目的：本研究旨在設計早期安寧緩和療護線上溝通技巧訓練課程，並測試其對醫護人員溝通自信心及安寧準備度的效益。
方法：本研究為單盲實驗性研究，邀請腦神經科醫護人員參與，研究的病房被隨機分派至兩組，實驗組(n=53)醫護人員接受線上早期安寧緩和療護教育課程，控制組(n=60)則接受一般常規教育課程，於介入前及後一個月測量兩組溝通自信心及安寧準備度，以階層回歸分析。
結果：本研究發現實驗組醫護人員在溝通自信心(B=-5.456, p=0.341)及安寧準備度(B=-0.612, p=0.667)上，與控制組醫護人員並無不同。
結論：研究發現大部分醫護人員已具備早期安寧緩和療護觀念與行為，因此介入措施可改善的空間有限；但在COVID-19大流行期間，持續設計並提升線上教育課程的品質，是我們需要不斷努力的方向。

Purpose: This study developed an online early hospice palliative care (EHPC) communication skills training (CST) course for healthcare personnel (HCP) and the effectiveness of the course in enhancing HCP’s communication confidence and preparation to provide early palliative care was evaluated.
Methods: This single-blind experimental study recruited HCP from the neurological departments of a hospital and randomly assigned them (randomized stratified design) to an intervention group (n = 53) or a control group (n = 60). The intervention group participated in online EHPC CST, and the control group received regular in-service training. Data on their communication confidence and preparation to provide early palliative care were collected before (T0) and immediately after the intervention (T1). Hierarchical regression was used for data analysis.
Results: This study found no significant differences in communication confidence (B = −5.456, p = 0.341) and preparation to provide early palliative care (B = −0.612, p = 0.667) between the intervention and control groups.
Conclusion: Most participants already had appropriate perceptions and behaviors related to early palliative care, indicating that existing interventions offer limited potential for further improvement. However, in the context of COVID-19 pandemic, continuously designing and enhancing the quality of online education programs remains a critical area for ongoing effort.