在姑息治疗中建立有效的跨专业指导关系——来自医学、护理、外科和社会工作的经验

M. T. Wahab, M. Ikbal, Jingting Wu, Loo Teck Wee Wesley, R. Kanesvaran, L. Krishna
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引用次数: 35

摘要

姑息治疗需要多学科的团队合作来实现患者的特定目标。这种方法的成功取决于通过提供整体支持和多专业姑息治疗团队成员的多维培训来培养有效的跨专业关系。指导被视为促进多专业合作的有效手段,然而,关于在姑息治疗中实施跨专业指导计划的数据很少。为了解决这一差距,并围绕指导的具体环境性质,我们仔细研究了医学、外科、护理和医疗社会工作中的指导方法,以确定各自实践中指导的共同要素,这些要素将为姑息治疗的跨专业指导提供基础。对医学、外科和护理专业本科生和研究生指导项目的20篇综述的专题分析表明,指导项目的成功离不开对指导关系的有效培育和支持。成功的师徒关系是建立在被徒弟和导师之间牢固的关系之上的。通过描述有效指导关系的关键要素,可以提出一个基本框架,以加强姑息治疗跨学科指导中的关系关系,并为采用认知学徒模型提供一个基于证据的平台,该模型可以指导姑息治疗多专业指导计划的运作。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Creating Effective Interprofessional Mentoring Relationships in Palliative Care-Lessons from Medicine, Nursing, Surgery and Social Work
Palliative Care requires multidisciplinary teamwork to achieve its patient specific objectives. Success of this approach pivots on nurturing effective interprofessional relationships through the provision of holistic support and multidimensional training of multiprofessional Palliative Care team members. Mentoring is seen as an effective means of facilitating multiprofessional collaborations however little data exists on operationalizing an interprofessional mentoring program in Palliative Care. To address this gap and circumnavigate the context-specific nature of mentoring, we scrutinized mentoring approaches in medicine, surgery, nursing and medical social work to identify common elements of mentoring within their respective practices that will provide the basis of an interprofessional mentoring in Palliative Care. Thematic analysis of 20 reviews of undergraduate and postgraduate mentoring programs in medicine, surgery and nursing suggest that successful mentoring programs are underscored by effective nurturing and support of mentoring relationships. Successful mentoring relationships are built on strong relational ties between mentees and mentors. Delineating the key elements to effective mentoring relationships allow for the forwarding of a basic framework to enhance relational ties within interdisciplinary mentoring in Palliative Care and the proffering of an evidence-based platform for the adoption of a cognitive apprenticeship model that can guide the operationalization of a multiprofessional mentoring program in Palliative Care.
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