Learner Experiences Matter in Interprofessional Palliative Care Education: A Mixed Methods Study

被引:10
作者
Pereira, Jose [1 ,2 ,3 ]
Meadows, Lynn [4 ]
Kljujic, Dragan
Strudsholm, Tina [5 ]
Parsons, Henrique [6 ]
Riordan, Brady [1 ]
Faulkner, Jonathan [1 ]
Fisher, Kathryn [7 ]
机构
[1] Pallium, Ottawa, ON, Canada
[2] McMaster Univ, Div Palliat Care, Dept Family Med, Hamilton, ON, Canada
[3] Univ Navara, Inst Culture & Soc ICS, Pamplona, Spain
[4] Univ Calgary, Cumming Sch Med, Dept Community Hlth Sci, Calgary, AB, Canada
[5] Univ Northern British Columbia, Sch Hlth Sci, Prince George, BC, Canada
[6] Univ Ottawa, Dept Med, Div Palliat Care, Ottawa, ON, Canada
[7] McMaster Univ, Sch Nursing, Fac Hlth Sci, Hamilton, ON, Canada
关键词
Palliative; education; interprofessional; palliative approach; primary care; NURSES PERCEPTIONS; QUALITATIVE DATA; LIFE CARE; 12; TIPS; PHYSICIAN; END; COMPETENCES; OUTCOMES; COMMUNICATION; MANAGEMENT;
D O I
10.1016/j.jpainsymman.2021.12.034
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Context. Interprofessional collaboration is needed in palliative care and many other areas in health care. Pallium Canada's two-day interprofessional Learning Essential Approaches to Palliative care Core courses aim to equip primary care providers from different professions with core palliative care skills. Objectives. Explore the learning experience of learners from different professions who participated in Learning Essential Approaches to Palliative care Core courses from April 2015 to March 2017. Methods. This mixed methods study was designed as a secondary analysis of existing data. Learners had completed a standardized course evaluation survey online immediately post-course. The survey explored the learning experience across several domains and consisted of seven closed ended (Likert Scales; 1 = "Total Disagree", 5 = "Totally Agree") and three open-ended questions. Quantitative data were analyzed using descriptive statistics and Kruskal-Wallis non-parametric test tests, and qualitative data underwent thematic analysis. Results. During the study period, 244 courses were delivered; 3045 of 4636 participants responded (response rate 66%); physicians (662), nurses (1973), pharmacists (74), social workers (80), and other professions (256). Overall, a large majority of learners (96%) selected "Totally Agree" or "Agree" for the statement "the course was relevant to my practice". A significant difference was noted across profession groups; X-2 (4) = 138; p < 0.001. Post-hoc analysis found the differences to exist between physicians and pharmacists (X-2 = -4.75; p < 0.001), and physicians and social workers (X-2 = -6.63; p < 0.001). No significant differences were found between physicians and nurses (X-2 = 1.31; p = 1.00), and pharmacists and social workers (X-2 = -1.25; p = 1.00). Similar results were noted for five of the other statements. Conclusion. Learners from across profession groups reported this interprofessional course highly across several learning experience parameters, including relevancy for their respective professions. Ongoing curriculum design is needed to fully accommodate the specific learning needs of some of the professions. (C) 2022 The Authors. Published by Elsevier Inc. on behalf of American Academy of Hospice and Palliative Medicine.
引用
收藏
页码:698 / 710
页数:13
相关论文
共 60 条
[51]   The public health strategy for palliative care [J].
Stjernsward, Jan ;
Foley, Kathleen M. ;
Ferris, Frank D. .
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT, 2007, 33 (05) :486-493
[52]   Do Academic Health Care Systems Really Value Education? A Survey of Academic Plastic Surgeons [J].
Sun, Helen H. ;
Pourtaheri, Navid ;
Janis, Jeffrey E. ;
Becker, Devra B. .
PLASTIC AND RECONSTRUCTIVE SURGERY-GLOBAL OPEN, 2018, 6 (10)
[53]   Interprofessional collaboration between junior doctors and nurses in the general ward setting: A qualitative exploratory study [J].
Tang, Charmaine J. ;
Zhou, Wen T. ;
Chan, Sally W. -C. ;
Liaw, Sok Y. .
JOURNAL OF NURSING MANAGEMENT, 2018, 26 (01) :11-18
[54]  
Thurston W., 2008, International Journal of Multiple Research Approaches, V2, P2, DOI DOI 10.5172/MRA.455.2.1.2
[55]   Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare [J].
Weller, Jennifer ;
Boyd, Matt ;
Cumin, David .
POSTGRADUATE MEDICAL JOURNAL, 2014, 90 (1061) :149-154
[56]  
Weston W Wayne, 2018, Can Med Educ J, V9, pe109
[57]   Management of a Large Qualitative Data Set: Establishing Trustworthiness of the Data [J].
White, Debbie Elizabeth ;
Oelke, Nelly D. ;
Friesen, Steven .
INTERNATIONAL JOURNAL OF QUALITATIVE METHODS, 2012, 11 (03) :244-258
[58]   Nurses' Perceptions of Educational Gaps in Delivering End-of-Life Care [J].
White, Kenneth R. ;
Coyne, Patrick J. .
ONCOLOGY NURSING FORUM, 2011, 38 (06) :711-717
[59]   Outcome Evaluation of the Palliative Care Emphasis Program on Symptom Management and Assessment for Continuous Medical Education: Nationwide Physician Education Project for Primary Palliative Care in Japan [J].
Yamamoto, Ryo ;
Kizawa, Yoshiyuki ;
Nakazawa, Yoko ;
Ohde, Sachiko ;
Tetsumi, Sato ;
Miyashita, Mitsunori .
JOURNAL OF PALLIATIVE MEDICINE, 2015, 18 (01) :45-49
[60]   Knowledge translation and interprofessional collaboration: Where the rubber of evidence-based care hits the road of teamwork [J].
Zwarenstein, M ;
Reeves, S .
JOURNAL OF CONTINUING EDUCATION IN THE HEALTH PROFESSIONS, 2006, 26 (01) :46-54