Robyn Graham1, Carolan Lepage1, Madalina Boitor2, Stephanie Petizian3, Lise Fillion4, Céline Gélinas5. 1. Ingram School of Nursing, McGill University, 680 Sherbrooke West, Montreal H3A 2M7, Canada. 2. Ingram School of Nursing, McGill University, 680 Sherbrooke West, Montreal H3A 2M7, Canada; Centre for Nursing Research and Lady Davis Institute, Jewish General Hospital, 3755 Côte Ste-Catherine Road, Montreal H3T 1E2, Canada. 3. Jewish General Hospital, 3755 Ch de la Côte-Sainte-Catherine, Montreal H3T 1E2, Canada. 4. Faculty of Nursing, Laval University, 1050 Avenue de la Medecine, Quebec G1V 0A6, Canada. 5. Ingram School of Nursing, McGill University, 680 Sherbrooke West, Montreal H3A 2M7, Canada; Centre for Nursing Research and Lady Davis Institute, Jewish General Hospital, 3755 Côte Ste-Catherine Road, Montreal H3T 1E2, Canada. Electronic address: celine.gelinas@mcgill.ca.
Abstract
OBJECTIVES: This study aimed to describe a seven hour End-of-Life/Palliative Care educational intervention including online content related to symptom management, communication and decision-making capacity and an in-person group integration activity, from the perspective of the interprofessional team in terms of its acceptability and feasibility. RESEARCH DESIGN: A mixed-methods study design was used. SETTING AND SAMPLE: The study was conducted in a medical-surgical Intensive Care Unit in Montreal, Canada. The sample consisted of 27 clinicians of the Intensive Care Unit interprofessional team who completed the End-of-Life/Palliative Care educational intervention, and participated in focus groups and completed a self-administered questionnaire. MAIN OUTCOME MEASURES: The main outcomes were the acceptability and feasibility of the educational intervention. FINDINGS: The intervention was perceived to be appropriate and suitable in providing clinicians with knowledge and skills in symptom management and communication through self-reflection and self-evaluation, provision of assessment tools and promotion of interprofessional teamwork. The online format was more feasible, but the in-person group activity was key for the integration of knowledge and the promotion of interprofessional discussions. CONCLUSION: Findings suggest that an interprofessional educational intervention integrating on-line content with in-person training has the potential to support clinicians in providing quality End-of-Life/Palliative Care in the Intensive Care Unit.
OBJECTIVES: This study aimed to describe a seven hour End-of-Life/Palliative Care educational intervention including online content related to symptom management, communication and decision-making capacity and an in-person group integration activity, from the perspective of the interprofessional team in terms of its acceptability and feasibility. RESEARCH DESIGN: A mixed-methods study design was used. SETTING AND SAMPLE: The study was conducted in a medical-surgical Intensive Care Unit in Montreal, Canada. The sample consisted of 27 clinicians of the Intensive Care Unit interprofessional team who completed the End-of-Life/Palliative Care educational intervention, and participated in focus groups and completed a self-administered questionnaire. MAIN OUTCOME MEASURES: The main outcomes were the acceptability and feasibility of the educational intervention. FINDINGS: The intervention was perceived to be appropriate and suitable in providing clinicians with knowledge and skills in symptom management and communication through self-reflection and self-evaluation, provision of assessment tools and promotion of interprofessional teamwork. The online format was more feasible, but the in-person group activity was key for the integration of knowledge and the promotion of interprofessional discussions. CONCLUSION: Findings suggest that an interprofessional educational intervention integrating on-line content with in-person training has the potential to support clinicians in providing quality End-of-Life/Palliative Care in the Intensive Care Unit.
Authors: Maureen Thodé; H Roeline W Pasman; Liesbeth M van Vliet; Olga C Damman; Johannes C F Ket; Anneke L Francke; Irene P Jongerden Journal: BMJ Support Palliat Care Date: 2020-10-05 Impact factor: 4.633