Communication about the desire to die: Development and evaluation of a first needs-oriented training concept - A pilot study.

Palliative & Supportive Care
Gerrit FrerichRaymond Voltz

Abstract

Patients' desire to die (DD) is rarely discussed in palliative care (PC) due to health professionals' (HPs) feeling of uncertainty. The aim of the study was to develop and evaluate a training to increase HPs' self-confidence in responding professionally to patient's DD and to assess the feasibility of this approach. The training course was developed via focus groups and relevant literature and refined with an advisory board. An evaluation design was developed to evaluate training outcomes and to examine feasibility. To assess self-confidence, knowledge, skills, and attitudes: (1) standardized surveys were applied at T1 (before training), T2 (directly after), and T3 (3 months later), and were analyzed by descriptive and non-parametric statistics; and (2) participants' open feedback was summarized by content. A two-day multi-disciplinary training was developed to improve self-confidence via diverse teaching methods. Twenty-four HPs from general and specialized PC were participated. Via self-rating on Likert scales at three time points, improvements were seen at T1, T2, and partly remained at T3, especially in the overall item of self-confidence in communicating with patients about their DD (means: 4.3. at T1, 5.7 at T2, and 5.9 a...Continue Reading

References

Sep 1, 1991·The American Journal of Hospice & Palliative Care·K H Frommelt
Jul 23, 2002·Palliative Medicine·L J FallowfieldH A Beveridge
Feb 6, 2003·The American Journal of Hospice & Palliative Care·Katherine H Murray Frommelt
Oct 18, 2006·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Nathalie FavreFriedrich Stiefel
Jun 5, 2007·Journal of Pain and Symptom Management·Tatsuya MoritaUNKNOWN Japanese Spiritual Care Task Force
Oct 7, 2008·Journal of Pain and Symptom Management·Tatsuya MoritaUNKNOWN Japanese Spiritual Care Task Force
May 22, 2009·Journal of Health Organization and Management·Roslyn Sorensen, Rick Iedema
Aug 17, 2011·International Psychogeriatrics·Sylvie LapierreJoëlle Brassard
Mar 20, 2012·Journal of Social Work in End-of-life & Palliative Care·Sara SandersCrystal Broussard
Aug 9, 2012·Current Opinion in Supportive and Palliative Care·Maren GalushkoRaymond Voltz
Oct 31, 2013·Patient Education and Counseling·Marleah Dean, Richard L Street
Nov 10, 2013·Zeitschrift für Gerontologie und Geriatrie·R LindnerW von Renteln-Kruse
Mar 20, 2014·BMJ Supportive & Palliative Care·Keith G WilsonRobin L Fainsinger
Jul 6, 2014·European Journal of Oncology Nursing : the Official Journal of European Oncology Nursing Society·Maria BrowallElla Danielson
Nov 27, 2014·The American Journal of Hospice & Palliative Care·Rinat NissimGary Rodin
Jun 20, 2015·Palliative & Supportive Care·Ingela HenochChristina Melin-Johansson
Nov 26, 2015·Palliative & Supportive Care·Margit GratzTraugott Roser
Feb 26, 2016·American Journal of Psychoanalysis·Axel Hoffer, Dan H Buie
Apr 17, 2016·International Journal of Mental Health Nursing·Keith M Harris, Melissa Ting-Ting Goh

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