Learning outcomes from an end of life care training programme

2016 ◽  
Vol 26 (3) ◽  
pp. 25-28
Author(s):  
Emma Vincent
Keyword(s):  
End Of Life ◽  
Learning Outcomes ◽  
End Of Life Care ◽  
Training Programme ◽  
Life Care ◽  
Care Training

scholarly journals Shortening the Frommelt Attitude Toward the Care Of the Dying Scale (FATCOD-B): a Brief 9-Item Version for Medical Education and Practice

2021 ◽  
Author(s):  
Giorgia Molinengo ◽  
Barbara Loera ◽  
Marco Miniotti ◽  
Paolo Leombruni
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Rating Scale ◽  
Assessment Tools ◽  
Scale Model ◽  
Theory Approach ◽  
Fit Indices ◽  
Life Care ◽  
Care Training ◽  
Care Of The Dying

AbstractEnd-of-life care training has gaps in helping students to develop attitudes toward caring for the dying. Valid and reliable assessment tools are essential in building effective educational programmes. The Frommelt Attitude Toward the Care Of the Dying scale (FATCOD-B) is widely used to measure the level of comfort/discomfort in caring for the dying and to test the effectiveness of end-of-life care training. However, its psychometric properties have been questioned and different proposals for refinement and shortening have been put forward. The aim of this study is to get to a definitive reduction of the FATCOD-B through a valid and parsimonious synthesis of the previous attempts at scale revision. Data were gathered from a sample of 220 medical students. The item response theory approach was used in this study. Of the 14 items selected from two previous proposals for scale revision, 3 had a weak correlation with the whole scale and were deleted. The resulting 11-item version had good fit indices and withstood a more general and parsimonious specification (rating scale model). This solution was further shortened to 9 items by deleting 2 of 3 items at the same level of difficulty. The final 9-item version was invariant for gender, level of religiosity and amount of experience with dying persons, free from redundant items and able to scale and discriminate the respondents.

scholarly journals Update on End-of-Life Care Training During Nephrology Fellowship: A Cross-sectional National Survey of Fellows

2015 ◽  
Vol 65 (2) ◽  
pp. 233-239 ◽  
Author(s):  
Sara A. Combs ◽  
Stacey Culp ◽  
Daniel D. Matlock ◽  
Jean S. Kutner ◽  
Jean L. Holley ◽  
...  
Keyword(s):  
End Of Life ◽  
National Survey ◽  
End Of Life Care ◽  
Life Care ◽  
Cross Sectional ◽  
Care Training

The need for end-of-life care training in nephrology: national survey results of nephrology fellows

2003 ◽  
Vol 42 (4) ◽  
pp. 813-820 ◽  
Author(s):  
Jean L Holley ◽  
Sharon S Carmody ◽  
Alvin H Moss ◽  
Amy M Sullivan ◽  
Lewis M Cohen ◽  
...  
Keyword(s):  
End Of Life ◽  
National Survey ◽  
End Of Life Care ◽  
Life Care ◽  
Survey Results ◽  
Care Training

scholarly journals The feasibility of a train-the-trainer approach to end of life care training in care homes: an evaluation

2016 ◽  
Vol 15 (1) ◽  
Author(s):  
Andrea Mayrhofer ◽  
Claire Goodman ◽  
Nigel Smeeton ◽  
Melanie Handley ◽  
Sarah Amador ◽  
...  
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Care Homes ◽  
Life Care ◽  
Train The Trainer ◽  
Care Training

Occupational therapy training on palliative and end-of-life care: Scoping review

2020 ◽  
Vol 83 (10) ◽  
pp. 609-619
Author(s):  
Claudia Talbot-Coulombe ◽  
Manon Guay
Keyword(s):  
Occupational Therapy ◽  
End Of Life ◽  
Scoping Review ◽  
End Of Life Care ◽  
Relevant Literature ◽  
Occupational Therapists ◽  
Unique Contribution ◽  
Life Care ◽  
Educational Strategies ◽  
Care Training

Introduction While occupational therapists promote quality of life enabling occupation, many receive little to no training on palliative and end-of-life care. This study synthesizes relevant literature to find out what is known about training for them on this matter. Methods A scoping review using Arksey and O’Malley’s five-stage framework exploring literature on palliative and end-of-life care training in occupational therapy (French or English; undergraduate or graduate). The first author screened the titles, abstracts, and keywords and selected literature to be read by the teams to extract and include relevant knowledge. Corroborated thematic analysis synthesized the findings. Result Out of the 384 publications initially identified, 25 were included in the review. To be trained in palliative and end-of-life care, occupational therapists have to (a) be exposed to knowledge on specific (b) topics required for competent practice using (c) educational strategies supporting learning about palliative and end-of-life care. Conclusion Whereas introductory-level knowledge of palliative and end-of-life care should be offered to all students, advanced training should allow occupational therapists to master the philosophy of this type of care, deepen the understanding of topics such as being confronted with death, and empower them to advocate for their unique contribution.

Do residents need end-of-life care training?

2013 ◽  
Vol 12 (3) ◽  
pp. 195-201 ◽  
Author(s):  
Agata Marszalek Litauska ◽  
Andrzej Kozikowski ◽  
Christian N. Nouryan ◽  
Myriam Kline ◽  
Renee Pekmezaris ◽  
...  
Keyword(s):  
Medical Education ◽  
End Of Life ◽  
End Of Life Care ◽  
Hospice Care ◽  
Comfort Level ◽  
Professional Status ◽  
Life Care ◽  
Hospice Referral ◽  
Care Training ◽  
The Right

AbstractObjective:As medical education evolves, emphasis on chronic care management within the medical curriculum becomes essential. Because of the consistent lack of appropriate end-of-life care training, far too many patients die without the benefits of hospice care. This study explores the association between physician knowledge, training status, and level of comfort with hospice care referral of terminally ill patients.Method:In 2011, anonymous surveys were distributed to physicians in postgraduate years 1, 2, and 3; fellows; hospital attending physicians; specialists; and other healthcare professionals in five hospitals of a large health system in New York. Demographic comparisons were performed using χ2 and Fisher's exact tests. Spearman correlations were calculated to determine if professional status and experience were associated with comfort and knowledge discussing end-of-life topics with terminal patients.Results:The sample consisted of 280 participants (46.7% response rate). Almost a quarter (22%) did not know key hospice referral criteria. Although 88% of respondents felt that knowledge of hospice care is an important competence, 53.2% still relinquished advance directives discussion to emergency room (ER) physicians. Fear of patient/family anger was the most frequently reported hospice referral barrier, although 96% of physicians rarely experienced reprisals. Physician comfort level discussing end-of-life issues and hospice referral was significantly associated with the number of years practicing medicine and professional status.Significance of results:Physicians continue to relinquish end-of-life care to ER staff and palliative care consultants. Exploring unfounded and preconceived fears associated with hospice referral needs to be integrated into the curriculum, to prepare future generations of physicians. Medical education should focus on delivering the right amount of end-of-life care training, at the right time, within the medical school and residency curriculum.

scholarly journals Development, validity and reliability testing of the East Midlands Evaluation Tool (EMET) for measuring impacts on trainees’ confidence and competence following end of life care training

2017 ◽  
Vol 8 (4) ◽  
pp. 439-446 ◽  
Author(s):  
B Whittaker ◽  
R Parry ◽  
L Bird ◽  
S Watson ◽  
C Faull
Keyword(s):  
End Of Life ◽  
Internal Consistency ◽  
End Of Life Care ◽  
Care Planning ◽  
Life Care ◽  
Evaluation Tool ◽  
Retest Reliability ◽  
East Midlands ◽  
Care Training ◽  
Test Retest Reliability

ObjectivesTo develop, test and validate a versatile questionnaire, the East Midlands Evaluation Tool (EMET), for measuring effects of end of life care training events on trainees’ self-reported confidence and competence.MethodsA paper-based questionnaire was designed on the basis of the English Department of Health's core competences for end of life care, with sections for completion pretraining, immediately post-training and also for longer term follow-up. Preliminary versions were field tested at 55 training events delivered by 13 organisations to 1793 trainees working in diverse health and social care backgrounds. Iterative rounds of development aimed to maximise relevance to events and trainees. Internal consistency was assessed by calculating interitem correlations on questionnaire responses during field testing. Content validity was assessed via qualitative content analysis of (1) responses to questionnaires completed by field tester trainers and (2) field notes from a workshop with a separate cohort of experienced trainers. Test–retest reliability was assessed via repeat administration to a cohort of student nurses.ResultsThe EMET comprises 27 items with Likert-scaled responses supplemented with questions seeking free-text responses. It measures changes in self-assessed confidence and competence on 5 subscales: communication skills; assessment and care planning; symptom management; advance care planning; overarching values and knowledge. Test–retest reliability was found to be good, as was internal consistency: the questions successfully assess different aspects of the same underlying concept.ConclusionsThe EMET provides a time-efficient, reliable and flexible means of evaluating effects of training on self-reported confidence and competence in the key elements of end of life care.

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