The development and piloting of a goals of care conversation education program for an advanced illness population.

Autor: Friedman MI; Assistant Professor of Science Education, Donald and Barbara Zucker School of Medicine at Hofstra Northwell, Hempstead, NY, USA., Attivissimo LA; Department of Medicine, Donald and Barbara Zucker School of Medicine at Hofstra Northwell, Hempstead, NY, USA., Kiszko KB; Geriatric Medicine and Palliative Medicine at Mount Sinai School of Medicine, New York, New York, USA., Rimar A; Department of Medicine, Donald and Barbara Zucker School of Medicine at Hofstra Northwell, Hempstead, NY, USA., Yezzo PM; Patient Care Services and Chief Nursing Officer at Bon Secours Charity Health System, Suffern, NY, USA., Torroella Carney M; Department of Medicine, Donald and Barbara Zucker School of Medicine at Hofstra Northwell, Hempstead, NY, USA.
Jazyk: angličtina
Zdroj: Gerontology & geriatrics education [Gerontol Geriatr Educ] 2020 Jan-Mar; Vol. 41 (1), pp. 52-62. Date of Electronic Publication: 2019 May 31.
DOI: 10.1080/02701960.2019.1623210
Abstrakt: Ten thousand Americans turn 65 daily. With age, individuals are confronted by complex medical modalities which can be difficult to understand and potentially burdensome. Historically, clinicians lacked the education, skill, and comfort level to identify the need for and address the patient's goals of care (GoC). Inter-professional content experts convened to develop a comprehensive program to educate and increase the comfort level of clinicians when having GoC conversations. The goal was to provide structured guidance to increase the practitioners' level of confidence in engaging patients/families in these conversations. A multimodal educational methodology using simulation was chosen as a learning strategy permitting clinicians to practice GoC conversations while receiving immediate feedback. A five hour inter-professional educational program called Goals of Care Conversation Education Program® (GoCCEP™) was developed and piloted. The GoCCEP TM 's evaluations demonstrate success giving clinicians necessary tools and a safe practice environment increasing knowledge and confidence to have substantive GoC conversations.
Databáze: MEDLINE
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