P-58 The palliative academic clinical trainees society: description and career outcomes of a novel peer support programme for academic trainees in palliative medicine

Abstract

identified 61 patients who died before being discharged to their PPC. Their clinical notes were obtained and data was collected on modifiable delays. Results Forty-seven complete sets of notes were obtained. The most significant delay was in completing and sending FT paperwork (30/47). Paperwork was not started for 3 patients and incomplete for 7 patients without explanation. Paperwork took 2-4 days to complete for 5 patients, 5-7 days for 12 patients and >8 days for 2 patients.Despite healthcare professionals identifying a patient was dying or deteriorating, a delay in decision to commence FT affected 20/47 patients. The decision to FT took 1-2 days for 3 patients, 3-4 days for 8 patients, and >8 days for 9 patients.Sudden unexpected death or deterioration was a factor in 8 patients. Family/patient indecision affected 8 patients. Delays within community services after funding was approved affected 5 patients. One patient had funding initially declined but agreed subsequently. Conclusion The most significant modifiable delays were in completing FT paperwork and in decision-making concerning FT. To reduce these delays, FT paperwork on the intranet has been reorganised, new prompts in the form of a sticker have been introduced and there is continuing education of clinical teams on decision making and FT discharge.

“Challenging Professional Boundaries”: A Grounded Theory Study of Health Professionals’ First Experiences of End-of-Life Care in Hospital

“…Our model reinforces the need for professionals to work collaboratively in EoL care to ensure that the positive, learning experiences outweigh the negative effects of this experiences – particularly in those professionals experiencing this aspect of care for the first time. Peer support within the multi-disciplinary team has been found helpful (Buschbach et al., 2020; Etkind et al., 2017 and it has been found that emotional support and encouraging reflexivity that involves professionals from different disciplines is very helpful (Manning-Jones et al., 2016). This is also important as studies have found that a negative first experience of EoL care can be particularly damaging to a professional’s development (Linane et al., 2019) and that there is a vital importance for members of the EoL care team be supportive of one another (Chan et al., 2016; Harrison et al., 2017).…”

“…Given the paucity of research that explores the first-time experience of death in hospital setting, our study shows how different HPs perceive and cope with the death of a patient, mainly when this experience occurs with non-oncologic patients. EoL care is increasingly multi-disciplinary and it has been found that this increases its effectiveness (Schneiter et al, 2019) and it is important that the professionals involved understand how EoL experiences can have a psychological effect on their colleagues (Buschbach et al 2020;Etkind et al, 2017). It is also important that the multi-disciplinary team in EoL care learn to reflect on the psycho-social aspects of EoL care and use these in a way that improves the work of the team and also -crucially -enables better peer support, which is vital for stress reduction and burnout among HPs in this line of work (Harrison et al, 2017).…”

UK Palliative trainees Research Collaborative (UK-PRC): the first 5 years – 0–100 study sites

“…However, there is a known disparity of research opportunities for the specialty. There are proportionally four times fewer academic trainees in palliative medicine than oncology 12…”