An e-learning project, End of Life Care for All (e-ELCA), has been launched with the aim of supporting the national End of Life Care Strategy by enhancing the training and education of all those who may be involved in delivering end of life care, wherever their location.
Information on e-ELCA and some sessions open to the public can be accessed at www.EndofLifeCareforAll.com
Health and social care workers aiming to register for access to additional sessions should visit www.e-elca.org.uk
Showing posts with label Training. Show all posts
Showing posts with label Training. Show all posts
Friday, 29 January 2010
Friday, 14 November 2008
Promoting patient - centredness in undergraduate palliative care education
Really good stuff : Promoting patient - centredness in undergraduate palliative care education
Linklater , Gordon T
Medical Education Page: 1126-1127 2008 ; Vol 42 Part 11 Date November 2008
Linklater , Gordon T
Medical Education Page: 1126-1127 2008 ; Vol 42 Part 11 Date November 2008
Monday, 27 October 2008
Evaluating education in palliative care with link nurses in nursing homes
Evaluating education in palliative care with link nurses in nursing homes
Waldron , M . ; Hasson , F . I . ; Kernohan , W . G . ; Whittaker , E . ; McClaughlin , D .
British Journal of Nursing
Page: 1078-1083 2008 ; VOL 17 ; PART 17
Valuing local diversity in palliative care : translating the concept
Quinn , S . ; Hickey , D
British Journal of Nursing
Page: 1084-1087 2008 ; VOL 17 ; PART 17
Waldron , M . ; Hasson , F . I . ; Kernohan , W . G . ; Whittaker , E . ; McClaughlin , D .
British Journal of Nursing
Page: 1078-1083 2008 ; VOL 17 ; PART 17
Valuing local diversity in palliative care : translating the concept
Quinn , S . ; Hickey , D
British Journal of Nursing
Page: 1084-1087 2008 ; VOL 17 ; PART 17
Promoting patient - centredness in undergraduate palliative care education
Promoting patient - centredness in undergraduate palliative care education
Gordon T Linklater
Medical Education Vol 42 ; Part 11 Date: November 2008
Page: 1126-1127
Gordon T Linklater
Medical Education Vol 42 ; Part 11 Date: November 2008
Page: 1126-1127
Wednesday, 27 August 2008
Seven Years and 50 Courses Later : End -of - Life Nursing Education
Seven Years and 50 Courses Later : End - of - Life Nursing Education Consortium Continues Commitment to Provide Excellent Palliative Care Education
Malloy , P . ; Virani , R . ; Kelly , K . ; Harrington - Jacobs , H . ; Ferrell , B
Journal of Hospice and Palliative Nursing 2008 ; VOL 10 ; PART 4
Page: 233-239
Malloy , P . ; Virani , R . ; Kelly , K . ; Harrington - Jacobs , H . ; Ferrell , B
Journal of Hospice and Palliative Nursing 2008 ; VOL 10 ; PART 4
Page: 233-239
Thursday, 12 June 2008
End - of - Life Nursing Education Consortium Geriatric Training Program
End - of - Life Nursing Education Consortium Geriatric Training Program : Improving Palliative Care in Community Geriatric Care Settings
Author(s): Kelly , K . ; Ersek , M . ; Virani , R . ; Malloy , P . ; Ferrell , B .
ISSUE: 2008 ; VOL 34 ; PART 5
Journal of Gerontological Nursing
From EBSCO ( CINAHL with Full Text ) - via Athens (01/2003 - /)
Page: 28-35
Search the Web: [article] [author(s)]
Author(s): Kelly , K . ; Ersek , M . ; Virani , R . ; Malloy , P . ; Ferrell , B .
ISSUE: 2008 ; VOL 34 ; PART 5
Journal of Gerontological Nursing
From EBSCO ( CINAHL with Full Text ) - via Athens (01/2003 - /)
Page: 28-35
Search the Web: [article] [author(s)]
Friday, 23 May 2008
Content and effects of palliative care courses for nurses
The content and effects of palliative care courses for nurses: a literature review.
International journal of nursing studies, Mar 2008 (epub: 16 May 2007), vol. 45, no. 3, p. 471-85, 69 refs
Adriaansen-Marian, van-Achterberg-Theo
Abstract
OBJECTIVES: The present literature review describes the literature (1990-2005) that concerns the effects of courses in palliative care at the pre- and postgraduate levels. DATA SOURCES: A search was made for literature from the period between 1990 and 2005 using CINAHL, Pubmed and Psychlit, supplemented with a search for relevant systematic reviews from the Cochrane Library. DESIGN: The research questions were directed on the areas of expertise and skills, the didactical methods, the effects of the courses and the standards to measure these effects. RESULTS: The studies were all focused on general palliative care. Out of 27 studies 21 reported positive effects for communication, attitude, empathy and pain. Six of these 21 positive trails were studies with good quality designs, whereas 15 had moderate designs. The six studies with a lack of effects was one study with good quality and five studies with moderate quality designs. The effects on patients were described in only a few cases. There was still frequent use of self-constructed rating scales, where data about validity and reliability were lacking or where these aspects were not studied. CONCLUSIONS: The most successful were integrated courses focused on several themes with a variety of didactical methods.
Review.
International journal of nursing studies, Mar 2008 (epub: 16 May 2007), vol. 45, no. 3, p. 471-85, 69 refs
Adriaansen-Marian, van-Achterberg-Theo
Abstract
OBJECTIVES: The present literature review describes the literature (1990-2005) that concerns the effects of courses in palliative care at the pre- and postgraduate levels. DATA SOURCES: A search was made for literature from the period between 1990 and 2005 using CINAHL, Pubmed and Psychlit, supplemented with a search for relevant systematic reviews from the Cochrane Library. DESIGN: The research questions were directed on the areas of expertise and skills, the didactical methods, the effects of the courses and the standards to measure these effects. RESULTS: The studies were all focused on general palliative care. Out of 27 studies 21 reported positive effects for communication, attitude, empathy and pain. Six of these 21 positive trails were studies with good quality designs, whereas 15 had moderate designs. The six studies with a lack of effects was one study with good quality and five studies with moderate quality designs. The effects on patients were described in only a few cases. There was still frequent use of self-constructed rating scales, where data about validity and reliability were lacking or where these aspects were not studied. CONCLUSIONS: The most successful were integrated courses focused on several themes with a variety of didactical methods.
Review.
Palliative care and end of life issues in UK pre-registration, undergraduate nursing programmes.
Palliative care and end of life issues in UK pre-registration, undergraduate nursing programmes.
Nurse education today, Feb 2008 (epub: 23 Apr 2007), vol. 28, no. 2, p. 163-70
Dickinson-George-E, Clark-David, Sque-Magi.
Abstract
Palliative and end of life care topics have traditionally not been in nursing school curricula. Only in recent years have these been included. The aim of this research was to determine the current status of such an emphasis in programmes in the United Kingdom (UK). A mailed survey in 2006 to the 66 undergraduate (pre-registration) nursing programmes in the UK (return rate of 79%) determined that palliative and end of life care play a significant role in these programmes. Forty-five teaching hours on average were devoted to these topics. All of the schools have some provision on palliative and end of life care, and over 95% of students participated in these courses. A nurse was usually the primary instructor, although non- nurses were sometimes used. Attitudes toward dying and death and communicating with terminally-ill patients and family members were emphasised. By highlighting dying and death in the curricula, nursing schools appeared to be giving nursing students an opportunity to face the issue of death, thus helping them to be better prepared to help their patients and their families to do so.
Nurse education today, Feb 2008 (epub: 23 Apr 2007), vol. 28, no. 2, p. 163-70
Dickinson-George-E, Clark-David, Sque-Magi.
Abstract
Palliative and end of life care topics have traditionally not been in nursing school curricula. Only in recent years have these been included. The aim of this research was to determine the current status of such an emphasis in programmes in the United Kingdom (UK). A mailed survey in 2006 to the 66 undergraduate (pre-registration) nursing programmes in the UK (return rate of 79%) determined that palliative and end of life care play a significant role in these programmes. Forty-five teaching hours on average were devoted to these topics. All of the schools have some provision on palliative and end of life care, and over 95% of students participated in these courses. A nurse was usually the primary instructor, although non- nurses were sometimes used. Attitudes toward dying and death and communicating with terminally-ill patients and family members were emphasised. By highlighting dying and death in the curricula, nursing schools appeared to be giving nursing students an opportunity to face the issue of death, thus helping them to be better prepared to help their patients and their families to do so.
Wednesday, 30 April 2008
Influence of end-of-life education on attitudes of nursing students.
The influence of end-of-life education on attitudes of nursing students.
International journal of nursing education scholarship, 2008 (epub: 15 Mar 2008), vol. 5, p. Article11
Barrere-Cynthia-C, Durkin-Anne, LaCoursiere-Sheryl
Abstract
Palliative care is an important aspect of nursing when comfort and quality of life are the patient goals. The End-of-Life Nursing Education Consortium (ELNEC) developed a comprehensive program of teaching care of the dying to nurses and nursing students. This pretest-posttest study evaluated the influence of the integration of the ELNEC curriculum into a baccalaureate nursing program on students' attitudes toward care of the dying. The Frommelt Attitudes toward Care of the Dying Scale for nurses (FATCOD) was administered to traditional and accelerated baccalaureate students before and after exposure to a nursing curriculum that integrated essential ELNEC elements. Multiple regression analyses indicated that no previous experience with death and an age of 18-22 accounted for the most variance in attitude change. The findings suggest that integrating the ELNEC curriculum throughout a baccalaureate program positively affects the attitudes of nursing students toward the care of patients who are dying.
International journal of nursing education scholarship, 2008 (epub: 15 Mar 2008), vol. 5, p. Article11
Barrere-Cynthia-C, Durkin-Anne, LaCoursiere-Sheryl
Abstract
Palliative care is an important aspect of nursing when comfort and quality of life are the patient goals. The End-of-Life Nursing Education Consortium (ELNEC) developed a comprehensive program of teaching care of the dying to nurses and nursing students. This pretest-posttest study evaluated the influence of the integration of the ELNEC curriculum into a baccalaureate nursing program on students' attitudes toward care of the dying. The Frommelt Attitudes toward Care of the Dying Scale for nurses (FATCOD) was administered to traditional and accelerated baccalaureate students before and after exposure to a nursing curriculum that integrated essential ELNEC elements. Multiple regression analyses indicated that no previous experience with death and an age of 18-22 accounted for the most variance in attitude change. The findings suggest that integrating the ELNEC curriculum throughout a baccalaureate program positively affects the attitudes of nursing students toward the care of patients who are dying.
Thursday, 24 April 2008
The American journal of hospice & palliative care, Feb-Mar 2008, vol. 25, no. 1
Letter to the editor on: the impact of volunteering in hospice palliative care.
p. 74-5
Marchese-Kyrra-A.
Comment on: Am J Hosp Palliat Care. 2007 Aug-Sep; 24(4):259-63
The ethical concept of best interest.
p. 56-62
Baumrucker-Steven-J, Sheldon-Joanne-E et al
Gabapentin for intractable hiccups in palliative care.
p. 52-4
Tegeler-Monica-L, Baumrucker-Steven-J.
Abstract
Intractable hiccups are not common in the general population or in the palliative care population but can adversely impact quality of life and cause other complications such as weight loss and sleep disturbance. Many treatments have been proposed for intractable hiccups, but there is little consensus regarding treatment in the medical literature. This is partly because hiccups are relatively uncommon and many of the proposed treatments are unproven or have long-term side effects. Pharmacologic treatments rather than home remedies or surgical treatments are more appropriate for the palliative care patient. Gabapentin is a promising medication for the treatment of intractable hiccups for its safety, lack of serious side effects, and rapid onset of action. Further research is indicated to determine whether gabapentin is consistently effective.
A day in the life: a case series of acute care palliative medicine-- the Cleveland model.
p. 24-32
Lagman-Ruth, Walsh-Declan, Heintz-Jessica, Legrand-Susan-B, Davis- Mellar-P.
Abstract
Palliative care in advanced disease is complex. Knowledge and experience of symptom control and management of multiple complications are essential. An interdisciplinary team is also required to meet the medical and psychosocial needs in life-limiting illness. Acute care palliative medicine is a new concept in the spectrum of palliative care services. Acute care palliative medicine, integrated into a tertiary academic medical center, provides expert medical management and specialized care as part of the spectrum of acute medical care services to this challenging patient population. The authors describe a case series to provide a snapshot of a typical day in an acute care inpatient palliative medicine unit. The cases illustrate the sophisticated medical care involved for each individual and the important skill sets of the palliative medicine specialist required to provide high-quality acute medical care for the very ill.
Narrative accounts of volunteers in palliative care settings.
p. 16-23
Guirguis-Younger-Manal, Grafanaki-Soti.
Abstract
The long and evolving tradition of palliative care has always had a strong volunteer dimension. The difficult nature of palliative care invites questions around why volunteers choose this particular line of contribution. To expand our knowledge of the elements that create meaning and capture the essence of volunteer experience, we asked volunteers to share the rewards and the challenges of their work and its personal meaning. Significant themes emerged around what volunteers considered the most valuable aspects of their experience. Volunteers identified freedom of choice and the ability to use their natural gifts as an important condition for satisfaction. In addition, they perceived emotional resilience and personal hardiness as important dimensions of their suitability for working in palliative care. Finally, volunteers felt that their approach must be one of a balanced perspective, with an understanding of life and death as part of the human condition.
Identification of quality indicators of end-of-life cancer care from medical chart review using a modified Delphi method in Japan.
p. 33-8
Miyashita-Mitsunori, Nakamura-Asumi, Morita-Tatsuya, Bito-Seiji.
Abstract
End-of life care is one of the principle components of cancer care. Measurement of the quality of care provided for end-of-life cancer patients is an important issue. The aim of this study was to identify the quality indicators (QIs) for end-of-life cancer care for Japanese patients using a medical chart review. A modified Delphi method for the development of QIs was adopted. Seventeen multi-professional specialists participated by rating the appropriateness and feasibility of potential QIs. Thirty QIs for end-of-life cancer care were ultimately identified within 4 domains: (1) symptom control, (2) decision-making and preference of care, (3) family care, and (4) psychosocial and spiritual concerns. These QIs will be useful for monitoring and evaluating end-of-life care for Japanese cancer patients. The QIs are feasible for use in any clinical setting and cover a comprehensive area in accordance with the World Health Organization's (WHO) definition of palliative care including physical, psychosocial, and spiritual concerns.
Documentation in palliative care: nursing documentation in a palliative care unit-a pilot study.
p. 45-51
Gunhardsson-Inger, Svensson-Anna, Berteroe-Carina
Abstract
Palliative care seeks to enhance quality of life in the face of death by addressing the physical, psychological, social, and spiritual needs of patients with advanced disease. The purpose of this paper is to explore whether palliative patients' needs, nursing actions, and evaluation can be identified in the nursing documentation. Data consisted of reviews of patients' case records in a palliative care unit. Data were analyzed using content analysis and counting frequency of keywords used from the Well-being Integrity Prevention and Safety (VIPS) model, followed by an inductive analysis of the case record documentation aiming to identify palliative care components. The result shows that the documentation revealed physical care, especially pain, more frequently than other needs. Nursing documentation focuses on identification more than on nursing actions and evaluation.
A UK perspective on worldwide inadequacies in palliative care training: a short postgraduate course is proposed.
p. 63-71
Charlton-Rodger, Currie-Andy.
Abstract
A chronological literature review illustrates how undergraduate and postgraduate education and training in the care of the dying and bereaved is inadequate worldwide. This is despite the foundation of the modern hospice movement in the United Kingdom in 1967 and its wider dissemination as a specialty in 1985. This situation has implications for those doctors working in both primary and secondary care, and this paper describes a 3-day course which has been successfully run in the West Midlands, UK, since 1997 for family physicians in training. A pre-course survey of 250, with a response rate of 54%, in 2003 revealed that 100% of respondents felt that they needed further training, and 51.5% said that they had had no previous training in palliative care.
Confronting death: perceptions of a good death in adults with lung cancer.
p. 39-44
Hughes-Travonia, Schumacher-Mitzi, Jacobs-Lawson-Joy-M, Arnold- Susanne.
Abstract
Investigations regarding patients' concerns about death have focused on the importance of autonomy, resolution of concerns, family relationships, and religiosity, and relied on data from physicians, nurses, family members, and healthy older adults. Few studies have focused on patients with diseases that have short-term survival rates. This study examined lung cancer patients' perceptions of a good death. One hundred lung cancer patients answered open-ended questions about what a good death was and completed measures assessing coping, spirituality, religious coping, and life satisfaction. Content analysis revealed 4 themes describing a good death: (a) during sleep, (b) pain-free, (c) peaceful, and (d) quick. These findings have implications for those caring for terminally ill patients as the 4 themes differ from those derived from studies of more heterogeneous patients, their families, and health care providers.
A poor prognosis: guide or misleading?
p. 5-8
Wijnia-Jan-W, Corstiaensen-Inno-J-P-M.
Abstract
Patients admitted to a palliative care unit have a limited life expectancy. Sometimes, however, the accuracy of the prognosis is compromised by atypical progress of a disease or incorrect assumptions. If a predicted short life expectancy proves to be longer, the increased need of care may result in chronic admission and in a significantly reduced quality of life. A given poor prognosis may be mistakenly adhered to and might lead to insufficient diagnostic procedures or treatment. However, palliative care requires a patient-oriented and active approach. To be aware of possible incomplete diagnostics is an important step in preventing adverse consequences of a wrong prognosis.
p. 74-5
Marchese-Kyrra-A.
Comment on: Am J Hosp Palliat Care. 2007 Aug-Sep; 24(4):259-63
The ethical concept of best interest.
p. 56-62
Baumrucker-Steven-J, Sheldon-Joanne-E et al
Gabapentin for intractable hiccups in palliative care.
p. 52-4
Tegeler-Monica-L, Baumrucker-Steven-J.
Abstract
Intractable hiccups are not common in the general population or in the palliative care population but can adversely impact quality of life and cause other complications such as weight loss and sleep disturbance. Many treatments have been proposed for intractable hiccups, but there is little consensus regarding treatment in the medical literature. This is partly because hiccups are relatively uncommon and many of the proposed treatments are unproven or have long-term side effects. Pharmacologic treatments rather than home remedies or surgical treatments are more appropriate for the palliative care patient. Gabapentin is a promising medication for the treatment of intractable hiccups for its safety, lack of serious side effects, and rapid onset of action. Further research is indicated to determine whether gabapentin is consistently effective.
A day in the life: a case series of acute care palliative medicine-- the Cleveland model.
p. 24-32
Lagman-Ruth, Walsh-Declan, Heintz-Jessica, Legrand-Susan-B, Davis- Mellar-P.
Abstract
Palliative care in advanced disease is complex. Knowledge and experience of symptom control and management of multiple complications are essential. An interdisciplinary team is also required to meet the medical and psychosocial needs in life-limiting illness. Acute care palliative medicine is a new concept in the spectrum of palliative care services. Acute care palliative medicine, integrated into a tertiary academic medical center, provides expert medical management and specialized care as part of the spectrum of acute medical care services to this challenging patient population. The authors describe a case series to provide a snapshot of a typical day in an acute care inpatient palliative medicine unit. The cases illustrate the sophisticated medical care involved for each individual and the important skill sets of the palliative medicine specialist required to provide high-quality acute medical care for the very ill.
Narrative accounts of volunteers in palliative care settings.
p. 16-23
Guirguis-Younger-Manal, Grafanaki-Soti.
Abstract
The long and evolving tradition of palliative care has always had a strong volunteer dimension. The difficult nature of palliative care invites questions around why volunteers choose this particular line of contribution. To expand our knowledge of the elements that create meaning and capture the essence of volunteer experience, we asked volunteers to share the rewards and the challenges of their work and its personal meaning. Significant themes emerged around what volunteers considered the most valuable aspects of their experience. Volunteers identified freedom of choice and the ability to use their natural gifts as an important condition for satisfaction. In addition, they perceived emotional resilience and personal hardiness as important dimensions of their suitability for working in palliative care. Finally, volunteers felt that their approach must be one of a balanced perspective, with an understanding of life and death as part of the human condition.
Identification of quality indicators of end-of-life cancer care from medical chart review using a modified Delphi method in Japan.
p. 33-8
Miyashita-Mitsunori, Nakamura-Asumi, Morita-Tatsuya, Bito-Seiji.
Abstract
End-of life care is one of the principle components of cancer care. Measurement of the quality of care provided for end-of-life cancer patients is an important issue. The aim of this study was to identify the quality indicators (QIs) for end-of-life cancer care for Japanese patients using a medical chart review. A modified Delphi method for the development of QIs was adopted. Seventeen multi-professional specialists participated by rating the appropriateness and feasibility of potential QIs. Thirty QIs for end-of-life cancer care were ultimately identified within 4 domains: (1) symptom control, (2) decision-making and preference of care, (3) family care, and (4) psychosocial and spiritual concerns. These QIs will be useful for monitoring and evaluating end-of-life care for Japanese cancer patients. The QIs are feasible for use in any clinical setting and cover a comprehensive area in accordance with the World Health Organization's (WHO) definition of palliative care including physical, psychosocial, and spiritual concerns.
Documentation in palliative care: nursing documentation in a palliative care unit-a pilot study.
p. 45-51
Gunhardsson-Inger, Svensson-Anna, Berteroe-Carina
Abstract
Palliative care seeks to enhance quality of life in the face of death by addressing the physical, psychological, social, and spiritual needs of patients with advanced disease. The purpose of this paper is to explore whether palliative patients' needs, nursing actions, and evaluation can be identified in the nursing documentation. Data consisted of reviews of patients' case records in a palliative care unit. Data were analyzed using content analysis and counting frequency of keywords used from the Well-being Integrity Prevention and Safety (VIPS) model, followed by an inductive analysis of the case record documentation aiming to identify palliative care components. The result shows that the documentation revealed physical care, especially pain, more frequently than other needs. Nursing documentation focuses on identification more than on nursing actions and evaluation.
A UK perspective on worldwide inadequacies in palliative care training: a short postgraduate course is proposed.
p. 63-71
Charlton-Rodger, Currie-Andy.
Abstract
A chronological literature review illustrates how undergraduate and postgraduate education and training in the care of the dying and bereaved is inadequate worldwide. This is despite the foundation of the modern hospice movement in the United Kingdom in 1967 and its wider dissemination as a specialty in 1985. This situation has implications for those doctors working in both primary and secondary care, and this paper describes a 3-day course which has been successfully run in the West Midlands, UK, since 1997 for family physicians in training. A pre-course survey of 250, with a response rate of 54%, in 2003 revealed that 100% of respondents felt that they needed further training, and 51.5% said that they had had no previous training in palliative care.
Confronting death: perceptions of a good death in adults with lung cancer.
p. 39-44
Hughes-Travonia, Schumacher-Mitzi, Jacobs-Lawson-Joy-M, Arnold- Susanne.
Abstract
Investigations regarding patients' concerns about death have focused on the importance of autonomy, resolution of concerns, family relationships, and religiosity, and relied on data from physicians, nurses, family members, and healthy older adults. Few studies have focused on patients with diseases that have short-term survival rates. This study examined lung cancer patients' perceptions of a good death. One hundred lung cancer patients answered open-ended questions about what a good death was and completed measures assessing coping, spirituality, religious coping, and life satisfaction. Content analysis revealed 4 themes describing a good death: (a) during sleep, (b) pain-free, (c) peaceful, and (d) quick. These findings have implications for those caring for terminally ill patients as the 4 themes differ from those derived from studies of more heterogeneous patients, their families, and health care providers.
A poor prognosis: guide or misleading?
p. 5-8
Wijnia-Jan-W, Corstiaensen-Inno-J-P-M.
Abstract
Patients admitted to a palliative care unit have a limited life expectancy. Sometimes, however, the accuracy of the prognosis is compromised by atypical progress of a disease or incorrect assumptions. If a predicted short life expectancy proves to be longer, the increased need of care may result in chronic admission and in a significantly reduced quality of life. A given poor prognosis may be mistakenly adhered to and might lead to insufficient diagnostic procedures or treatment. However, palliative care requires a patient-oriented and active approach. To be aware of possible incomplete diagnostics is an important step in preventing adverse consequences of a wrong prognosis.
BMJ Learning modules
Here are the most popular modules in cancer for you to complete. The module on palliative care in the community has been among the most popular in the past 6 months.
Palliative care in the community "Very comprehensive overview of common problems encountered in practice"
Patients with recurrences of cancer: a guide to diagnosis and management
Managing the impact of a diagnosis of cancer
Side effects of chemotherapy: a practical guide for primary care
Athens username required
Palliative care in the community "Very comprehensive overview of common problems encountered in practice"
Patients with recurrences of cancer: a guide to diagnosis and management
Managing the impact of a diagnosis of cancer
Side effects of chemotherapy: a practical guide for primary care
Athens username required
Journal of palliative care, Winter 2007, vol. 23, no. 4
Teaching interprofessional teamwork in palliative care--a values- based approach.
Full text available at ProQuest
p. 280-5, 45 refs
Pettifer-Annie, Cooper-Jan, Munday-Daniel.
Author affiliation
Faculty of Health and Life Sciences, Coventry University, Coventry, UK.
Publication type
Journal-Article, Review.
Practising interprofessional team--work from the first day of class: a model for an interprofessional palliative care course.
Full text available at ProQuest
p. 273-9, 23 refs
Cadell-Susan, Bosma-Harvey, Johnston-Meaghen, Porterfield-Pat et al
Publication type
Journal-Article, Review.
Sustainable practice improvements: impact of the Comprehensive Advanced Palliative Care Education (CAPCE) program.
Full text available at ProQuest
p. 262-72
Harris-Diane, Hillier-Loretta-M, Keat-Nancy.
Abstract
This paper describes an education program designed to improve palliative care practice through the development of workplace hospice palliative care resources (PCRs), and its impact on knowledge transfer and longer-term changes to clinical practice. Evaluation methods included pre- and post-program questionnaires, and a survey of learners' (n=301) perceptions of program learning strategies. Interviews (n=21) were conducted with a purposeful sample of PCRs and representatives from their work sites. Ratings of the sessions indicated that they were relevant to learners' clinical practice. At follow up, the majority of learners (83%) continued to serve as PCRs. Many positive effects were identified, including enhanced pain and symptom management, staff education, and development of care policies and guidelines. Management support, particularly the prioritization of palliative care and staff development, were factors facilitating sustained implementation. These findings highlight the importance of multimodal learning strategies and supportive work environments in the development of PCRs to enhance palliative care practice.
Nurse-physician collaboration in pain management for terminally ill cancer patients treated at home in Japan.
Full text available at ProQuest
p. 255-61
Ishikawa-Hirono, Kawagoe-Koh, Kashiwagi-Masayo, Yano-Eiji.
Abstract
Collaboration between nurses and physicians is essential for successful pain management, especially in home care settings. This study describes how physicians collaborate with nurses for the pain management of terminally ill cancer patients treated at home in Japan, and evaluates the use of standing orders in pain management. Self-administered questionnaires were sent to all 565 institutions listed in a nationwide database of home care service providers for terminally ill cancer patients; 177 responding institutions were analyzed. In general, institutions caring for fewer patients per year were less likely to make specific efforts to collaborate with nurses and less likely to use standing orders in pain management. Given that many institutions provide home palliative care services on a small scale, a standard protocol for care should be developed and applied across all institutions to ensure the availability of quality home palliative care throughout the country.
Meta-analysis of survival prediction with Palliative Performance Scale.
Full text available at ProQuest
p. 245-52; discussion 252-4
Downing-Michael, Lau-Francis, Lesperance-Mary, Karlson-Nicholas, Shaw-Jack et al
Abstract
This paper aims to reconcile the use of Palliative Performance Scale (PPSv2) for survival prediction in palliative care through an international collaborative study by five research groups. The study involves an individual patient data meta-analysis on 1,808 patients from four original datasets to reanalyze their survival patterns by age, gender, cancer status, and initial PPS score. Our findings reveal a strong association between PPS and survival across the four datasets. The Kaplan-Meier survival curves show each PPS level as distinct, with a strong ordering effect in which higher PPS levels are associated with increased length of survival. Using a stratified Cox proportional hazard model to adjust for study differences, we found females lived significantly longer than males, with a further decrease in hazard for females not diagnosed with cancer. Further work is needed to refine the reporting of survival times /probabilities and to improve prediction accuracy with the inclusion of other variables in the models.
Full text available at ProQuest
p. 280-5, 45 refs
Pettifer-Annie, Cooper-Jan, Munday-Daniel.
Author affiliation
Faculty of Health and Life Sciences, Coventry University, Coventry, UK.
Publication type
Journal-Article, Review.
Practising interprofessional team--work from the first day of class: a model for an interprofessional palliative care course.
Full text available at ProQuest
p. 273-9, 23 refs
Cadell-Susan, Bosma-Harvey, Johnston-Meaghen, Porterfield-Pat et al
Publication type
Journal-Article, Review.
Sustainable practice improvements: impact of the Comprehensive Advanced Palliative Care Education (CAPCE) program.
Full text available at ProQuest
p. 262-72
Harris-Diane, Hillier-Loretta-M, Keat-Nancy.
Abstract
This paper describes an education program designed to improve palliative care practice through the development of workplace hospice palliative care resources (PCRs), and its impact on knowledge transfer and longer-term changes to clinical practice. Evaluation methods included pre- and post-program questionnaires, and a survey of learners' (n=301) perceptions of program learning strategies. Interviews (n=21) were conducted with a purposeful sample of PCRs and representatives from their work sites. Ratings of the sessions indicated that they were relevant to learners' clinical practice. At follow up, the majority of learners (83%) continued to serve as PCRs. Many positive effects were identified, including enhanced pain and symptom management, staff education, and development of care policies and guidelines. Management support, particularly the prioritization of palliative care and staff development, were factors facilitating sustained implementation. These findings highlight the importance of multimodal learning strategies and supportive work environments in the development of PCRs to enhance palliative care practice.
Nurse-physician collaboration in pain management for terminally ill cancer patients treated at home in Japan.
Full text available at ProQuest
p. 255-61
Ishikawa-Hirono, Kawagoe-Koh, Kashiwagi-Masayo, Yano-Eiji.
Abstract
Collaboration between nurses and physicians is essential for successful pain management, especially in home care settings. This study describes how physicians collaborate with nurses for the pain management of terminally ill cancer patients treated at home in Japan, and evaluates the use of standing orders in pain management. Self-administered questionnaires were sent to all 565 institutions listed in a nationwide database of home care service providers for terminally ill cancer patients; 177 responding institutions were analyzed. In general, institutions caring for fewer patients per year were less likely to make specific efforts to collaborate with nurses and less likely to use standing orders in pain management. Given that many institutions provide home palliative care services on a small scale, a standard protocol for care should be developed and applied across all institutions to ensure the availability of quality home palliative care throughout the country.
Meta-analysis of survival prediction with Palliative Performance Scale.
Full text available at ProQuest
p. 245-52; discussion 252-4
Downing-Michael, Lau-Francis, Lesperance-Mary, Karlson-Nicholas, Shaw-Jack et al
Abstract
This paper aims to reconcile the use of Palliative Performance Scale (PPSv2) for survival prediction in palliative care through an international collaborative study by five research groups. The study involves an individual patient data meta-analysis on 1,808 patients from four original datasets to reanalyze their survival patterns by age, gender, cancer status, and initial PPS score. Our findings reveal a strong association between PPS and survival across the four datasets. The Kaplan-Meier survival curves show each PPS level as distinct, with a strong ordering effect in which higher PPS levels are associated with increased length of survival. Using a stratified Cox proportional hazard model to adjust for study differences, we found females lived significantly longer than males, with a further decrease in hazard for females not diagnosed with cancer. Further work is needed to refine the reporting of survival times /probabilities and to improve prediction accuracy with the inclusion of other variables in the models.
A study of a training scheme for Macmillan nurses in Northern Ireland.
A study of a training scheme for Macmillan nurses in Northern Ireland.
Journal of clinical nursing, {J-Clin-Nurs}, Jan 2008, vol. 17, no. 2, p. 242-9
Gail-Johnston.
Macmillan Cancer Support, Macmillan Education Unit, Belfast, UK. Gjohnston@Macmillan.org.uk.
Abstract
AIM: To evaluate a one year training scheme for Macmillan Nurses. BACKGROUND: The role of the clinical nurse specialist has evolved and expanded greatly over the past few years so that it now encompasses components far beyond the traditional nursing remit of direct clinical practice. While several studies have looked at the barriers and facilitators to this process for clinical nurse specialists in particular, none has looked at the benefits of a structured training scheme which involves both a theoretical and clinical component. METHODS: Tape recorded, semi-structured interviews were undertaken with a purposive sample of trainees who undertook the scheme, their practice-based facilitators and another person(s) involved in the trainee's support. ANALYSIS: Tapes were transcribed verbatim and each transcript anonymized to prevent identification of participants. Data were analysed thematically using the main headings of expectations, experience and impact and the structured prompts from the aide-memoir within these headings. RESULTS: Results showed that the majority of respondents felt the scheme had been successful with one of the main achievements being that trainees were perceived to be adequately prepared to take on the role of a CNS on completion of the scheme. While the Role Development Programme was thought to provide a good academic structure for the scheme some participants thought that more theory on symptom control and communication skills and a placement in a specialist palliative care centre should also be included. CONCLUSION: The Macmillan Trainee Scheme has succeeded in its objectives to facilitate the transition from generalist to specialist nursing. It should be extended to include an induction and consolidation period and more theoretical input on communication skills and symptom control. RELEVANCE TO CLINICAL PRACTICE: With these improvements, the scheme could be used as a standard model for training specialist practitioners and a means to address the current issues of workforce planning.
Journal of clinical nursing, {J-Clin-Nurs}, Jan 2008, vol. 17, no. 2, p. 242-9
Gail-Johnston.
Macmillan Cancer Support, Macmillan Education Unit, Belfast, UK. Gjohnston@Macmillan.org.uk.
Abstract
AIM: To evaluate a one year training scheme for Macmillan Nurses. BACKGROUND: The role of the clinical nurse specialist has evolved and expanded greatly over the past few years so that it now encompasses components far beyond the traditional nursing remit of direct clinical practice. While several studies have looked at the barriers and facilitators to this process for clinical nurse specialists in particular, none has looked at the benefits of a structured training scheme which involves both a theoretical and clinical component. METHODS: Tape recorded, semi-structured interviews were undertaken with a purposive sample of trainees who undertook the scheme, their practice-based facilitators and another person(s) involved in the trainee's support. ANALYSIS: Tapes were transcribed verbatim and each transcript anonymized to prevent identification of participants. Data were analysed thematically using the main headings of expectations, experience and impact and the structured prompts from the aide-memoir within these headings. RESULTS: Results showed that the majority of respondents felt the scheme had been successful with one of the main achievements being that trainees were perceived to be adequately prepared to take on the role of a CNS on completion of the scheme. While the Role Development Programme was thought to provide a good academic structure for the scheme some participants thought that more theory on symptom control and communication skills and a placement in a specialist palliative care centre should also be included. CONCLUSION: The Macmillan Trainee Scheme has succeeded in its objectives to facilitate the transition from generalist to specialist nursing. It should be extended to include an induction and consolidation period and more theoretical input on communication skills and symptom control. RELEVANCE TO CLINICAL PRACTICE: With these improvements, the scheme could be used as a standard model for training specialist practitioners and a means to address the current issues of workforce planning.
What health care providers know (and need to know) about palliative care.
What health care providers know (and need to know) about palliative care.
Full text available at ProQuest
Journal of allied health, {J-Allied-Health}, Winter 2007, vol. 36, no. 4, p. 209-15
Fox-Charles-R.
Abstract
Health care education has been widely criticized for not providing training in end-of-life care. Despite calls from various scientific and professional organizations for formal educational improvement, most education in this area is on the job. The current project is a secondary analysis of a surveyed convenience sample (n = 608) of health care providers in Kansas to determine knowledge, background, perceptions, and opinions about pain management and end-of-life care. The sample was primarily nurses (73%), with a small representation of other disciplines. The results of the survey indicate that providers believe they are ill prepared to provide palliative care and want professional education to improve knowledge and skills in this area. In addition, they state a need for increased support from insurers and legal and regulatory agencies to provide an acceptable standard of care. Providers responding to the survey also believe there is a significant need for patient education in this area.
Full text available at ProQuest
Journal of allied health, {J-Allied-Health}, Winter 2007, vol. 36, no. 4, p. 209-15
Fox-Charles-R.
Abstract
Health care education has been widely criticized for not providing training in end-of-life care. Despite calls from various scientific and professional organizations for formal educational improvement, most education in this area is on the job. The current project is a secondary analysis of a surveyed convenience sample (n = 608) of health care providers in Kansas to determine knowledge, background, perceptions, and opinions about pain management and end-of-life care. The sample was primarily nurses (73%), with a small representation of other disciplines. The results of the survey indicate that providers believe they are ill prepared to provide palliative care and want professional education to improve knowledge and skills in this area. In addition, they state a need for increased support from insurers and legal and regulatory agencies to provide an acceptable standard of care. Providers responding to the survey also believe there is a significant need for patient education in this area.
Subscribe to:
Posts (Atom)
