关键词: health professions education interprofessional shared decision-making palliative care

来  源:   DOI:10.2147/AMEP.S450166   PDF(Pubmed)

Abstract:
UNASSIGNED: Palliative care teams provide support to patients and their caregivers during terminal illness, which requires interprofessional collaboration. One of the foundational skills is to assist patients with decision-making. This can be facilitated through interprofessional shared decision-making (IP-SDM). So far, IP-SDM education frameworks have only been used to a limited extent in the area of palliative care.
UNASSIGNED: This study aims to explore perceptions and practices of faculty members, health professionals, and students toward IP-SDM education in palliative care and to indicate associated factors to implement an IP-SDM in undergraduate health professions education in palliative care settings.
UNASSIGNED: We used a cross-sectional study design in which the data was obtained via an online self-administered questionnaire adapted from existing validated tools. The questionnaire was distributed to faculty members and health professionals (n = 125) and students (n = 334) at King Abdulaziz Medical City in Jeddah, Saudi Arabia. The sampling technique was a non-probability convenience sampling. Bivariate statistics, such as independent sample t-tests, one-way ANOVA, correlation coefficient, and linear multiple regression were conducted.
UNASSIGNED: The response rate was 54% (85 faculty members and health professionals and 164 students). Perceptions on IP-SDM did not differ between participants. From those who had previous experience with IP-SDM, the mean practices score was slightly higher for faculty members and health professionals (M = 83.1, SD = 15.9) than for students (M = 74.1, SD = 11.5), which was significant (p < 0.05). Factors such as gender, age, discipline, nationality, level of education, years of study, and previous experience that were associated with perceptions and practices were varied among participants.
UNASSIGNED: The findings show high levels of perception with low levels of practice of IP-SDM in palliative care. Other factors that could be associated with the topic should be addressed in further studies.
摘要:
姑息治疗团队在绝症期间为患者及其护理人员提供支持,这需要跨专业合作。基本技能之一是帮助患者做出决策。这可以通过专业间共享决策(IP-SDM)来促进。到目前为止,IP-SDM教育框架仅在姑息治疗领域得到了有限的使用。
本研究旨在探讨教师的看法和做法,卫生专业人员,和学生在姑息治疗中接受IP-SDM教育,并指出在姑息治疗环境中的本科卫生专业教育中实施IP-SDM的相关因素。
我们使用了横断面研究设计,其中数据是通过从现有验证工具改编的在线自我管理问卷获得的。问卷分发给吉达阿卜杜勒阿齐兹国王医疗城的教职员工和卫生专业人员(n=125)和学生(n=334),沙特阿拉伯。抽样技术是一种非概率便利抽样。双变量统计,如独立样本t检验,单向方差分析,相关系数,并进行线性多元回归。
反应率为54%(85名教职员工和卫生专业人员以及164名学生)。参与者对IP-SDM的看法没有差异。从那些有IP-SDM经验的人那里,教师和卫生专业人员的平均实践得分(M=83.1,SD=15.9)略高于学生(M=74.1,SD=11.5),差异有统计学意义(p<0.05)。性别等因素,年龄,纪律,国籍,教育水平,多年的研究,和以前的经验,是相关的看法和做法是不同的参与者。
研究结果表明,在姑息治疗中,IP-SDM的感知水平较高,实践水平较低。可能与该主题相关的其他因素应在进一步的研究中解决。
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