Piloting the global capacity education e-tool: can capacity be taught to health care professionals across different international jurisdictions?

作者: Carmelle Peisah , Yaffa Lerman , Nathan Herrmann , Jeremy Rezmovitz , Kenneth Shulman

DOI: 10.1017/S1041610219000723

关键词:

摘要: ABSTRACTDetermining decision-making capacity is part of everyday business for health care professionals working with older adults. We used a modified Delphi approach to develop an inclusive curriculum education e-tool global application and clinical relevance range disciplines. The tool comprised: (i) 25 questions forming "pre-test" the adaptive personalized e-Learning platform; (ii) learning module based on participant's response "pre-test"; (iii) "post-test" (the same baseline questions) test knowledge translation. was tested 31 across Israel (8), Canada (15), Australia (8) from following disciplines: General Practitioners (GP) (19), Internal Medicine (1), Palliative Care GP (2); Physician (2), Geriatrician one each: Psychologist, Occupational Therapist, Psychiatrist, Aged Researcher, Pharmacist. mean pre-test score 19.1/25 (S.D. =1.61; 15-22) post-test 21.7/25 (S.D.= 1.42; 18-24); highly significant improvement in scores (paired t-test P < 0.0001; t=10.81 30 df). This first such pilot study demonstrate that generic principles can be taught different disciplines regardless jurisdiction.

参考文章(11)
Lawrence J. Markson, Donald C. Kern, George J. Annas, Leonard H. Glantz, Physician Assessment of Patient Competence Journal of the American Geriatrics Society. ,vol. 42, pp. 1074- 1080 ,(1994) , 10.1111/J.1532-5415.1994.TB06212.X
Eric Widera, Veronika Steenpass, Daniel Marson, Rebecca Sudore, Finances in the Older Patient With Cognitive Impairment: “He Didn't Want Me to Take Over” JAMA. ,vol. 305, pp. 698- 706 ,(2011) , 10.1001/JAMA.2011.164
Bennett S. Gurian, Errol H. Baker, Susan Jacobson, Barbara Lagerbom, Patricia Watts, Informed consent for neuroleptics with elderly patients in two settings. Journal of the American Geriatrics Society. ,vol. 38, pp. 37- 44 ,(1990) , 10.1111/J.1532-5415.1990.TB01594.X
Paul S. Appelbaum, Assessment of Patients' Competence to Consent to Treatment New England Journal of Medicine. ,vol. 357, pp. 1834- 1840 ,(2007) , 10.1056/NEJMCP074045
Jennifer Moye, Daniel C. Marson, Barry Edelstein, Assessment of Capacity in an Aging Society. American Psychologist. ,vol. 68, pp. 158- 171 ,(2013) , 10.1037/A0032159
Nicola Rendina, Henry Brodaty, Brian Draper, Carmelle Peisah, Esteve Brugue, Substitute consent for nursing home residents prescribed psychotropic medication. International Journal of Geriatric Psychiatry. ,vol. 24, pp. 226- 231 ,(2009) , 10.1002/GPS.2094
Daniel C. Marson, Bronwyn McInturff, Lauren Hawkins, Alfred Bartolucci, Lindy E. Harrell, Consistency of physician judgments of capacity to consent in mild Alzheimer's disease. Journal of the American Geriatrics Society. ,vol. 45, pp. 453- 457 ,(1997) , 10.1111/J.1532-5415.1997.TB05170.X
Scott YH Kim, Paul S Appelbaum, H Myra Kim, Ian F Wall, James A Bourgeois, Bernard Frankel, Kevin C Hails, James R Rundell, Kathleen M Seibel, Jason H Karlawish, None, Variability of Judgments of Capacity: Experience of Capacity Evaluators in a Study of Research Consent Capacity Psychosomatics. ,vol. 52, pp. 346- 353 ,(2011) , 10.1016/J.PSYM.2011.01.012
Michael Preston-Shoot, Judy McKimm, Exploring UK medical and social work students’ legal literacy: comparisons, contrasts and implications Health & Social Care in The Community. ,vol. 21, pp. 271- 282 ,(2013) , 10.1111/HSC.12014
Gregory J. Skulmoski, Francis T. Hartman, Jennifer Krahn, The Delphi Method for Graduate Research Journal of Information Technology Education. ,vol. 6, pp. 1- 21 ,(2007) , 10.28945/199