Minnesota Rural Palliative Care Initiative: Building Palliative Care Capacity in Rural Minnesota

Ceronsky, Lyn; Shearer, Janelle; Weng, Karla; Hopkins, Michelle; McKinley, Deb

doi:10.1089/jpm.2012.0324

Cited by 18 publications

(23 citation statements)

References 10 publications

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“…A program-development evaluation survey assessed the benefits of the Minnesota Rural Palliative Care Initiative and satisfaction with participation. 17 All the program components were rated well and an increase was seen in participant knowledge of pain management and goals of care discussions. 17 Fink et al 16 used an investigator-developed needs assessment instrument to determine awareness, knowledge, barriers, and access to resources of palliative care services in 236 Rocky Mountain-area rural hospitals.…”

Section: Needs Assessmentmentioning

confidence: 96%

“…17 All the program components were rated well and an increase was seen in participant knowledge of pain management and goals of care discussions. 17 Fink et al 16 used an investigator-developed needs assessment instrument to determine awareness, knowledge, barriers, and access to resources of palliative care services in 236 Rocky Mountain-area rural hospitals. They found that 99% of health care professionals were familiar with the palliative care concept, 76% had a contract with a local hospice organization, 72% participated in a program to promote advancecare planning, 56% had access to palliative care resources, and 72% had palliative care education offered in the past year.…”

Section: Needs Assessmentmentioning

confidence: 96%

“…Two US studies focused on needs assessments and the development of rural palliative care. 16,17 Ceronsky et al 17 focused on palliative care quality practices and utilized a learning collaborative methodology to assist communities to establish and strengthen palliative care capacity in rural Minnesota. A program-development evaluation survey assessed the benefits of the Minnesota Rural Palliative Care Initiative and satisfaction with participation.…”

Section: Needs Assessmentmentioning

confidence: 99%

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Systematic Review of Palliative Care in the Rural Setting

et al. 2015

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Section: Needs Assessmentmentioning

confidence: 96%

Section: Needs Assessmentmentioning

confidence: 96%

Section: Needs Assessmentmentioning

confidence: 99%

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Systematic Review of Palliative Care in the Rural Setting

et al. 2015

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“…Allied health practitioners working in rural areas also report being under-prepared and lacking access to continuing education [24,25]. The recommended educational strategies for these groups include conducting a needs analysis and designing context specific programs [3,26]. Local delivery of education which takes into account contextual factors can strengthen existing community expertise and commitment, enabling service providers to respond to community needs in a sustainable way [2].…”

Section: Introductionmentioning

confidence: 99%

Palliative care professional education via video conference builds confidence to deliver palliative care in rural and remote locations

Ray

Fried

Lindsay

2014

BMC Health Serv Res

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BackgroundPeople living in rural and remote locations are disadvantaged in accessing palliative care. This can be attributed to several factors including the role diversity and the low numbers of patients with specific conditions, as well as the difficulties rural health practitioners have in accessing opportunities for professional education. A program of multidisciplinary palliative care video conferences was presented to health practitioners across part of northern Australia in an effort to address this problem.MethodThe educational content of the video conferences was developed from participant responses to an educational needs assessment. Following cycles of four consecutive video conferences, 101 participants completed evaluative on-line surveys. The quantitative data were analysed using frequencies and analysis of variance tests with post-hoc analyses where appropriate, and an accessibility and remoteness index was used to classify their practice location.ResultsAll participants found the content useful regardless of their remoteness from the tertiary centre, their years of experience caring for palliative care patients or the number of patients cared for each year. However, change in confidence to provide palliative care as a result of attending the video conferences was significant across all disciplines, regardless of location. Doctors, medical students and allied health professionals indicated the greatest change in confidence.ConclusionsThe provision of professional education about palliative care issues via multidisciplinary video conferencing increased confidence among rural health practitioners, by meeting their identified need for topic and context specific education. This technology also enhanced the networking opportunities between practitioners, providing an avenue of ongoing professional support necessary for maintaining the health workforce in rural and remote areas. However, more attention should be directed to the diverse educational needs of allied health professionals.

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“…For instance, palliative care services have been successfully integrated into ambulatory clinics, most notably oncology practices (3). Efforts have been successfully undertaken to train a range of providers (e.g., nurses and social workers) how to deliver key components of palliative care in ambulatory settings (7). In addition, palliative care is now provided through some home health care agencies (8–10).…”

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confidence: 99%

Expanding palliative care’s reach in the community via the elder service agency network

Reid¹,

Ghesquiere²,

Kenien

et al. 2017

Ann. Palliat. Med.

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Over the past two decades, palliative care has established itself as a promising approach to address the complex needs of individuals with advanced illness. Palliative care is well-established in US hospitals and has recently begun to expand outside of the hospital setting to meet the needs of non-hospitalized individuals. Experts have called for the development of innovative community-based models that facilitate delivery of palliative care to this target population. Elder service agencies are important partners that researchers should collaborate with to develop new and promising models. Millions of older adults receive aging network services in the US, highlighting the potential reach of these models. Recent health care reform efforts provide support for community-based initiatives, where coordination of care and services, delivered via health and social service agencies, is highly prioritized. This article describes the rationale for developing such approaches, including efforts to educate elder service agency clients about palliative care; training agency staff in palliative care principles; building capacity for elder services providers to screen individuals for palliative care needs; embedding palliative care “champions” in agencies to educate staff and clients and coordinate access to services among those with palliative care needs; and leveraging telehealth resources to conduct comprehensive assessments by hospital palliative care teams for elder service clients who have palliative care needs. We maintain that leveraging the resources of elder service agencies could measurably expand the reach of palliative care in the community.

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Minnesota Rural Palliative Care Initiative: Building Palliative Care Capacity in Rural Minnesota

Abstract: Palliative care development is necessary in rural communities, and envisioning a program that combines structure, accountability, customized guidance, tools, and networking across settings is essential for success.

Cited by 18 publications

References 10 publications

Systematic Review of Palliative Care in the Rural Setting

Systematic Review of Palliative Care in the Rural Setting

Palliative care professional education via video conference builds confidence to deliver palliative care in rural and remote locations

Expanding palliative care’s reach in the community via the elder service agency network

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