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Exploring education and training needs among the palliative care workforce
  1. Christine Ingleton1,
  2. Clare Gardiner2,
  3. Jane E Seymour3,
  4. Naomi Richards4 and
  5. Merryn Gott5
  1. 1School of Nursing and Midwifery, The University of Sheffield, Sheffield, UK
  2. 2School of Health and Related Research (ScHARR), The University of Sheffield, Sheffield, UK
  3. 3School of Nursing, Midwifery and Physiotherapy, University of Nottingham, Queen's Medical Centre, Nottingham, UK
  4. 4School of Nursing and Midwifery, The University of Sheffield, Sheffield, UK
  5. 5School of Nursing, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand
  1. Correspondence to Professor Christine Ingleton, School of Nursing and Midwifery, The University of Sheffield, 387 Glossop Road, Sheffield S10 2HQ, UK; c.ingleton{at}sheffield.ac.uk

Abstract

Objectives Education and training are seen as ‘absolutely essential parts of providing palliative care’. As part of a larger study to explore the extent of palliative care need in two acute hospital settings, we report the perceptions of healthcare professionals regarding their training and educational needs.

Methods In Phase 1, we undertook eight focus groups and four individual interviews with 58 health professionals from general practice, specialist palliative care and acute hospitals, exploring perceived education and training priorities. Phase 2 of the study involved a survey of palliative care need at two hospitals in England. Hospital based doctors and nurses completed questionnaires to identify patients with palliative care needs and to respond to questions about their training and education needs.

Results Various barriers exist to the provision and management of palliative care, not least a need for more education and training. Focus group participants felt they were not adequately trained to address prognosis and goals of care with patients and their families. In Phase 2 of the study, 171 nursing staff and 81 medical staff completed the questionnaire and two-thirds of our sample felt they required additional training in palliative care.

Conclusions Although important, the use of standardised care pathways alongside the provision of education and training for healthcare professionals alone will not improve quality of care. More work is needed to examine and clarify the interplay of: behaviour change, setting, the ‘cure’ orientation approach, type of health professional and nature of any educational intervention in order to effect sustained behavioural change.

  • Education And Training
  • Terminal Care
  • Communication
  • Hospital Care
  • Supportive Care
  • Received 6 March 2012.
  • Revision received 27 November 2012.
  • Accepted 2 January 2013.

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  • Received 6 March 2012.
  • Revision received 27 November 2012.
  • Accepted 2 January 2013.
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