 0.001) and remained stable at follow-up. Conclusions: A virtual communication workshop significantly and durably enhanced Japanese clinicians' preparedness to engage in brain-death organ donation discussions. Incorporating such training in clinical education may improve the quality and frequency of end-of-life communication.

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来源期刊
Journal of palliative medicine
Journal of palliative medicine 医学-卫生保健
CiteScore
3.90
自引率
10.70%
发文量
345
审稿时长
2 months
期刊介绍: Journal of Palliative Medicine is the premier peer-reviewed journal covering medical, psychosocial, policy, and legal issues in end-of-life care and relief of suffering for patients with intractable pain. The Journal presents essential information for professionals in hospice/palliative medicine, focusing on improving quality of life for patients and their families, and the latest developments in drug and non-drug treatments. The companion biweekly eNewsletter, Briefings in Palliative Medicine, delivers the latest breaking news and information to keep clinicians and health care providers continuously updated.
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