End-of-Life Care Training for Patients with Traumatic Brain Injury in Ghana: A Novel Curriculum and Its Initial Implementation

作者：John Bruno, Mayur Patel, Rebecca Henderson, Michael Mathelier, Taylor N. Smith, Janiece Pompa, Cassandra Clay, Marie‐Carmelle Elie, Sheba Afi Mansa Fiadzomor, Lawrence Nsohlebna Nsoh, Torben K. Becker · 发表于：Journal of Clinical Medicine · 年份：2025 · DOI：10.3390/jcm14113643 · 被引用次数：1 · 研究领域：Palliative Care and End-of-Life Issues、Grief, Bereavement, and Mental Health、Organ Donation and Transplantation

The implementation and practice of palliative medicine have numerous boundaries in low- and middle-income countries (LMICs), stemming from various cultural, legal, and religious concerns. Additionally, professional education in palliative care medicine in these countries is severely lacking, especially when compared with developed countries. Background/Objectives: To enhance and demystify palliative medicine practice to health care providers in LMICs. Methods: We developed a novel and comprehensive course in palliative care medicine and end-of-life (EOL) care, specifically within the context of management of patients with traumatic brain injury (TBI). We performed both immediate pre-course and post-course analysis of course participant comprehension and feedback, as well as a one-year post-course analysis and small group discussion. Results: The comprehension of the course material was strong, as participants scored an average of 13.9 points better on the post-test compared to the pre-test (49.6% vs. 35.7%, p < 0.001). Participants in the one-year follow-up session reported long-term applicability of the course material in their respective practice settings, with all participants reporting that they utilize the course material often. Small group discussion responses indicated a strong level of comprehension of the course material. Conclusions: Providing education in palliative medicine to health care professionals in LMICs is feasible, and likely to be both well-received a...