Instruments to measure skills and knowledge of physicians and medical students in palliative care: A systematic review of psychometric properties

López-García, Mónica; Rubio, Leticia; Martín‐de‐las‐Heras, Stella; Suárez, Juan; Pérez-Cárceles, María D.; Martín-Martín, Jaime

doi:10.1080/0142159x.2022.2067033

Cited by 3 publications

(1 citation statement)

References 45 publications

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“…The results of this study supporting validity and reliability of the recently released FATCOD-9IT acquired greater importance in the light of the results of the recent systematic review about the instruments available to measure skills and knowledge of doctors and medical students towards palliative care. 36 If the tools available to assess knowledge and expertise in palliative care are few, the FATCOD-9IT version appears to be the only valid and reliable measure to evaluate the medical student's personal disposition toward the care of the dying. Now that this effective tool, quick to complete and simple to calculate, is available and free to use, the authors of this study hope that its use can spread in a way to extend the knowledge about the development of adequate attitude toward the care of the dying during medical training.…”

Section: Discussionmentioning

confidence: 99%

Preclinical and Clinical Medical Student Attitudes Toward the Care of the Dying: Testing the 9-Item Version of the Frommelt Attitude Toward the Care of the Dying Scale

Loera

Molinengo

Miniotti

et al. 2023

Am J Hosp Palliat Care

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The demand for palliative care is increasing worldwide. Beyond the acquisition of technical knowledge, the development of adequate personal disposition toward the relationship with the dying is a key aspect of the future training of doctors. This study evaluates the psychometric properties of the 9-Item Version of the Frommelt Attitude Toward the Care of the Dying Scale (FATCOD-9IT) the authors recently developed and its capability to distinguish medical students with different attitudes toward the care of the dying and at different stages of medical training. The study included 595 medical students, 400 at the first and 195 at the fifth year. The Rasch rating scale model was specified to assess scale dimensionality, functioning and measurement invariance. Internal consistency, test-retest reliability and between-group difference sensitivity (first-vs fifth-year students) were evaluated using Cronbach’s alpha, Intraclass correlation coefficients, Paired sample t-test and Mann-Whitney U. Scale unidimensionality, rating scale functioning and measurement invariance were established. The scale demonstrated good internal consistency and test-retest reliability, and adequately discriminated between first- and fifth-year students. The study supports the validity and reliability of the FATCOD-9IT. Its effectiveness, simplicity of compilation and score calculation, and gratuitousness encourage its widespread use as fast assessment of the medical student attitudes toward the care of the dying.

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Section: Discussionmentioning

confidence: 99%

Preclinical and Clinical Medical Student Attitudes Toward the Care of the Dying: Testing the 9-Item Version of the Frommelt Attitude Toward the Care of the Dying Scale

Loera

Molinengo

Miniotti

et al. 2023

Am J Hosp Palliat Care

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Using palliative and end-of-life simulation to enhance pre-licensure nursing students' emotional intelligence, palliative care knowledge and reflective abilities: A single group, pretest-posttest study

Yoong

Schmidt

Devi

et al. 2023

Nurse Education Today

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Enhancing medical students’ understanding of end-of-life care ethics and law through video-triggered expert-led debriefing: a two-stage study

Chao,

Tsai,

et al. 2024

BMC Med Educ

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Background Taiwan enacted the Hospice Palliative Care Act in 2000 and the Patient Autonomy Act in 2016. However, medical education has emphasized palliative care skills over ethical and legal integration. This study developed a curriculum for pre-clinical students, focusing on applying these issues in end of life care. MethodsThe participants were fourth-year medical students enrolled in a 1-credit medical ethics and law course at a medical school in Taiwan. The study employed a two-stage design, combining quantitative pretests and posttests with qualitative data obtained through the Know-Want-Learn strategy. The curriculum, called the video-triggered expert-led debrief module, included a video scenario on end of life care, insights shared by three interprofessional experts, and students debrief. In 2021, 168 students participated, and a quantitative questionnaire using a pretestposttest design was applied to assess the curriculum's impact on students' knowledge and attitudes toward end of life care. In 2022, 157 students participated, and the survey used open-ended questionnaires (the Know-Want-Learn strategy) to evaluate what students already knew and what they wanted to know before the module, as well as what they had learned afterward. ResultsIn 2021, we collected 166 (98.8%) valid responses in the quantitative questionnaire. Seven of the eight knowledge-based questions and four of the seven learning motivation items showed significant improvement in the posttest (P < 0.05). In 2022, 81 (51.6%) valid responses were obtained from the qualitative questionnaire. Before the module, students' understanding was superficial and focused on literal meanings. Three themes emerged in what they wanted to know: medical decision-making, ethics and laws, and empathetic communication, with eight subthemes. After the module, three themes and six subthemes were identified in the "what I learned" section. Students reported gaining knowledge related to ethics and laws, and empathetic communication. Conclusions The video-triggered expert-led debrief module can effectively teach the application of medical ethics and laws in end of life care. This approach has shown positive results among young medical students. It enhances

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Instruments to measure skills and knowledge of physicians and medical students in palliative care: A systematic review of psychometric properties

Cited by 3 publications

References 45 publications

Preclinical and Clinical Medical Student Attitudes Toward the Care of the Dying: Testing the 9-Item Version of the Frommelt Attitude Toward the Care of the Dying Scale

Preclinical and Clinical Medical Student Attitudes Toward the Care of the Dying: Testing the 9-Item Version of the Frommelt Attitude Toward the Care of the Dying Scale

Using palliative and end-of-life simulation to enhance pre-licensure nursing students' emotional intelligence, palliative care knowledge and reflective abilities: A single group, pretest-posttest study

Enhancing medical students’ understanding of end-of-life care ethics and law through video-triggered expert-led debriefing: a two-stage study

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