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The required competencies of physicians within palliative care from the perspectives of multi-professional expert groups: a qualitative study.
BMC Palliative Care ( IF 3.1 ) Pub Date : 2020-05-09 , DOI: 10.1186/s12904-020-00566-5
Hanna-Leena Melender 1 , Minna Hökkä 2 , Tiina Saarto 3, 4 , Juho T Lehto 5, 6
Affiliation  

BACKGROUND Although statements on the competencies required from physicians working within palliative care exist, these requirements have not been described within different levels of palliative care provision by multi-professional workshops, comprising representatives from working life. Therefore, the aim of this study was to describe the competencies required from physicians working within palliative care from the perspectives of multi-professional groups of representatives from working life. METHODS A qualitative approach, using a workshop method, was conducted, wherein the participating professionals and representatives of patient organizations discussed the competencies that are required in palliative care, before reaching and documenting a consensus. The data (n = 222) was collected at workshops held in different parts of Finland and it was analyzed using a qualitative content analysis method. RESULTS The description of the competencies required of every physician working within palliative care at the general level included 13 main categories and 50 subcategories in total. 'Competence in advanced care planning and decision-making' was the main category which was obtained from the highest number of reduced expressions from the original data (f = 125). Competence in social interactions was another strong main category (f = 107). In specialist level data, six main categories with 22 subcategories in total were found. 'Competence in complex symptom management' was the main category which was obtained from the biggest number of reduced expressions (f = 46). A notable association between general level and specialist level data was related to networking, since one of the general level categories was 'Competence in consultations and networking' (f = 34) and one of the specialist level categories was 'Competence to offer consultative and educational support to other professionals' (f = 30). Moreover, part of the specialist level results were subcategories which belonged to the main categories produced from the general level data. CONCLUSIONS The competencies described in this study emphasize decision-making, social interactions and networking. It is important to listen to the voices of the working-life representatives when planning curricula. Moreover, the views of the working-life representatives inform how the competencies gained during their education meet the challenges of the ordinary work.

中文翻译:

从多专业专家小组的角度来看,姑息治疗中医师所需的能力:定性研究。

背景技术尽管存在关于姑息治疗工作的医生所要求的能力的陈述,但是在包括来自工作生活的代表的多专业研讨会中,并未在姑息治疗提供的不同级别内描述这些要求。因此,本研究的目的是从工作生活中多专业代表的角度来描述姑息治疗医生的能力要求。方法采用车间方法进行的定性方法,其中参与研究的专业人员和患者组织的代表在达成共识并形成共识之前,讨论了姑息治疗所需的能力。数据(n = 222)是在芬兰不同地区举行的研讨会上收集的,并使用定性内容分析方法进行了分析。结果对姑息治疗中每位医师的一般能力要求的描述包括13个主要类别和50个子类别。“高级护理计划和决策能力”是从原始数据中最多的简化表达式中获得的主类别(f = 125)。社交互动能力是另一个主要类别(f = 107)。在专家级数据中,找到了六个主要类别,总共22个子类别。“复杂症状处理能力”是从最多数量的减少表情中获得的主要类别(f = 46)。普通级别数据和专家级别数据之间的显着关联与网络相关,因为普通级别类别之一是“咨询和网络能力”(f = 34),而专家级别类别之一是“提供咨询和教育的能力对其他专业人员的支持(f = 30)。此外,专家级别结果的一部分是子类别,这些子类别属于从常规级别数据产生的主要类别。结论本研究中描述的能力强调决策,社交互动和网络。在计划课程时,听取工作生活代表的声音很重要。此外,
更新日期:2020-05-09
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