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Abstract
There is an increasing need to support nursing homes in palliative care to reduce suffering and avoid unnecessary hospital admissions at the end of life. Providing education to nursing homes faces many barriers including structural systems and cultural issues. In order to overcome some of these barriers, education using Project Extension for Community Health Outcomes (ECHO) methodology has been delivered to nursing homes throughout a large city in England. This paper aims to explore participant experience in Project ECHO for nursing homes.
Methodology Qualitative semistructured interviews with a purposive sample of nursing home staff. Interviews were conducted by one researcher and transcribed verbatim. Line-by-line coding and categorisation were used to form themes.
Results Eleven interviews were completed with data saturation reached by interview eight. The following themes were revealed: Barriers and facilitators to accessing Project ECHO, Community of Practice and Communication with nursing homes and data extraction.
Conclusion Project ECHO is an accessible, acceptable and engaging way of delivering palliative care education to nursing homes combatting some of the traditional barriers that nursing homes face in accessing training.
- nursing home care
- education and training
- quality of life
- service evaluation
- social care
- end of life care
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Footnotes
Twitter @janeylew2, @claregardiner8
Contributors JM was the lead researcher, conducted and analysed the interviews and was the primary author. CG was the main supervisor on the project. She also assisted with analysis and categorisation of the data and editing the manuscript. LG and EW were part of the steering group and were involved in editing the manuscript. HC was part of the steering group. PT was involved with editing the manuscript. LS provided theme checking in line with the raw data. Laura McTague and Sam Kyeremateng are not included as authors but were supportive of the project and gave guidance in relation to Project ECHO and the evaluation.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests This project was completed by a Health Education Leadership Fellow working within the Project ECHO team.
Patient consent for publication Not required.
Ethics approval Ethical approval was gained from the local university (026757).
Provenance and peer review Not commissioned; externally peer reviewed.