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題名：安寧緩和護理之教育觀
書刊名：護理雜誌
作者：胡文郁／張媚
作者(外文)：Hu, Wen-yu／Chang Yeh, Mei
出版日期：2015
卷期：62:2
頁次：頁25-33
主題關鍵詞：安寧緩和照護；緩和護理；課程；繼續教育；Hospice palliative care；Palliative nursing；Curriculum；Continuing education
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:64
  • 點閱點閱:235
世界各國老化及慢性病人口日益增多，醫護人員將面臨提供生命末期照護的機會增加，故生命末期醫療照顧之教育議題益形重要。本文參考國外安寧緩和醫護教育的發展歷程，考量文化殊異性，加上國內推展安寧緩和醫療「住院、居家及共同照護」工作模式之經驗，旨在闡述我國臨床常見之末期照護議題、安寧緩和護理正式養成教育與繼續教育之現況發展以及末期照護核心能力的培育，並參考Kern、Thomas和Howard（1998）所提出安寧緩和照護「課程發展六步驟」，簡要說明課程發展每個步驟之注意事項。最後，反思安寧緩和護理課程發展遭遇之「瓶頸、挑戰與反思」，以強化醫護人員實踐醫學人文關懷，提升臨床生命末期倫理思辨能力與照護知能，鼓勵撰寫本土教課書或發展多媒體e化輔助教材，期能提供以「病人為中心、家庭為單位以及社會文化脈絡為導向」的安寧緩和護理，回應臺灣社會人口老化、末期病童以及慢性病病人之安寧緩和照護需求。
The numbers of people who suffer from age-related and chronic diseases have been increased worldwide. This has lead to an increased emphasis in the medical community on end of life care. This paper references the processes followed overseas in developing palliative care education programs as well as the domestic experiences promoting the hospitalization, home care, and ＂share care＂ models of palliative care. Particular emphasis is given to considerations of cultural diversity in palliative care. The aim of this paper is to elaborate on the prevalent clinical end-of-life care issues that are faced in Taiwan, to cultivate core capabilities in end-of-life care, to elicit the current status and development of formal nursing education, and to promote continuing education in palliative care. Kern formulated a six-step approach to curriculum development in education and the details has been discussed. Finally, this paper reflects on the current bottlenecks, challenges, and expectations related to palliative care curriculum development in order to help medical professionals further put humanistic and social care into practice, increase ethical reflection in end of life care and nursing competency, and encourage the creation of localized textbooks / multimedia e-teaching materials. The fostering of ＂patient-centered, family unit and the social-cultural contexture＂ for palliative care professionals and the ability to respond to the needs of terminal patients and patients with chronic diseases are critical to increasing the quality of Taiwan healthcare.
期刊論文
1.賴維淑、楊婉萍、趙可式(20090200)。安寧療護的教育--護生、一般護理人員及專科護理師。護理雜誌，56(1)，11-16。new window  延伸查詢new window
2.藍育慧、趙淑員、陳淑齡、莊照明、郭容美(20070500)。非安寧單位護理人員安寧認知、死亡恐懼與情緒困境之探討。安寧療護，12(2)，156-171。new window  延伸查詢new window
3.姚建安、邱泰源、胡文郁、陳慶餘(20040200)。國內外安寧緩和醫學教育現況。安寧療護，9(1)，28-43。new window  延伸查詢new window
4.陳美碧、蔣欣欣(20080900)。安寧緩和療護的困頓與成長--護理人員的經驗。實證護理，4(3)，191-199。new window  延伸查詢new window
5.胡文郁、曾建寧、王浴、翁瑞萱(20040200)。護理系學生接受安寧緩和醫療臨床實習教育介入之成效。安寧療護，9(1)，1-20。new window  延伸查詢new window
6.Robinson, R.(2004)。End-of-life education in undergraduate nursing curricula。Dimensions of Critical Care Nursing，23(2)，89-92。  new window
7.Yang, Hsiao-ling、Wu, Chia-yi、Chang, Mei、Chang, Quan-wei、Hu, Wen-yu(20110900)。The Content and Development of Chinese Nursing Textbooks in Taiwan: A Bio-psycho-social Perspective of End-of-life Care。醫學教育，15(3)，245-256。new window  new window
8.陳慶餘、戴玉慈、陳書儀(20040200)。安寧緩和醫療之醫學教育專家暨學者會議報告。安寧療護，9(1)，44-51。new window  延伸查詢new window
9.Copp, G.(1994)。Palliative care nursing education: A review of research findings。Journal of Advanced Nursing，19(3)，552-557。  new window
10.Ferrell, B. R.、Virani, R.、Grant, M.、Rhome, A.、Malloy, P.、Bednash, G.、Grimm, M.(2005)。Evaluation of the end-of life nursing education consortium undergraduate faculty training program。Journal of Palliative Medicine，8(1)，107-114。  new window
11.Ferrell, B.、Virani, R.、Jacobs, H. H.、Malloy, P.、Kelly, K.(2010)。Arts and humanities in palliative nursing education。Journal of Pain and Symptom Management，39(5)，941-945。  new window
12.Field, D.、Kitson, C.(1986)。Formal teaching about death and dying in UK nursing schools。Nurse Education Today，6(6)，270-276。  new window
13.Houttekier, D.、Cohen, J.、Surkyn, J.、Deliens, L.(2011)。Study of recent and future trends in place of death in Belgium using death certificate data: A shift from hospitals to care homes。BMC Public Health，11(1)。  new window
14.黃玉苹、陳月枝、陳雅惠(20091000)。非安寧病房護理人員照護臨終病童之困難經驗。澄清醫護管理雜誌，5(4)，63-71。  延伸查詢new window
15.趙可式(20090200)。臺灣安寧療護的發展與前瞻。護理雜誌，56(1)，5-10。new window  延伸查詢new window
16.張利中、鄭美莉、王萱萁(20060200)。臺灣地區安寧護理人員死亡因應自我效能量表之研究。安寧療護，11(1)，1-13。new window  延伸查詢new window
17.Lai, Y. L.、Su, W. H.(1997)。Palliative medicine and the Hospice Movement in Taiwan。Support Care Cancer，5(5)，348-350。  new window
圖書
1.胡文郁、戴玉慈、陳月枝、張媚、陳宛榆、王浴、釋滿祥(2010)。末期醫療照顧臨床課程重要議題--護理學系課程教師手冊。臺北市：國立臺灣大學護理學系所。  延伸查詢new window
其他
1.European Association for Palliative Care(2007)。Curriculum in palliative care for undergraduate medical education，http://www.eapcnet.eu/LinkClick.aspx?fileticket=VmnUSgQm5PQ%3D。  new window
2.Martine, D. V.，Nuria, G.，Philip, J. L.，Francoise, P.(2004)。A guide for the development of palliative nurse education in Europe，http://www.eapcnet.eu/Link-Click.aspx?fileticket=e9JnEa7YZDM%3D。  new window
3.American Association of Colleges of Nursing(2009)。Peaceful death: Recommended competencies and curricular guidelines for end-of-life nursing care，http://www.aacn.nche.edu/elnec/publications/peaceful-death。  new window
圖書論文
1.Sheehan, D. K.、Pam, M.(2008)。Nursing education。Oxford textbook of palliative nursing。New York, NY：Oxford University Press。  new window
2.Stevens, E.(2009)。Palliative nursing education and continuing professional development。Palliative nursing。West Sussex, UK：Wiley-Blackwell。  new window
3.Kern, D. E.、Thomas, P. A.、Howard, D. M.(1998)。Chapter 3--Goals and objectives。Curriculum development for medical education: a six-step approach。Baltimore, MD：Johns Hopkins University Press。  new window
 
 
 
 
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