A multi-professional educational intervention to improve and sustain respondents’ confidence to deliver palliative care: A mixed-methods study

Reed, Elizabeth; Todd, Jennifer; Lawton, Sally; Grant, Robert; Sadler, C; Berg, Jane; Lucas, Caroline; Watson, Max

doi:10.1177/0269216317709973

Cited by 13 publications

(19 citation statements)

References 15 publications

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“…Such an online platform may hold great potential as an avenue to engage the general community in open discussion about death and dying. Although it is expected that death education can be effectively implemented as fully online courses (Sofka, Cupit & Gilbert, 2012), given the success of end-of-life care courses delivered partially online for health professionals and students (e.g., Hughes et al, 2016;Loerzel & Conner, 2016;Pereira et al, 2008;Reed et al, 2017), the potential role of online environments in facilitating death conversations, awareness, and competence through educational courses for the community has not yet been explored.…”

Section: Online Learning Is a Burgeoning Educational Strategy And Thementioning

confidence: 99%

Can Exposure to Online Conversations About Death and Dying Influence Death Competence? An Exploratory Study Within an Australian Massive Open Online Course

et al. 2018

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A Massive Open Online Course, Dying2Learn, was designed to foster community death conversations and strengthen community awareness of palliative care and death as a normal process. This exploratory study used a pre-post prospective design to determine if participation in Dying2Learn and exposure to online conversations about death and dying resulted in any significant influence on death competence in 134 participants who completed the Coping-with-Death-Scale both at the beginning and end of the course in 2016. Death competence refers to a range of attitudes and capabilities people have for dealing with death. Results at the end of the course indicated that engagement in Dying2Learn led to significant improvements in death competence scores over time (medium-to-large effect size). The positive impact was greater for those who completed more of the course, and effectiveness did not depend on sociodemographic characteristics. In conclusion, this study found that an online learning platform in the form of a Massive Open Online Course could engage community members in meaningful social discussion about death and dying, and that exposure to these conversations was beneficial for all participants regardless of previous exposure to death. Further exploration is required to determine whether this change in death competence will have an impact on participant's behavior in the community regarding death conversations and preparedness.

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Section: Online Learning Is a Burgeoning Educational Strategy And Thementioning

confidence: 99%

Can Exposure to Online Conversations About Death and Dying Influence Death Competence? An Exploratory Study Within an Australian Massive Open Online Course

et al. 2018

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“…37 Additional approaches might include building on education that is effective for health professionals' development in palliative care. 38 Such initiatives would be an opportunity to address an underlying misconception identified by health professionals that they would eventually be replaced by technology. Innovation should be used to enhance already existing models of care and aid proactive management of workload.…”

Section: Discussionmentioning

confidence: 99%

“…If she'd been up to spec on what she was supposed to be saying about it, I might have done it. (Patient,38) Although patients had consented to take part in the study, health professionals made judgements on their suitability and sometimes did not introduce them to the PainCheck. Judgements as to whether or not patients would/could engage with PainCheck were made based on factors such as personality type and usual coping strategies.…”

Section: Engagement Of Health Professionals With the System Is Key Tomentioning

confidence: 99%

“…I think for some patients it might be a good thing for them to focus on that, others it might just underline the fact that they've got pain and they're unwell and it's just something else that's making them feel more poorly. (Health professional, 38) However, patients evidenced instances where PainCheck may not have been perceived as appropriate for them, yet they had found it simple to complete and beneficial to their care:…”

Section: Engagement Of Health Professionals With the System Is Key Tomentioning

confidence: 99%

“…Anything on a screen has slightly less a flavour to it than you get when somebody's face-to-face. (Health professional, 38) PainCheck was implemented and usage maintained by the majority of health professionals during their consultations. They described it as providing a real-time structure to work through faceto-face with patients.…”

Section: Implementation and Maintenance In Usual Carementioning

confidence: 99%

See 2 more Smart Citations

Using information and communication technologies to improve the management of pain from advanced cancer in the community: Qualitative study of the experience of implementation for patients and health professionals in a trial

Hackett

Allsop

Taylor

et al. 2020

Health Informatics J

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In cancer care, there are emerging information and communication technology systems being developed, enabling real-time information sharing between patients and health professionals. This study explored health professionals’ and patients’ perceptions of their engagement with an information and communication technology system for pain management to understand the mechanisms that could support implementation into routine palliative care practice. This was a qualitative study, embedded within a randomised control trial, using semi-structured face-to-face interviews. Data were analysed using thematic analysis. The role of health professionals was a key component to patient engagement with the information and communication technology system. Where patients engaged with the information and communication technology system, both patients and health professionals reported benefits to system use in addition to usual care. Implementation issues were identified that can be used to guide future system development to support pain management in the context of routine clinical care in palliative care services. Where interventions are dependent on multiple providers, collaborative working and consideration of the context within which they are set are needed.

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Evaluation of the Swedish Self‐Efficacy in Palliative Care Scale and exploration of nurses' and physicians' self‐efficacy in Swedish hospitals: A cross‐sectional study

Granat,

Andersson,

Åberg

et al. 2024

Scandinavian Caring Sciences

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BackgroundPrevious research found that healthcare professionals had low preparedness for palliative care. Thus, it is necessary to explore healthcare professionals' self‐efficacy. The Swedish Self‐Efficacy in Palliative Care Scale (SEPC‐SE) evaluates readiness in communication, patient management and multidisciplinary teamwork; however, it should be tested on a larger population. Furthermore, the constructs of the SEPC‐SE should be compared to that of the original SEPC.AimThis study aimed to evaluate the consensus between the construct validity and reliability of the SEPC and the translated and adapted SEPC‐SE. Furthermore, it aimed to describe and compare the self‐efficacy of nurses and physicians in hospitals and explore the associated factors.MethodsThe nurses (n = 288) and physicians (n = 104) completed the SEPC‐SE. Factor analysis with Cronbach's alpha evaluated validity and reliability, and an analysis using the Mann‐Whitney U test compared self‐efficacy and multiple linear regression‐associated factors.ResultsThe SEPC‐SE revealed three factors with high reliability. Education or experience in specialised palliative care was minor, especially for nurses. Self‐efficacy was highest in patient management (nurses, median [md] = 74.57, physicians md = 81.71, p = 0.010) and communication (nurses md = 69.88, physicians md = 77.00, p = 0.141) and lowest in multidisciplinary teamwork (nurses md = 52.44, physicians md = 62.88, p = 0.001). The strongest associations with self‐efficacy were education at work and advanced homecare experiences. In addition, there were significant associations between years in the profession, male sex, physicians and university education.ConclusionThe SEPC‐SE is valid and reliable for measuring self‐efficacy. Nurses had lower self‐efficacy than physicians. Physicians were associated with higher self‐efficacy and had more education and experience in palliative care settings, which may explain their levels of self‐efficacy.

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A multi-professional educational intervention to improve and sustain respondents’ confidence to deliver palliative care: A mixed-methods study

Abstract: Findings suggest that the European Certificate in Essential Palliative Care improves confidence in palliative care and that this is sustained over time with evidence of confidence in symptom control, communication and a holistic approach in clinical practice.

Cited by 13 publications

References 15 publications

Can Exposure to Online Conversations About Death and Dying Influence Death Competence? An Exploratory Study Within an Australian Massive Open Online Course

Can Exposure to Online Conversations About Death and Dying Influence Death Competence? An Exploratory Study Within an Australian Massive Open Online Course

Using information and communication technologies to improve the management of pain from advanced cancer in the community: Qualitative study of the experience of implementation for patients and health professionals in a trial

Evaluation of the Swedish Self‐Efficacy in Palliative Care Scale and exploration of nurses' and physicians' self‐efficacy in Swedish hospitals: A cross‐sectional study

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