A Systematic Review of Training in Symptom Management in Palliative Care Within Postgraduate Medical Curriculums

Turrillas, Pamela; Teixeira, Maria João Cardoso; Maddocks, Matthew

doi:10.1016/j.jpainsymman.2018.09.020

Cited by 26 publications

(20 citation statements)

References 61 publications

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“…thinking in specific situations. Patient-centered care education is a priority at all levels of education [37], and almost all studies have shown that education can contribute to improvements in learners' attitudes, knowledge, skills, and behavior [38][39][40].…”

Section: Discussionmentioning

confidence: 99%

Effect of palliative care training on perceived self-efficacy of the nurses

Dehghani

Barkhordari-Sharifabad

Sedaghati-Kasbakhi

et al. 2020

BMC Palliat Care

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Background: Nurses are involved in providing end-of-life care for end stage individuals and their self-efficacy is one of the key factors bearing on such care. The purpose of this study was to determine the effect of palliative care on perceived self-efficacy of the nurses. Methods: This is a quasi-experimental study with pretest-posttest design. Sampling was randomized and included 40 individuals. The intervention consisted of palliative care training for four sessions, each lasting 45 min. Data were collected using demographic and perceived self-efficacy questionnaires completed before and after the intervention. Data were then analyzed by SPSS 16 software using descriptive and inferential statistics. Results: The mean age of the participants was 38.6 and their work experience was 14.25 years. The majority of the participants were female (85%) and had a bachelor level of education (92.5%). The findings showed that "perceived self-efficacy", "psychosocial support" and "symptom management" improved significantly after intervention (p < 0.05). Conclusion: Based on the results, palliative care education has the potential to increase nurses' perceived self-efficacy. Since all members of the health care team Including nurses play an important role in providing palliative care, nursing managers can take an effective step to maximize the capacity of nurses by planning and supporting training in this regard.

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Section: Discussionmentioning

confidence: 99%

Effect of palliative care training on perceived self-efficacy of the nurses

Dehghani

Barkhordari-Sharifabad

Sedaghati-Kasbakhi

et al. 2020

BMC Palliat Care

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“…Turrillas et al [68] argue that the most effective training method should be tailored to the environment and context. A re-piloting of a different training program will be developed, considering in particular the bed side component.…”

Section: Discussionmentioning

confidence: 99%

Development and preliminary evaluation of a communication skills training programme for hospital physicians by a specialized palliative care service: the ‘Teach to Talk’ programme

et al. 2020

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Background There is widespread agreement about the importance of communication skills training (CST) for healthcare professionals caring for cancer patients. Communication can be effectively learned and improved through specific CST. Existing CSTs have some limitations with regard to transferring the learning to the workplace. The aim of the study is developing, piloting, and preliminarily assessing a CST programme for hospital physicians caring for advanced cancer patients to improve communication competences. Methods This is a Phase 0-I study that follows the Medical Research Council framework; this paper describes the following sections: a literature review on CST, the development of the Teach to Talk training programme (TtT), the development of a procedure for assessing the quality of the implementation process and assessing the feasibility of the implementation process, and the pilot programme. The study was performed at a 900-bed public hospital. The programme was implemented by the Specialized Palliative Care Service. The programme was proposed to 19 physicians from 2 departments. Results The different components of the training course were identified, and a set of quality indicators was developed. The TtT programme was implemented; all the physicians attended the lesson, videos, and role-playing sessions. Only 25% of the physicians participated in the bedside training. It was more challenging to involve Haematology physicians in the programme. Conclusions The programme was completed as established for one of the two departments in which it was piloted. Thus, in spite of the good feedback from the trainees, a re-piloting of a different training program will be developed, considering in particular the bed side component. The program should be tailored on specific communication attitude and believes, probably different between different specialties.

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“…While we did not collect data directly from healthcare professionals, it is plausible that healthcare professionals' fears and misinformation about opioids may have contributed to such patient experiences, since misconceptions about the essential role of opioids in cancer pain relief have been described as a significant barrier to effective pain management in many resource-limited settings [4,18,22]. Education for clinicians about the safe use of opioids can improve pain management for patients, and the Lancet Commission proposed basic mandatory training for all healthcare providers [2,23,24]. Implementation of these strategies should be considered by humanitarian organizations to improve pain management [6].…”

Section: Painmentioning

confidence: 99%

Illness-related suffering and need for palliative care in Rohingya refugees and caregivers in Bangladesh: A cross-sectional study

et al. 2020

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Background Despite recognition that palliative care is an essential component of any humanitarian response, serious illness-related suffering continues to be pervasive in these settings. There is very limited evidence about the need for palliative care and symptom relief to guide the implementation of programs to alleviate the burden of serious illness-related suffering in these settings. A basic package of essential medications and supplies can provide pain relief and palliative care; however, the practical availability of these items has not been assessed. This study aimed to describe the illness-related suffering and need for palliative care in Rohingya refugees and caregivers in Bangladesh. Methods and findings Between November 20 and 24, 2017, we conducted a cross-sectional study of individuals with serious health problems (n = 156, 53% male) and caregivers (n = 155, 69% female) living in Rohingya refugee camps in Bangladesh, using convenience sampling to recruit participants at the community level (i.e., going house to house to identify eligible individuals). The serious health problems, recent healthcare experiences, need for medications and medical supplies, and basic needs of participants were explored through interviews with trained Rohingya community members, using an interview guide that had been piloted with Rohingya individuals to ensure it reflected the specificities of their refugee experience and culture.

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A Systematic Review of Training in Symptom Management in Palliative Care Within Postgraduate Medical Curriculums

Cited by 26 publications

References 61 publications

Effect of palliative care training on perceived self-efficacy of the nurses

Effect of palliative care training on perceived self-efficacy of the nurses

Development and preliminary evaluation of a communication skills training programme for hospital physicians by a specialized palliative care service: the ‘Teach to Talk’ programme

Illness-related suffering and need for palliative care in Rohingya refugees and caregivers in Bangladesh: A cross-sectional study

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