Delivering Pediatric Palliative Care Education through ECHO (Extension for Community Healthcare Outcomes) - Are the Key Learning Theories Applicable in a Resource Limited Setting?

AbstractObjectiveThe importance of palliative care education for nurses has been recognized worldwide. The study aims to explore the experiences of nurses working with children with palliative care needs and to identify any related educational needs.MethodsThe electronic databases of CINAHL, Cochrane, PubMed, OVID, Social Care Online, Web of Science, Scopus, and ProQuest were searched for the period 2000–2015.ResultsFinding revealed that working with children with palliative care needs is an emotionally struggling job for nurses, especially when they try to manage the transition of pediatric patients from curative to palliative care. Staffing level and time constraints comprise a major obstacle in pediatric palliative care. Focusing on invasive treatment and technology in spite of the feelings that it will not improve patients' health status intensifies the feeling of guilt and helplessness for nurses. Finally, nurses asserted the importance of receiving pediatric palliative care education, especially how to communicate with children with palliative care needs and their families.Significance of resultsFurther research is recommended with regard to nurses' experience in communication with children with palliative care needs. Nursing education in pediatric palliative care is significantly important, especially how to communicate with children with palliative care needs and their families.

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The Need of Pediatric Palliative Care Education Among Pediatric Postgraduates in South India

The Indian Journal of Pediatrics ◽

10.1007/s12098-013-1295-1 ◽

2014 ◽

Vol 81 (5) ◽

pp. 455-459 ◽

Cited By ~ 1

Author(s):

Magatha Sneha Latha ◽

Ram Prakash Thirugnanasambandam ◽

Narayanan Balakrishnan ◽

Haree Shankar Meghanathan ◽

Aravind Moorthy ◽

...

Keyword(s):

Palliative Care ◽

South India ◽

Pediatric Palliative Care ◽

Care Education ◽

Palliative Care Education

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Exploring learners’ perspectives of a Project ECHO palliative care education curriculum in resource-limited settings in light of key learning theories

10.21203/rs.2.21713/v1 ◽

2020 ◽

Author(s):

Megan Doherty ◽

Shokoufeh Modanloo ◽

Emily Evans ◽

Dennis Newhook ◽

Doug Archibald

Keyword(s):

Palliative Care ◽

Focus Groups ◽

Healthcare Providers ◽

Learning Theories ◽

Sociocultural Factors ◽

Healthcare Outcomes ◽

Care Providers ◽

Specialist Care ◽

Community Healthcare ◽

Project Echo

Abstract Background: Project ECHO (Extension of Community Healthcare Outcomes) is a well-established telehealth educational platform developed to improve access to specialist care training in underserved areas. The objective of this study is to explore the learning experiences of participants in a Project ECHO targeting care providers in India and explore considerations for how ECHO programs could be modified to cater to the unique learning needs of individuals in low- and middle-income countries. Methods : We implemented a one-year Project ECHO on pediatric palliative care (ECHO PPC) targeting healthcare providers in India. The program consisted of 24 bi-weekly sessions (March 2018-February 2019) hosted by the Hyderabad Centre for Palliative Care in Hyderabad, India. Learners who attended at least 20% (5 sessions) were eligible to participate. Data related to demographic characteristics of ECHO PPC participants were collected. Four focus groups were conducted (February-April 2019) either online via videoconference or in person. Focus groups recordings were transcribed, coded and independently verified. The codes were then arranged into overarching themes.Results : Thirty-six learners were eligible and invited to participate in the study. Seventeen individuals completed the study. Following coding and analysis, two major themes and seven sub-themes were identified. The themes included: (1) Benefits of participation in ECHO PPC (creation of a community of practice; opportunity to exchange cultures, ideas and experiences; supportive role of the facilitator and peers; increased relevant knowledge and skills; and access to additional learning resources) and (2) Barriers to participation (difficulties with time and practice schedule management and language and sociocultural factors). Conclusion: The key principals of learning theories were incorporated into forming the Project ECHO conceptual model in this study. PPC Project ECHO facilitated community building, stimulated professional interest and additional learning outside of the program. However, addressing the barriers and challenges might likely enhance the success of the program in future.

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Pediatric Palliative Care Education for Medical Students: Development and evaluation of A Pilot Program

Journal of Palliative Care ◽

10.1177/082585971202800403 ◽

2012 ◽

Vol 28 (4) ◽

pp. 252-258 ◽

Cited By ~ 1

Author(s):

Aleksandra Korzeniewska-Eksterowicz ◽

Bogna Kȩdzierska ◽

MƗSgorzata Cynker-McCarthy ◽

Łukasz Przysło ◽

MƗSgorzata Stolarska ◽

...

Keyword(s):

Palliative Care ◽

Medical Students ◽

Pediatric Palliative Care ◽

Pilot Program ◽

Care Education ◽

Palliative Care Education

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Factors Associated With Knowledge and Comfort Providing Palliative Care: A Survey of Pediatricians in Mexico

Journal of Palliative Care ◽

10.1177/0825859719827021 ◽

2019 ◽

Vol 34 (2) ◽

pp. 132-138 ◽

Cited By ~ 3

Author(s):

Gregorio Zuniga-Villanueva ◽

Jose Luis Ramirez-GarciaLuna ◽

Kevin Weingarten

Keyword(s):

Palliative Care ◽

Basic Knowledge ◽

Pediatric Palliative Care ◽

Care Needs ◽

Care Education ◽

Palliative Care Education ◽

Oncologic Patients ◽

Main Barrier ◽

Palliative Care Needs ◽

And Training

Background: Lack of education and training in palliative care has been described to be one of the most important barriers to pediatric palliative care implementation. Objective: To examine what factors determine the degree of knowledge and level of comfort Mexican pediatricians have providing pediatric palliative care. Methods: A questionnaire that assessed palliative care concepts was developed and applied online to Mexican pediatricians, both generalists and specialists. Results: A total of 242 pediatricians responded. The majority had not received palliative care education (92.6%) and felt uncomfortable discussing palliative needs with patients and families (92.1%). The mean score of the questionnaire was 6.8 (±1.4) of 10 correct answers. Knowledge in palliative care was associated with exposure to oncologic patients ( P = .01) and previous palliative care education ( P = .02) but inversely related to the pediatrician’s age ( P = .01). Comfort addressing patient’s palliative care needs was associated with knowledge in palliative care ( P < .01), exposure to oncologic patients ( P = .03), and previous education in palliative care ( P = .02). Conclusions: Although Mexican pediatricians have basic knowledge of palliative care concepts, they do not feel comfortable addressing palliative care needs, suggesting that the main barrier for implementing palliative care is not the lack of knowledge but rather feeling uncomfortable when addressing these issues with patients and families. Educational programs should incorporate strategies that could help physicians develop comfort in approaching palliative care patients.

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