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P-100 Self-management in hospices – what’s important?
  1. Abby McCarthy1 and
  2. Rukshana Kapasi2
  1. 1Peace Hospice Care and the Hospice of St Francis, Watford, UK
  2. 2Macmillan Cancer Support

Abstract

Programmes focussing on wellbeing and rehabilitation have been a powerful response to supporting those diagnosed with a long term condition. This project is unique in combining three organisations across a wide network, to work together in addressing the emerging gap in provision.

Collaboration between three organisations presented interesting cultural differences. At the same time, this project was introducing a cultural shirt from a problem solving, paternalistic and compliance focus of care towards one of empowerment and self-determination. A Learning and development (L&D) programme was developed bespoke to the hospices and aimed to:

  • Increase staff knowledge and understanding of Self-Management Support (SMS) and Health Behaviour Change (HBC);

  • Explain why SMS and Health Behaviour Change are important to current and future work of the hospices and how they link to the holistic needs assessment;

  • Provide staff with opportunities to develop skills and approaches, enabling a person-centred approach to day-to-day practice;

  • Increase staff confidence and skills to support people to self-manage;

50 delegates attended the programme and evaluation was achieved through a longitudinal questionnaire to measure shift in confidence and attitude. Semi structured interviews and evaluation sheets explored delegate’s qualitative thoughts about the training and further education needs.

Results showed:

  • The L&D programme was rated positively

  • There was a shift in professionals beliefs towards the positive benefits of SMS and HBC

  • L&D provided new skills and confidence in using tools to facilitate SMS and HBC in clinical practice

  • A bespoke assessment tool was developed by the team

  • A patient reported outcome measure was agreed based on the Macmillan 9 outcomes

The L&D programme is now an integral part of the education provided within the hospices.

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