scholarly journals Palliative care training addressed to hospital healthcare professionals by palliative care specialists: a mixed-method evaluation

2019 ◽  
Author(s):  
Giovanna Artioli ◽  
Gabriele Bedini ◽  
Elisabetta Bertocchi ◽  
Luca Ghirotto ◽  
Silvio Cavuto ◽  
...  
Keyword(s):  
Qualitative Research ◽  
Palliative Care ◽  
Mixed Method ◽  
Health Care Professionals ◽  
Healthcare Professionals ◽  
Training Evaluation ◽  
Hospital Setting ◽  
Training Programme ◽  
Method Evaluation ◽  
Advanced Illness

Abstract Background Despite the great advances in the concept of palliative care (PC) and its benefits, its application seems to be delayed, leaving unfulfilled the many needs of patients and family members. One way to overcome this difficulty could be to develop a new training programme by palliative care specialists to improve PC primary skills in healthcare professionals The aim of this study was to evaluate the training's impact on trainees within a hospital setting using Kirkpatrick’s and Moore's models. Methods We adopted a mixed-method evaluation with concurrent triangulation. The evaluation followed the first three steps of Kirkpatrick’s and Moore’s models and included a pre- and post-training evaluation through self-administered questionnaires and focus groups. We used the McNemar statistical test. Results The results highlighted the significant amount of knowledge acquired by the hospital professionals after training, in terms of increasing their knowledge of palliative care and in terms of the change in meaning that they attributed to phenomena related to chronicity and incurability, which they encounter daily in their professional practice. In both quantitative and qualitative research, the results, in synthesis, highlight: (i) the development of a new concept of palliative care, centred on the response to the holistic needs of people; (ii) that palliative care can also be extended to non-oncological patients in advanced illness stages (our training was directed to Geriatrics and Nephrology/Dialysis professionals); (iii) the empowerment and the increase in self-esteem that healthcare professionals gained, from learning about the logistical and structural organization of palliative care, to activate and implement PC; (iv) the need to share personal aspects of their professional life (this result emerges only in qualitative research); (v) the appreciation of cooperation and the joining of multiple competences towards a synergistic approach and enhanced outcomes. Conclusion It is necessary to further develop rigorous research on training evaluation, at the most complex levels of the Kirkpatrick and Moore models, to measure primary skills in health care professionals. This will develop the effectiveness of the integration of I- and II-level palliative care competencies in hospitals and improve outcomes of patients’ and families’ quality of life.

scholarly journals Palliative care training addressed to hospital healthcare professionals by palliative care specialists: a mixed-method evaluation

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Giovanna Artioli ◽  
Gabriele Bedini ◽  
Elisabetta Bertocchi ◽  
Luca Ghirotto ◽  
Silvio Cavuto ◽  
...  
Keyword(s):  
Qualitative Research ◽  
Palliative Care ◽  
Mixed Method ◽  
Health Care Professionals ◽  
Healthcare Professionals ◽  
Training Evaluation ◽  
Hospital Setting ◽  
Training Programme ◽  
Method Evaluation ◽  
Advanced Illness

Abstract Background Despite the great advances in the concept of palliative care (PC) and its benefits, its application seems to be delayed, leaving unfulfilled the many needs of patients and family members. One way to overcome this difficulty could be to develop a new training programme by palliative care specialists to improve PC primary skills in healthcare professionals. The aim of this study was to evaluate the training’s impact on trainees within a hospital setting using Kirkpatrick’s and Moore’s models. Methods We adopted a mixed-method evaluation with concurrent triangulation. The evaluation followed the first three steps of Kirkpatrick’s and Moore’s models and included a pre- and post-training evaluation through self-administered questionnaires and focus groups. We used the McNemar statistical test. Results The results highlighted the significant amount of knowledge acquired by the hospital professionals after training, in terms of increasing their knowledge of palliative care and in terms of the change in meaning that they attributed to phenomena related to chronicity and incurability, which they encounter daily in their professional practice. In both quantitative and qualitative research, the results, in synthesis, highlight: (i) the development of a new concept of palliative care, centred on the response to the holistic needs of people; (ii) that palliative care can also be extended to non-oncological patients in advanced illness stages (our training was directed to Geriatrics and Nephrology/Dialysis professionals); (iii) the empowerment and the increase in self-esteem that healthcare professionals gained, from learning about the logistical and structural organization of palliative care, to activate and implement PC; (iv) the need to share personal aspects of their professional life (this result emerges only in qualitative research); (v) the appreciation of cooperation and the joining of multiple competences towards a synergistic approach and enhanced outcomes. Conclusion It is necessary to further develop rigorous research on training evaluation, at the most complex orders of the Kirkpatrick and Moore models, to measure primary PC skills in health care professionals. This will develop the effectiveness of the integration of I- and II-level palliative care competencies in hospitals and improve outcomes of patients’ and families’ quality of life.

scholarly journals Palliative care training addressed to hospital healthcare professionals by palliative care specialists: a mixed-method evaluation

2019 ◽  
Author(s):  
Giovanna Artioli ◽  
Gabriele Bedini ◽  
Elisabetta Bertocchi ◽  
Luca Ghirotto ◽  
Silvio Cavuto ◽  
...  
Keyword(s):  
Qualitative Research ◽  
Palliative Care ◽  
Mixed Method ◽  
Health Care Professionals ◽  
Healthcare Professionals ◽  
Training Evaluation ◽  
Hospital Setting ◽  
Training Programme ◽  
Method Evaluation ◽  
Advanced Illness

Abstract Background Despite the great advances in the concept of palliative care (PC) and its benefits, its application seems to be delayed, leaving unfulfilled the many needs of patients and family members. One way to overcome this difficulty could be to develop a new training programme by palliative care specialists to improve PC primary skills in healthcare professionals. The aim of this study was to evaluate the training's impact on trainees within a hospital setting using Kirkpatrick’s and Moore's models. Methods We adopted a mixed-method evaluation with concurrent triangulation. The evaluation followed the first three steps of Kirkpatrick’s and Moore’s models and included a pre- and post-training evaluation through self-administered questionnaires and focus groups. We used the McNemar statistical test. Results The results highlighted the significant amount of knowledge acquired by the hospital professionals after training, in terms of increasing their knowledge of palliative care and in terms of the change in meaning that they attributed to phenomena related to chronicity and incurability, which they encounter daily in their professional practice. In both quantitative and qualitative research, the results, in synthesis, highlight: (i) the development of a new concept of palliative care, centred on the response to the holistic needs of people; (ii) that palliative care can also be extended to non-oncological patients in advanced illness stages (our training was directed to Geriatrics and Nephrology/Dialysis professionals); (iii) the empowerment and the increase in self-esteem that healthcare professionals gained, from learning about the logistical and structural organization of palliative care, to activate and implement PC; (iv) the need to share personal aspects of their professional life (this result emerges only in qualitative research); (v) the appreciation of cooperation and the joining of multiple competences towards a synergistic approach and enhanced outcomes. Conclusion It is necessary to further develop rigorous research on training evaluation, at the most complex orders of the Kirkpatrick and Moore models, to measure primary PC skills in health care professionals. This will develop the effectiveness of the integration of I- and II-level palliative care competencies in hospitals and improve outcomes of patients’ and families’ quality of life.

scholarly journals Palliative care training addressed to hospital healthcare professionals by palliative care specialists: a mixed-method evaluation

2019 ◽  
Author(s):  
Giovanna Artioli ◽  
Gabriele Bedini ◽  
Elisabetta Bertocchi ◽  
Luca Ghirotto ◽  
Silvio Cavuto ◽  
...  
Keyword(s):  
Qualitative Research ◽  
Palliative Care ◽  
Mixed Method ◽  
Health Care Professionals ◽  
Healthcare Professionals ◽  
Training Evaluation ◽  
Hospital Setting ◽  
Training Programme ◽  
Method Evaluation ◽  
Advanced Illness

Abstract Background: Despite the great advances in the concept of palliative care (PC) and its benefits, its application seems to be delayed, leaving unfulfilled the many needs of patients and family members. One way to overcome this difficulty could be to develop a new training programme by palliative care specialists to improve PC primary skills in healthcare professionals. The aim of this study was to evaluate the training's impact on trainees within a hospital setting using Kirkpatrick’s and Moore's models. Methods: We adopted a mixed-method evaluation with concurrent triangulation. The evaluation followed the first three steps of Kirkpatrick’s and Moore’s models and included a pre- and post-training evaluation through self-administered questionnaires and focus groups. We used the McNemar statistical test. Results: The results highlighted the significant amount of knowledge acquired by the hospital professionals after training, in terms of increasing their knowledge of palliative care and in terms of the change in meaning that they attributed to phenomena related to chronicity and incurability, which they encounter daily in their professional practice. In both quantitative and qualitative research, the results, in synthesis, highlight:the development of a new concept of palliative care, centred on the response to the holistic needs of people; that palliative care can also be extended to non-oncological patients in advanced illness stages (our training was directed to Geriatrics and Nephrology/Dialysis professionals); the empowerment and the increase in self-esteem that healthcare professionals gained, from learning about the logistical and structural organization of palliative care, to activate and implement PC; the need to share personal aspects of their professional life (this result emerges only in qualitative research); the appreciation of cooperation and the joining of multiple competences towards a synergistic approach and enhanced outcomes. Conclusion: It is necessary to further develop rigorous research on training evaluation, at the most complex orders of the Kirkpatrick and Moore models, to measure primary PC skills in health care professionals. This will develop the effectiveness of the integration of I- and II-level palliative care competencies in hospitals and improve outcomes of patients’ and families’ quality of life.

scholarly journals “Teach for ethics in palliative care”: a mixed-method evaluation of a medical ethics training programme

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Ludovica De Panfilis ◽  
Silvia Tanzi ◽  
Marta Perin ◽  
Elena Turola ◽  
Giovanna Artioli
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Palliative Care ◽  
Medical Ethics ◽  
Mixed Method ◽  
Health Care Professionals ◽  
Ethical Issues ◽  
Training Programme ◽  
Ethical Awareness

Abstract Background Training in medical ethics aims to educate health care professionals in dealing with daily care ethical issues. To guarantee quality of life and spiritual and emotional support, palliative care professionals have to develop ethical and relational skills. We propose the implementation and evaluation of a specialized training programme in medical ethics dedicated to a hospital-based Palliative Care Unit. Methods This study is a mixed-method before-after evaluation with data triangulation. Results The results highlight that participants developed their ethical knowledge, and a deeper ethical awareness. They also felt more confident and motivated to widely apply ethical reflections and reasonings in their daily practice. Conclusion The participants appreciated the innovative structure of the training, especially regarding the integration of the theoretical-interactive and practical parts. However, they recommended increasing the number of concrete occasions for ethical supervision and practical application of what they learned during the programme. The training programme also has some potential practical implications: the development of advanced ethical skills within a hospital-based PC team may improve the quality of life of the patients and their families. In addition, health care professionals with advanced ethical competencies are able to educate patients and their families towards more active participation in the decision-making process.

scholarly journals Tools to help healthcare professionals recognize palliative care needs in patients with advanced heart failure: A systematic review

2020 ◽  
pp. 026921632096394 ◽  
Author(s):  
Stephanie MC Ament ◽  
Inge ME Couwenberg ◽  
Josiane JJ Boyne ◽  
Jos Kleijnen ◽  
Henri EJH Stoffers ◽  
...  
Keyword(s):  
Heart Failure ◽  
Systematic Review ◽  
Palliative Care ◽  
Chronic Heart Failure ◽  
Health Care Professionals ◽  
Healthcare Professionals ◽  
Care Process ◽  
Care Needs ◽  
Process Guidance ◽  
Palliative Care Needs

Background: The delivery of palliative care interventions is not widely integrated in chronic heart failure care as the recognition of palliative care needs is perceived as difficult. Tools may facilitate healthcare professionals to identify patients with palliative care needs in advanced chronic heart failure. Aim: To identify tools to help healthcare professionals recognize palliative care needs in patients with advanced chronic heart failure. Design: This systematic review was registered in the PROSPERO database (CRD42019131896). Evidence of tools’ development, evaluation, feasibility, and implementation was sought and described. Data sources: Electronic searches to identify references of tools published until June 2019 were conducted in MEDLINE, CINAHL, and EMBASE. Hand-searching of references and citations was undertaken. Based on the identified tools, a second electronic search until September 2019 was performed to check whether all evidence about these tools in the context of chronic heart failure was included. Results: Nineteen studies described a total of seven tools. The tools varied in purpose, intended user and properties. The tools have been validated to a limited extent in the context of chronic heart failure and palliative care. Different health care professionals applied the tools in various settings at different moments of the care process. Guidance and instruction about how to apply the tool revealed to be relevant but may be not enough for uptake. Spiritual care needs were perceived as difficult to assess. Conclusion: Seven tools were identified which showed different and limited levels of validity in the context of palliative care and chronic heart failure.

Experience and Views of Oncology and Palliative Care Professionals on a Corounding Model of Care for Inpatients With Advanced Cancer

2018 ◽  
Vol 35 (11) ◽  
pp. 1433-1438
Author(s):  
Grace Meijuan Yang ◽  
Sungwon Yoon ◽  
Yung Ying Tan ◽  
Karen Liaw
Keyword(s):  
Palliative Care ◽  
Patient Care ◽  
Advanced Cancer ◽  
Health Care Professionals ◽  
Care Delivery ◽  
Hospital Setting ◽  
Model Of Care ◽  
Consult Service ◽  
Quality Of Patient Care

Background: Palliative care is associated with better outcomes in advanced cancer, but there is limited research comparing different models of palliative care delivery alongside oncology care. For inpatients with cancer, palliative care is mostly delivered through a consult service, primarily relying on oncologist-initiated referrals to a separate specialist palliative care team. In our hospital setting, we piloted a palliative care and oncology corounding model of care. Aim: To explore the views and experience of oncology and palliative care professionals on the corounding model compared to an inpatient consult service. Design: A qualitative study nested within a pre–post study of the corounding model of care, with semistructured interviews using thematic analysis. Setting/Participants: Eleven doctors and nurses involved in the pilot corounding model were interviewed. Results: Two main themes emerged: (1) the efficiency of care delivery and (2) quality of patient care. The theme on the efficiency of care delivery was related to access to palliative care input, team communications, and parallel workflow. The quality of patient care was described in terms of holistic approach to cancer care and rapport building with patients and their families. Most participants acknowledged positive aspects of the corounding model, yet some minor concerns were reported, such as disagreements between oncology and palliative care professionals. Conclusions: This study provides insights into the benefits and drawbacks of a corounding model of care for inpatients. The views of health-care professionals can be incorporated into the development of integrated oncology and palliative care models to improve care for patients with advanced cancer.

scholarly journals The ABCDE approach in critically ill or injured patients: a scoping review of quantitative and qualitative evidence

2021 ◽  
Author(s):  
Marjolein Linders ◽  
Laura Bruinink ◽  
Lia Fluit ◽  
Willem de Boode ◽  
Marije Hogeveen
Keyword(s):  
Health Care ◽  
Critically Ill ◽  
Study Protocol ◽  
Scoping Review ◽  
Health Care Professionals ◽  
Healthcare Professionals ◽  
Hospital Setting ◽  
Main Question ◽  
Qualitative Evidence ◽  
Injured Patients

this is the study protocol for a scoping review regarding the ABCDE approach used by health care professionals . The main question we aim to answer is: What are the reported outcomes related to application or teaching of the ABCDE approach by healthcare professionals in a hospital setting?

Family experiences of oncological palliative and supportive care in children: can we do better?

2019 ◽  
Vol 25 (9) ◽  
pp. 421-430
Author(s):  
Jan Plessis ◽  
David Stones ◽  
Michelle Meiring
Keyword(s):  
Palliative Care ◽  
Supportive Care ◽  
Healthcare Professionals ◽  
Psychosocial Support ◽  
Family Members ◽  
Hospital Setting ◽  
Structured Interview ◽  
Theory Approach ◽  
Children With Cancer ◽  
Care Services

Aims: Families were interviewed as a quality improvement assessment for palliative and supportive care services for children. Methods: This exploratory qualitative study of family members of children with cancer was conducted at an academic hospital in central South Africa and a grounded theory approach was used. Face-to-face interviews using a semi-structured interview guide were conducted with 16 family members of 16 children. Findings: Parents felt supported by the healthcare professionals who were caring for their child, but several shortcomings were identified. These included erratic psychosocial support, minimal financial support and poor parental access to basic needs and food provision, preventable errors in procedures and a lack of support available for siblings. It is also worth noting that healthcare professionals did not always seem sufficiently equipped to attend to palliative care patients. Conclusion: Strategies to improve supportive and palliative care are needed for children with cancer and their families in a hospital setting. The interviews identified a number of themes and current shortcomings that should be considered to improve services.

scholarly journals Creating Significant Life Rituals in Neuro-Palliative Care

2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Lana Kim McGeary
Keyword(s):  
Palliative Care ◽  
Health Care Professionals ◽  
Meaning Making ◽  
Hospital Setting ◽  
Whole Person ◽  
Life Issues ◽  
Significant Life ◽  
Care Health ◽  
Team Setting

Ritual can be described as an act which helps make sense of life, “there is what many people recognize as a spiritual quality to life, which in suffering, confronts people with questions and possibilities that reach beyond the immediate dilemmas of physical insult.” (Cobb and Robshaw, 1998); in this vein, ritual serves as a vehicle to navigate the inherent moments of sorrow and suffering in our lives. Fred Bird describes ritual as something which allows for communication, representation, meaning making, validation and relationing. (Bird, 1995)This presentation explores the ways in which creating accessible and significant contemporary rituals, within a hospital setting, may serve as a means to crystallize our deepest sensitivities for life, and living. It looks at some of the ways rituals can serve as a bridge to wholing and healing, within the patient, with family members and with health care professionals interacting with patient. Through examples from spiritual care counseling, within a multidisciplinary team setting, in neuro-palliative care, a path is set for some simple ways to ritually nurture quality of life issues, as part of a whole person care health protocol.

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