Eithne Hayes Bauer1, Georg Bollig1,2, Karin B Dieperink3,4. 1. Medical Department, University Hospital of Southern Jutland, Aabenraa, Denmark. 2. IRS-centre South Jutland, University of Southern Denmark, Palliative Team and Department for Palliative Care, Medical Department, University Hospital of Southern Jutland, Aabenraa, Denmark. 3. Department of Oncology, Odense University Hospital, Odense C, Denmark. 4. Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
Abstract
BACKGROUND: Medical advancements, limited resources and shifting demographics have increased the number of patients with palliative care needs in primary care. To address educational needs, the specialised palliative care team of South Jutland, Denmark, created a telemedicine educational programme in palliative care to empower district nurses. AIM: The study aimed to explore district nurses' views on and experiences with a telemedicine educational programme in palliative care. RESEARCH METHODS: A qualitative explorative study based on interpretive description was conducted. Data collection consisted of four focus group interviews with district nurses from three municipalities, supplemented by participant observations and a focus group interview with teachers from the specialised palliative care team. Data were analysed using predominately inductive thematic analysis. RESULTS: District nurses (n = 15) who participated in the programme and members of the specialised palliative care team (n = 6) who taught the programme were included. Analysis revealed the following advantages: reaffirming and updating existing knowledge, reduced professional isolation and creation of a forum to promote knowledge dissemination. A disadvantage was limited interaction between teachers and district nurses, questioning suitability for teaching complex palliative care. Initial technical problems affected motivation to participate. Organisational support differed between participating municipalities resulting in varying degrees of programme integration. Despite advantages of IT-expert-led sessions, key-nurse-led sessions in smaller groups proved more beneficial, suggesting a combination of IT support and key-nurse management to maximise benefits. CONCLUSION: The use of an inter-professional telemedicine educational programme to teach palliative care to district nurses is beneficial. However, programmes should be designed for interactivity and address varying educational needs. Key-nurse roles require managerial and IT support to optimise knowledge dissemination. Further research on implementation of telemedicine education in palliative care is needed.
BACKGROUND: Medical advancements, limited resources and shifting demographics have increased the number of patients with palliative care needs in primary care. To address educational needs, the specialised palliative care team of South Jutland, Denmark, created a telemedicine educational programme in palliative care to empower district nurses. AIM: The study aimed to explore district nurses' views on and experiences with a telemedicine educational programme in palliative care. RESEARCH METHODS: A qualitative explorative study based on interpretive description was conducted. Data collection consisted of four focus group interviews with district nurses from three municipalities, supplemented by participant observations and a focus group interview with teachers from the specialised palliative care team. Data were analysed using predominately inductive thematic analysis. RESULTS: District nurses (n = 15) who participated in the programme and members of the specialised palliative care team (n = 6) who taught the programme were included. Analysis revealed the following advantages: reaffirming and updating existing knowledge, reduced professional isolation and creation of a forum to promote knowledge dissemination. A disadvantage was limited interaction between teachers and district nurses, questioning suitability for teaching complex palliative care. Initial technical problems affected motivation to participate. Organisational support differed between participating municipalities resulting in varying degrees of programme integration. Despite advantages of IT-expert-led sessions, key-nurse-led sessions in smaller groups proved more beneficial, suggesting a combination of IT support and key-nurse management to maximise benefits. CONCLUSION: The use of an inter-professional telemedicine educational programme to teach palliative care to district nurses is beneficial. However, programmes should be designed for interactivity and address varying educational needs. Key-nurse roles require managerial and IT support to optimise knowledge dissemination. Further research on implementation of telemedicine education in palliative care is needed.
Authors: Kristian Kidholm; Anne Granstrøm Ekeland; Lise Kvistgaard Jensen; Janne Rasmussen; Claus Duedal Pedersen; Alison Bowes; Signe Agnes Flottorp; Mickael Bech Journal: Int J Technol Assess Health Care Date: 2012-01 Impact factor: 2.188