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Arch Gynecol Obstet ; 297(3): 767-773, 2018 03.
Artigo em Inglês | MEDLINE | ID: mdl-29362923

RESUMO

PURPOSE: The aim of this study was to evaluate the effect of a pilot interdisciplinary inhouse training in palliative care (PC) for gynecological oncologists. METHODS: Competencies of participants from a gynecological university department were evaluated taking part in an interdisciplinary PC course in a pre and post design. The multiprofessional course covered basic principles of PC, symptom management and communication taught by PC specialists. Competencies were evaluated using self-designed questionnaires before (ISPG-1), right after (ISPG-2), and 6 months after the training (ISPG-3) (inhouse seminar palliative care in gynecology: ISPG). RESULTS: 31 persons from the department of gynecology took part in the course, of which 27 answered the first questionnaire (seven nurses (26%), 19 doctors (71%), one profession not indicated (3%), median working experience in gynecological oncology: 5 years). Return rates were: ISPG-1 27/31 (87.1%), ISPG-2 20/31 (64.5%) and IPSG-3 14/31 (45.2%). A more positive attitude towards PC could be observed in the majority of participants after the course (ISPG-2 62%, ISPG-3 71%). They felt more competent in the care of palliative patients (46%). PC would be initiated earlier and the interaction with other disciplines was improved (ISPG-2 85%, ISPG-3 100%). The participants assessed a significant improvement of their skills in all palliative fields which were analyzed. CONCLUSION: PC inhouse training improves the understanding of PC and the interdisciplinary approach in the management of patients with advanced disease. It is a feasible and useful instrument to improve the competencies in generalist PC of specialists in gynecological oncology.


Assuntos
Bolsas de Estudo , Neoplasias dos Genitais Femininos/terapia , Ginecologia/educação , Enfermagem de Cuidados Paliativos na Terminalidade da Vida/educação , Oncologia/educação , Cuidados Paliativos/métodos , Avaliação de Programas e Projetos de Saúde/métodos , Adulto , Atitude do Pessoal de Saúde , Competência Clínica , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Pessoal de Saúde , Humanos , Comunicação Interdisciplinar , Masculino , Pessoa de Meia-Idade , Enfermeiras e Enfermeiros , Médicos
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