4.1 Article

Palliative Care: The Essentials: Evaluation of a Multidisciplinary Education Program

Journal

JOURNAL OF PALLIATIVE MEDICINE
Volume 11, Issue 8, Pages 1122-1129

Publisher

MARY ANN LIEBERT INC
DOI: 10.1089/jpm.2008.0044

Keywords

-

Funding

  1. Australian Government Department of Health and Ageing
  2. Victorian Department of Human Services

Ask authors/readers for more resources

Background: Despite the world-wide growth of specialist palliative care services, the bulk of care and decision making at the end of life are delivered in general hospital, primary care, and aged care settings. Health workers of all disciplines therefore need to develop attitudes, knowledge, and skills required to deliver palliative care. Aim: To develop, deliver, and evaluate a short multidisciplinary education program focusing on the core elements of palliative care. Method: A 2-day program was developed by an expert panel comprising academics, policy makers, clinicians, and a caregiver representative. Evaluation consisted of a pretest/posttest questionnaire aimed at identifying participants' palliative care knowledge and confidence at three time points; prior to attending the program, at the conclusion of the program, and 1 month later. In addition a session evaluation questionnaire sought to determine whether the session was interesting, informative, and useful. Results: The program was delivered four times in both metropolitan and regional areas of Australia to a total of 537 participants incorporating a range of disciplines and care settings. Participants reported significant improvement in key areas including; ability to identify patients likely to benefit from a palliative approach, communication skills, symptom management, family-centered care, legal and ethical issues, and grief and bereavement. Conclusions: The majority of participants identified that the program increased their levels of interest, knowledge, and confidence in relation to palliative care. The findings demonstrate that multidisciplinary educational approaches of this type can be effective in the context of delivering palliative care education. The high demand to attend the program suggests the need for ongoing palliative care educational activities.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.1
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Health Care Sciences & Services

Are family carers part of the care team providing end-of-life care? A qualitative interview study on the collaboration between family and professional carers

Maarten Vermorgen, Isabel Vandenbogaerde, Chantal Van Audenhove, Peter Hudson, Luc Deliens, Joachim Cohen, Aline De Vleminck

Summary: This study investigated how family carers of people with a life-limiting chronic illness perceive collaboration with healthcare professionals in the last phase of life. Results revealed that family carers experience many possibilities, but also perceive missed opportunities for effective collaboration in palliative care.

PALLIATIVE MEDICINE (2021)

Article Health Care Sciences & Services

Validation of the responding to urgency of need in palliative care (RUN-PC) triage tool

Bethany Russell, Jennifer Philip, Olivia Wawryk, Sara Vogrin, Jodie Burchell, Anna Collins, Brian Le, Caroline Brand, Peter Hudson, Vijaya Sundararajan

Summary: The study demonstrated that the RUN-PC Triage Tool has good intra- and inter-rater reliability in various clinical settings and moderate to good correlation with expert opinions, making it a reliable and valid tool for prioritizing patient care in palliative care services.

PALLIATIVE MEDICINE (2021)

Review Health Care Sciences & Services

Implementability of healthcare interventions: an overview of reviews and development of a conceptual framework

Marlena Klaic, Suzanne Kapp, Peter Hudson, Wendy Chapman, Linda Denehy, David Story, Jill J. Francis

Summary: Implementation research is crucial in translating evidence into practice. The study aims to develop a testable conceptual framework of implementability for healthcare interventions by exploring concepts like acceptability, fidelity, feasibility, scalability, and sustainability.

IMPLEMENTATION SCIENCE (2022)

Editorial Material Medicine, General & Internal

Reframing palliative care to improve the quality of life of people diagnosed with a serious illness

Peter Hudson, Anna Collins, Mark Boughey, Jennifer Philip

Summary: The approach aims to improve the well-being of people with serious illness by reframing palliative care.

MEDICAL JOURNAL OF AUSTRALIA (2021)

Editorial Material Health Care Sciences & Services

Family carers research: What progress has been made?

Sheila Payne, Peter Hudson, Gunn Grande

PALLIATIVE MEDICINE (2022)

Article Health Care Sciences & Services

How are family caregivers of people with a serious illness supported by healthcare professionals in their caregiving tasks? A cross-sectional survey of bereaved family caregivers

Orphe Matthys, Sigrid Dierickx, Luc Deliens, Lore Lapeire, Peter Hudson, Chantal Van Audenhove, Aline De Vleminck, Joachim Cohen

Summary: Due to medical advances and an increasingly ageing population, the number of people living with a serious illness is rising. This study investigates how healthcare professionals support family caregivers of people with serious illness in their caregiving tasks. The results show that most family caregivers receive support from healthcare professionals, but there is a need for an empowering support strategy and improvement in end-of-life communication.

PALLIATIVE MEDICINE (2022)

Article Oncology

Carer preparedness improved by providing a supportive educational intervention for carers of patients with high-grade glioma: RCT results

Georgia K. B. Halkett, Elizabeth A. Lobb, Jane L. Phillips, Emma K. McDougall, Jenny Clarke, Rachel Campbell, Haryana M. Dhillon, Kevin McGeechan, Peter Hudson, Anne King, Helen Wheeler, Marina Kastelan, Anne Long, Anna K. Nowak, Care-IS Project Team

Summary: This study aimed to improve the preparedness and reduce distress of family carers through a nurse-led intervention. The complex intervention consisted of telephone assessment, resource folder, home visit, and monthly telephone support. The results showed that the intervention group had significantly higher preparedness for caregiving, but there was no difference in distress reduction.

JOURNAL OF NEURO-ONCOLOGY (2023)

Article Health Care Sciences & Services

Strategies and checklist for designing and conducting palliative care research with family carers: EAPC international expert elicitation study

P. L. Hudson, C. Gardiner, A. Alvariza, Nicholas J. Dionne-Odom, J. Ohlen, E. Carduff, R. Harding, E. Witkamp, S. Payne

Summary: This study aims to improve the design and conduct of research with family carers to enhance methodological rigor. The research team developed strategies and checklist through expert elicitation and literature review, to assist researchers in planning, conducting, and disseminating research involving family carers.

PALLIATIVE MEDICINE (2023)

Article Health Care Sciences & Services

Support from healthcare professionals in empowering family carers to discuss advance care planning: A population-based survey

Vandenbogaerde Isabel, Cohen Joachim, Hudson Peter, Van Audehove Chantal, Deliens Luc, De Vleminck Aline

Summary: This study investigated the proportion of family carers who engaged in advance care planning conversations with their dying relative and the support they received from healthcare professionals. The findings showed that many family carers have these conversations and receive support from healthcare professionals. However, further research is needed on how to support family carers in conducting these conversations.

PALLIATIVE MEDICINE (2023)

Review Health Care Sciences & Services

The concept of holism applied in recent palliative care practice: A scoping review

Andrea Bryk, Greg Roberts, Peter Hudson, Louise Harms, Marie Gerdtz

Summary: This scoping review aimed to explore the application of holism in recent palliative care practice. The findings revealed that holism is conceptualized as an overarching theoretical framework and positioned as an adjunct to palliative models of care, but it is not the primary focus in core service delivery. The study identified key features of holism and core domains in palliative care, highlighting the importance of further research to examine the link between holism and applied palliative care practices.

PALLIATIVE MEDICINE (2023)

Article Health Care Sciences & Services

Assessing the quality of care for people dying of cancer in hospital: development of the QualDeath framework

Peter Hudson, Hannah Gould, David Marco, Megan Mclean, Wendy Benson, Maria Coperchini, Brian Le, Sue-Anne McLachlan, Jennifer Philip, Mark Boughey, Fiona McKinnon

Summary: The research team developed a systematic appraisal framework (QualDeath) to assess the quality of dying and death for patients with advanced cancer. The framework offers four levels of implementation and includes medical record review, multidisciplinary meetings, quality of end-of-life care surveys, and bereavement interviews. Its purpose is to assist hospitals in evaluating end-of-life care.

AUSTRALIAN HEALTH REVIEW (2023)

Article Health Care Sciences & Services

Evaluation of an online toolkit for carers of people with a life-limiting illness at the end-of-life: health professionals' perspectives

D. Parker, P. Hudson, J. Tieman, K. Thomas, D. Saward, S. Ivynian

Summary: CarerHelp is an e-health toolkit focusing on the information and support needs of carers of people with a life-limiting illness. The study found that it can increase carers' preparedness and confidence, improve their knowledge of services, and enhance carers' psychological wellbeing according to feedback from health professionals.

AUSTRALIAN JOURNAL OF PRIMARY HEALTH (2021)

Article Health Policy & Services

Determining the informational needs of family caregivers of people with intellectual disability who require palliative care: A qualitative study

Laurie McKibben, Kevin Brazil, Dorry McLaughlin, Peter Hudson

Summary: This study aimed to determine the informational needs of family caregivers of people with intellectual disabilities who require palliative care. Family caregivers mainly reported information needs concerning the disease, financial entitlements, and practical support which could change over the disease trajectory. A co-designed logic model presents these needs and how they may be addressed, advocating for central coordinators for these caregivers. This model could have international applicability for similar family carers, supporting people with other disabilities or cognitive impairment, and should be further explored.

PALLIATIVE & SUPPORTIVE CARE (2021)

Article Health Care Sciences & Services

Do family meetings for hospitalised palliative care patients improve outcomes and reduce health care costs? A cluster randomised trial

Peter Hudson, Afaf Girgis, Kristina Thomas, Jennifer Philip, David C. Currow, Geoffrey Mitchell, Deborah Parker, Danny Liew, Caroline Brand, Brian Le, Juli Moran

Summary: Family meetings can help reduce psychological distress and enhance preparedness of family caregivers for their role. The study results suggest that these meetings may be conducted without increasing hospital health utilization impacts. Further health economic examination is recommended to fully understand the cost-benefit implications.

PALLIATIVE MEDICINE (2021)

Article Health Care Sciences & Services

Developing a model of bereavement care in an adult tertiary hospital

Matthew Grant, Peter Hudson, Annie Forrest, Anna Collins, Fiona Israel

Summary: This study aimed to develop a comprehensive, evidence-based model of bereavement care specific to the needs of an Australian acute hospital. Staff and bereaved family members supported a systematic approach to bereavement, perceiving the need for greater support, training, coordination, and follow-up.

AUSTRALIAN HEALTH REVIEW (2021)

No Data Available