目的 梳理英国全民生命末期品质照护培训师培训(Quality End of Life Care for All © Train the Trainer, QELCA©TtT)项目在我国的实施流程并初步分析其实施效果。方法 2020年2月至4月,通过资料查阅、相关人员访谈和问卷调查了解该项目的实施效果。结果 2016年11月至2019年11月共完成3期共计62名培训师学员(以下简称学员)的培训,其中45人完成了“5天课程”,11人取得QELCA©培训师证书。学员对现场培训的课件准备、授课教师、授课方式和课后收获表示满意的比例在87.1%(54/62)至93.5%(58/62)。完成“5天课程”的学员中,70.0%(28/40)的学员希望能够获得规范版本的课件,65.0%(26/40)的学员希望得到培训经费支持。开展行动学习的学员中,71.1%(27/38)的学员希望在刚开展行动学习时得到指导,55.3%(21/38)的学员希望有人协助管理学习文件。完成论文撰写的学员中,33.3%(11/33)的学员对论文要求不能完全理解,63.6%(21/33)的学员希望能够得到参考资料。结论 QELCA©TtT项目学员对现场培训满意率较高;学员在培训的不同阶段有着不同的困难和需要协助的方面,未来需要针对性地予以解决和支持。

Objective To examine the practical procedure of implementing the Quality End of Life Care for All© Train the Trainer(QELCA©TtT)program and to evaluate its impact in China. Methods From February 2020 to April 2020, data collected from the implementation of QELCA©TtT was evaluated by interviewing the staff faculty in charge of the program in China, reviewing training materials and questionnaires collecting. Results A total of 62 participants had completed the QELCA©TtT program from November 2016 to November 2019, and all of them responded to the survey. Among 62 participants, 45 of them have participated the 5-day QELCA© program independently, and 11 of them attained QELCA©TtT accreditation. Most participants[87.1%(54/62)to 93.5%(58/62)] were satisfied with the program facilities, program facilitators, program delivery and program outcome. Amongst participants who had completed the 5-day QELCA© programme, 70.0% of them(28/40)believed that they should have had standardized program materials just at the beginning of the program and 65.0%(26/40)expressed their need of funding to support for the training. For participants who had commenced on the action learning subsequent to the 5-day program, 71.1% of them (27/38)believed that they should have had support and guidance at the beginning of action learning; The results also showed that 55.3% of them (21/38) needed organizing materials of program. For participants who completed the QELCA©program and submitted their thesis as required by accreditation, 33.3% (11/33) did not fully understand the goal and requirements of the thesis and 63.6% (21/33) needed more reference materials. Conclusions The progress of QELCA © TtT training is good, and the satisfaction rate in trainees is high; The trainees have different difficulties and need assistance in different stages of the training, they need to be supported by a more specific strategy in the future.