Cultural Sensitivity and End-of-Life Care

文化敏感性和临终关怀

基本信息

批准号：
7480456
负责人：
EILEEN A VAN SCHAIK
金额：
$ 49.59万
依托单位：
TALARIA, INC.
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-08-08 至 2011-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7480456
关键词：
Affect Attitude Caring Case Study Clinical Complementary and alternative medicine Computers Cultural Backgrounds Depth Education Educational process of instructing Effectiveness Elderly Evaluation Exercise Family health status Goals Health Health Personnel Healthcare Individual Intervention Knowledge Learning Life Measures Medical Medical Students Outcome Patient Care Patients Phase Physicians Population Process Provider Quality of Care Randomized Controlled Clinical Trials Recruitment Activity Religion and Spirituality Resolution Resources Sampling Studies Series Services Spirituality Students Testing Today Training Variant Vendor abstracting base case-based continuing medical education cost end of life end of life care experience graduate medical education improved medical schools multidisciplinary preference programs satisfaction skills tool usability

项目摘要

DESCRIPTION (provided by applicant): The Culture & End-of-Life e-learning course introduces a step-wise process for understanding and incorporating culture in patient care along with six case studies with patients from diverse cultures. The introduction is followed by modules on spirituality and religion, complementary and alternative medicine, and ethical dilemmas. All modules are based on case studies reflecting diversity in patients and healthcare providers and incorporate process-based tools for culturally competent healthcare. In Phase II, we propose to 1) expand and enhance the case-based e-learning course, 2) develop and pilot test an Interactive Video Assessment for cultural competency and end- of-life care, 3) submit the full course to formal usability testing, and 4) evaluate the effectiveness of the e-learning course, resident physicians using multiple measures in a three-group, pre-post randomized trial We intend to produce a convenient, low-cost resource for cultural competency training and end-of-life education. We expect that Graduate Medical Education programs, , healthcare organizations, membership organizations, and continuing medical education (C.M.E.) vendors will purchase Culture & End-of-Life for their physicians and other clinical staff. Our goal is to improve the quality of end-of-life care by enhancing providers' knowledge, attitudes skills for culturally-competent care. Abstract/Relevance Today, people at the end-of-life are older and more diverse than they were just twenty years ago. In poorer health, and needing more services, the elderly are reshaping end- of-life care in the U.S. For most individuals, the end of life comes after a series of decisions about medical care, ultimately including decisions to terminate or withhold further interventions. "Living with dying" and the decisions to be made along the way pose new challenges for both patients and health care providers. Health care providers are being asked to initiate early and meaningful discussions about preferences for end- of-life care with an increasingly diverse patient population. The Culture & End of Life e- learning course teaches skills for providing culturally sensitive end-of-life care that do not require prior knowledge of specific cultures.

描述（由申请人提供）：文化与临终电子学习课程介绍了理解文化并将其纳入患者护理的逐步过程，以及针对来自不同文化的患者的六个案例研究。介绍之后是关于灵性和宗教、补充和替代医学以及道德困境的模块。所有模块均基于反映患者和医疗保健提供者多样性的案例研究，并纳入基于流程的工具以实现具有文化能力的医疗保健。在第二阶段，我们建议 1) 扩展和加强基于案例的电子学习课程，2) 开发并试点测试文化能力和临终关怀的交互式视频评估，3) 将完整课程提交给正式机构可用性测试，4) 评估电子学习课程的有效性，住院医生在三组、前后随机试验中使用多种措施，我们打算为文化能力培训和最终目的提供一种方便、低成本的资源。生活教育。我们预计研究生医学教育计划、医疗保健组织、会员组织和继续医学教育 (C.M.E.) 供应商将为他们的医生和其他临床工作人员购买文化和临终关怀。我们的目标是通过提高提供者的知识和态度技能来提高临终关怀的质量，以实现具有文化能力的护理。摘要/相关性如今，与二十年前相比，临终者的年龄更大，也更加多样化。在健康状况较差且需要更多服务的情况下，老年人正在重塑美国的临终关怀。对于大多数人来说，生命的终结是在做出一系列医疗护理决定之后发生的，最终包括终止或停止进一步干预的决定。 “与死亡共存”以及在此过程中要做的决定给患者和医疗保健提供者带来了新的挑战。医疗保健提供者被要求尽早与日益多样化的患者群体就临终关怀的偏好展开有意义的讨论。文化与临终电子学习课程教授提供文化敏感的临终关怀的技能，不需要事先了解特定文化。