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Improving confidence and competence of healthcare professionals in end-of-life care: an evaluation of the 'Transforming End of Life Care' course at an acute hospital trust

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Improving confidence and competence of healthcare professionals in end-of-life care : an evaluation of the 'Transforming End of Life Care' course at an acute hospital trust. / Selman, Lucy; Robinson, Vicky; Klass, Lara; Khan, Shaheen; George, Rob; Shepherd, Kate; Burman, Rachel; Koffman, Jonathan.

In: BMJ Supportive & Palliative Care, 22.11.2015.

Research output: Contribution to journalArticle

Harvard

Selman, L, Robinson, V, Klass, L, Khan, S, George, R, Shepherd, K, Burman, R & Koffman, J 2015, 'Improving confidence and competence of healthcare professionals in end-of-life care: an evaluation of the 'Transforming End of Life Care' course at an acute hospital trust', BMJ Supportive & Palliative Care. https://doi.org/10.1136/bmjspcare-2015-000879

APA

Selman, L., Robinson, V., Klass, L., Khan, S., George, R., Shepherd, K., Burman, R., & Koffman, J. (2015). Improving confidence and competence of healthcare professionals in end-of-life care: an evaluation of the 'Transforming End of Life Care' course at an acute hospital trust. BMJ Supportive & Palliative Care. https://doi.org/10.1136/bmjspcare-2015-000879

Vancouver

Selman L, Robinson V, Klass L, Khan S, George R, Shepherd K et al. Improving confidence and competence of healthcare professionals in end-of-life care: an evaluation of the 'Transforming End of Life Care' course at an acute hospital trust. BMJ Supportive & Palliative Care. 2015 Nov 22. https://doi.org/10.1136/bmjspcare-2015-000879

Author

Selman, Lucy ; Robinson, Vicky ; Klass, Lara ; Khan, Shaheen ; George, Rob ; Shepherd, Kate ; Burman, Rachel ; Koffman, Jonathan. / Improving confidence and competence of healthcare professionals in end-of-life care : an evaluation of the 'Transforming End of Life Care' course at an acute hospital trust. In: BMJ Supportive & Palliative Care. 2015.

Bibtex Download

@article{2caeedde4b2245cabd909816d6e79a3f,
title = "Improving confidence and competence of healthcare professionals in end-of-life care: an evaluation of the 'Transforming End of Life Care' course at an acute hospital trust",
abstract = "BACKGROUND: UK policymakers, clinicians and public wish to see improvements in end-of-life care (EoLC). However, healthcare professionals' skills and knowledge to deliver high-quality care are often lacking. Since May 2012, palliative care staff in an inner-city tertiary hospital have run a 2-day Transforming End of Life Care (TEoLC) course to improve EoLC confidence, and competence among hospital and community staff.AIM: To evaluate course participants' self-rated confidence, competence and knowledge of EoLC topics.EVALUATION DESIGN: A before-and-after design using self-completion questionnaires, precourse and postcourse. 14 self-assessment questions examined confidence, understanding and knowledge of EoLC topics. Mean change scores and paired t tests were calculated and free-text responses analysed thematically.PARTICIPANTS: 236 staff members completed the course between May 2012 and April 2014. 42% worked in hospitals and 55% in the community; the most frequent staff roles were qualified nurses (49%), senior nurses (16%) and general practitioners (15%).RESULTS: All 14 self-assessment topics improved significantly (p<0.001); most improved was 'understanding and implementing Fast Track discharge'. Qualitative data showed increased knowledge and confidence in EoLC, particularly in communication, commitment to team work and holistic care. Overall, 217 (92%) participants would recommend the course and 215 (98%) indicated it would influence their practice.CONCLUSIONS: The TEoLC course improved participants' self-rated confidence, competence and knowledge in EoLC. Findings have utility beyond the UK in light of the international policy recommendations to improve the palliative care skills of generalist healthcare providers.",
author = "Lucy Selman and Vicky Robinson and Lara Klass and Shaheen Khan and Rob George and Kate Shepherd and Rachel Burman and Jonathan Koffman",
note = "Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/",
year = "2015",
month = nov,
day = "22",
doi = "10.1136/bmjspcare-2015-000879",
language = "English",
journal = "BMJ Supportive and Palliative Care",
issn = "2045-435X",
publisher = "BMJ Publishing Group",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Improving confidence and competence of healthcare professionals in end-of-life care

T2 - an evaluation of the 'Transforming End of Life Care' course at an acute hospital trust

AU - Selman, Lucy

AU - Robinson, Vicky

AU - Klass, Lara

AU - Khan, Shaheen

AU - George, Rob

AU - Shepherd, Kate

AU - Burman, Rachel

AU - Koffman, Jonathan

N1 - Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

PY - 2015/11/22

Y1 - 2015/11/22

N2 - BACKGROUND: UK policymakers, clinicians and public wish to see improvements in end-of-life care (EoLC). However, healthcare professionals' skills and knowledge to deliver high-quality care are often lacking. Since May 2012, palliative care staff in an inner-city tertiary hospital have run a 2-day Transforming End of Life Care (TEoLC) course to improve EoLC confidence, and competence among hospital and community staff.AIM: To evaluate course participants' self-rated confidence, competence and knowledge of EoLC topics.EVALUATION DESIGN: A before-and-after design using self-completion questionnaires, precourse and postcourse. 14 self-assessment questions examined confidence, understanding and knowledge of EoLC topics. Mean change scores and paired t tests were calculated and free-text responses analysed thematically.PARTICIPANTS: 236 staff members completed the course between May 2012 and April 2014. 42% worked in hospitals and 55% in the community; the most frequent staff roles were qualified nurses (49%), senior nurses (16%) and general practitioners (15%).RESULTS: All 14 self-assessment topics improved significantly (p<0.001); most improved was 'understanding and implementing Fast Track discharge'. Qualitative data showed increased knowledge and confidence in EoLC, particularly in communication, commitment to team work and holistic care. Overall, 217 (92%) participants would recommend the course and 215 (98%) indicated it would influence their practice.CONCLUSIONS: The TEoLC course improved participants' self-rated confidence, competence and knowledge in EoLC. Findings have utility beyond the UK in light of the international policy recommendations to improve the palliative care skills of generalist healthcare providers.

AB - BACKGROUND: UK policymakers, clinicians and public wish to see improvements in end-of-life care (EoLC). However, healthcare professionals' skills and knowledge to deliver high-quality care are often lacking. Since May 2012, palliative care staff in an inner-city tertiary hospital have run a 2-day Transforming End of Life Care (TEoLC) course to improve EoLC confidence, and competence among hospital and community staff.AIM: To evaluate course participants' self-rated confidence, competence and knowledge of EoLC topics.EVALUATION DESIGN: A before-and-after design using self-completion questionnaires, precourse and postcourse. 14 self-assessment questions examined confidence, understanding and knowledge of EoLC topics. Mean change scores and paired t tests were calculated and free-text responses analysed thematically.PARTICIPANTS: 236 staff members completed the course between May 2012 and April 2014. 42% worked in hospitals and 55% in the community; the most frequent staff roles were qualified nurses (49%), senior nurses (16%) and general practitioners (15%).RESULTS: All 14 self-assessment topics improved significantly (p<0.001); most improved was 'understanding and implementing Fast Track discharge'. Qualitative data showed increased knowledge and confidence in EoLC, particularly in communication, commitment to team work and holistic care. Overall, 217 (92%) participants would recommend the course and 215 (98%) indicated it would influence their practice.CONCLUSIONS: The TEoLC course improved participants' self-rated confidence, competence and knowledge in EoLC. Findings have utility beyond the UK in light of the international policy recommendations to improve the palliative care skills of generalist healthcare providers.

UR - http://www.scopus.com/inward/record.url?scp=84973338431&partnerID=8YFLogxK

U2 - 10.1136/bmjspcare-2015-000879

DO - 10.1136/bmjspcare-2015-000879

M3 - Article

C2 - 26597902

JO - BMJ Supportive and Palliative Care

JF - BMJ Supportive and Palliative Care

SN - 2045-435X

ER -

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