An Evaluation of the Use of and Satisfaction with the Palliative Care Pain and Symptom Pocket Card

Critchley, Patrick; Grantham, Monica; Plach, Nadia; Bédard, Michel; Oglan, Gerald R.

doi:10.1177/082585970201800410

Cited by 9 publications

(5 citation statements)

References 7 publications

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“…18,19 A pocket card reference can reduce cognitive load by increasing knowledge and comfort. 20,21 Pocket cards can be easily accessed to help implement and standardize practice among busy clinicians, especially in emergency scenarios. 22 Desirable features of pocket cards are the ease-of-use, portability, and convenience.…”

Section: Discussionmentioning

confidence: 99%

The Efficacy and Use of a Pocket Card Algorithm in Status Epilepticus Treatment

et al. 2021

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Abstract:Objective:To determine whether a pocket card treatment algorithm improves the early treatment of status epilepticus and to assess its utilization and retention in clinical practiceMethods:Multidisciplinary care teams participated in video-recorded status epilepticus simulation sessions from 2015 to 2019. In this longitudinal cohort study, we examined the sessions recorded before and after introducing an internally developed, guideline-derived pocket card to determine differences in the adequacy or timeliness of rescue benzodiazepine. Simulation participants were queried 9-months later for submission of a differentiating identification number on each card to assess ongoing availability and utilization.Results:Forty-four teams were included (22 before and 22 after the introduction of the pocket card). The time to rescue therapy was shorter for teams with the pocket card available [84 seconds (64 – 132)] compared to teams before introduction [144 seconds (100 – 162)] (U = 94; median difference = -46.9, 95% CI = -75.9 to -21.9). The adequate dosing did not differ with card availability (OR 1.48, 95% CI: 0.43-5.1). At 9-month follow-up, 32 participants (65%) completed the survey, with 26 (81%) self-reporting having the pocket card available and 11 (34%) confirming ready access with the identification number. All identification numbers submitted corresponded to the hard copy laminated pocket card, none to the electronic version.Conclusions:A pocket card is a feasible, effective, and worthwhile educational tool to improve the implementation of updated guidelines for the treatment of status epilepticus.

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Section: Discussionmentioning

confidence: 99%

The Efficacy and Use of a Pocket Card Algorithm in Status Epilepticus Treatment

et al. 2021

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“… Mikhael et al ., (2008) provided a pocket card for pain and symptom control alongside blended teaching. Critchley et al ., (2002) also designed a pocket card to help with pain and symptom control prescribing with positive results. We hoped our work would echo these findings.…”

Section: Literature Reviewmentioning

confidence: 99%

Evaluation of the use of a handheld prescribing card in supporting Foundation year one doctors in End of Life (EOL) prescribing

Walker¹,

Sherratt²

2019

MedEdPublish

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BackgroundLiterature reports disquiet in junior doctors' abilities in palliative care prescribing; including distress and low confidence (Charlton and Smith, 2000). We confirmed similar findings following local research thus identifying a development need. This led to the design and implementation of a hand-held prescribing card. ObjectiveUsefulness of the prescribing card in supporting foundation year one doctors was evaluated. We hypothesised this intervention would help improve End of Life (EOL) care. MethodsA mixed methods approach was employed using a specially designed questionnaire, distributed to 39 foundation year one doctors (doctors in their first year of practice after graduating from medical school). Focused questions were on utilisation, levels of prescribing confidence and exploring further interventions that might help, as well as feedback on card design.Results 25 doctors completed questionnaires; a response rate 86%. Almost half routinely used the card. 40% were not yet prescribing for EOL situations at the time of the study because of their specific job rotation (e.g. ophthalmology). The commonest motivator was accessibility. All doctors reported increased confidence in prescribing and approximately three quarters said it enhanced practice. "Usefulness" was the commonest free-response descriptor. Feelings included it being a good reference and preventing errors. A development idea included an electronic version.Results highlight that a simple hand-held prescribing card is useful. To our knowledge, this is the first UK study of its kind employing an educational intervention in palliative care in a hospital setting. It is important to implement this educational intervention early to support doctors.

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“…Recognizing that provider pocket guides are a practical source of information and pocket guides for palliative care are valuable and useful ( Critchley, Grantham, Plach, Bedard, & Oglan, 2002 ), we developed the PLP tool as a pocket guide for our national oncology nurse communication training program. The goal of this pilot study was to further determine whether PLP training would impact provider communication behavior by producing increased plain language when explaining a medication.…”

Section: Background On the Plain Language Toolmentioning

confidence: 99%

Assessing the Plain Language Planner for Communication About Common Palliative Care Medications

Wittenberg

Ferrell

Goldsmith

2017

JADPRO

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Using plain language to communicate about oncology and palliative care medications and symptoms is recommended as a communication strategy to address patient/family health literacy demands. This study tested the Plain Language Planner©, a provider tool for communicating about medication and symptoms using plain language. Prior to and immediately following an oncology and palliative care nurse educational session, participants (n = 87) role-played about a symptom and medication. Common symptoms (nausea, constipation, and anxiety) and medications were selected. Self-evaluation and peer evaluation addressing the extent of plain language used during the role-play were rated. Plain language characteristics improved post educational role-play sessions for nurses. The largest improvement in plain language was the inclusion of the brand and generic names of medication in relating the drug to the symptom. The pocket guide provided during the educational session was consulted by 86% of nurses during the postsession role-play. Brief training with the Plain Language Planner may improve provider communication and meet patient/family health literacy needs. This resource may be a valuable asset to other health-care disciplines working in oncology and palliative care contexts.

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An Evaluation of the Use of and Satisfaction with the Palliative Care Pain and Symptom Pocket Card

Cited by 9 publications

References 7 publications

The Efficacy and Use of a Pocket Card Algorithm in Status Epilepticus Treatment

The Efficacy and Use of a Pocket Card Algorithm in Status Epilepticus Treatment

Evaluation of the use of a handheld prescribing card in supporting Foundation year one doctors in End of Life (EOL) prescribing

Assessing the Plain Language Planner for Communication About Common Palliative Care Medications

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