Acceptability and feasibility of an interprofessional end-of-life/palliative care educational intervention in the intensive care unit: A mixed-methods study

被引:13
|
作者
Graham, Robyn [1 ]
Lepage, Carolan [1 ]
Boitor, Madalina [1 ,2 ,3 ]
Petizian, Stephanie [4 ]
Fillion, Lise [5 ]
Gelinas, Celine [1 ,2 ,3 ]
机构
[1] McGill Univ, Ingram Sch Nursing, 680 Sherbrooke West,Off 1838, Montreal, PQ H3A 2M7, Canada
[2] Jewish Gen Hosp, Ctr Nursing Res, 3755 Cote Ste Catherine Rd, Montreal, PQ H3T 1E2, Canada
[3] Jewish Gen Hosp, Lady Davis Inst, 3755 Cote Ste Catherine Rd, Montreal, PQ H3T 1E2, Canada
[4] Jewish Gen Hosp, 3755 Ch Cote St Catherine, Montreal, PQ H3T 1E2, Canada
[5] Laval Univ, Fac Nursing, 1050 Ave Med, Quebec City, PQ G1V 0A6, Canada
基金
加拿大健康研究院;
关键词
Acceptability; Critical care; End-of-life; Educational intervention; Feasibility; Interprofessional; INTEGRATING PALLIATIVE CARE; DECISION-MAKING CAPACITY; LIFE CARE; PROFESSIONAL-DEVELOPMENT; HEALTH-CARE; COMMUNICATION; RECOMMENDATIONS; CONFLICTS; STUDENTS; PATIENT;
D O I
10.1016/j.iccn.2018.04.011
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Objectives: This study aimed to describe a seven hour End-of-Life/Palliative Care educational intervention including online content related to symptom management, communication and decision-making capacity and an in-person group integration activity, from the perspective of the interprofessional team in terms of its acceptability and feasibility. Research design: A mixed-methods study design was used. Setting and sample: The study was conducted in a medical-surgical Intensive Care Unit in Montreal, Canada. The sample consisted of 27 clinicians of the Intensive Care Unit interprofessional team who completed the End-of-Life/Palliative Care educational intervention, and participated in focus groups and completed a self-administered questionnaire. Main outcome measures: The main outcomes were the acceptability and feasibility of the educational intervention. Findings: The intervention was perceived to be appropriate and suitable in providing clinicians with knowledge and skills in symptom management and communication through self-reflection and self-evaluation, provision of assessment tools and promotion of interprofessional teamwork. The online format was more feasible, but the in-person group activity was key for the integration of knowledge and the promotion of interprofessional discussions. Conclusion: Findings suggest that an interprofessional educational intervention integrating on-line content with in-person training has the potential to support clinicians in providing quality End-of-Life/ Palliative Care in the Intensive Care Unit. (C) 2018 Published by Elsevier Ltd.
引用
收藏
页码:75 / 84
页数:10
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