end-of-life care skills workshop - leanne madigan st vincents university hospital nov 15 2016

End Of Life care skills Workshop

Leanne Madigan, SVUH NPD CNM 2 Leanne.Madigan@svuh.ie

Around 29,000 people die in Ireland every year. 43% of these deaths (12,470

people) take place in hospital (HSE, 2014).

Leanne.Madigan@svuh.ie

Background

• Examined what is in current practice

• Practice needs analysis questionnaire

• Set up an End Of Life Service review group

• Carried out Literature Review

• Developed Education package for end Of Life care incorporating End Of Life Care Skills workshop

Leanne.Madigan@svuh.ie

Current Practice

Leanne.Madigan@svuh.ie

A practice needs analysis questionnaire carried out in June

2015 identified that 63% of nurses (n=100) wished for guidance in End

Of Life Care.

Leanne.Madigan@svuh.ie

End Of Life Service Review Group

• Leanne Madigan, NPD CNM 2

• Sheila Cahalane, CNM3 (Medical)

• Siobhan Hollingsworth, Palliative care CNS

• Barbara Whyte, Palliative care CNS

• Olga Price, Palliative care CNS

• Millie Devenish, Palliative care CNS

Leanne.Madigan@svuh.ie

Dying in the hospital setting: Elements of end of life care that patients and families rank as

being most important. (Virdun et al. 2015)

1.Effective communication and shared decision making

2.Expert care at all times (esp. to good physical care, symptom management and integrated care).

3.Respectful and compassionate care (preservation of dignity). 4.Trust and confidence in clinicians

5.An adequate environment for care

Leanne.Madigan@svuh.ie

Objectives • Increase awareness and update knowledge

around End Of Life care.

• Promote standardisation and consistency of

End Of Life Nursing care

• To Launch the new End of Life documentation: • End of Life Assessment booklet

• End of Life care plan

• End of Life nursing care guidelines

• Palliative care facilities information leaflet

• Changes that occur at end of life leaflet • End of Life suite guidelines

Leanne.Madigan@svuh.ie

Organisational values & mission

PATIENTS

Human Dignity

Compassion

Justice Quality

Advocacy

Clinical Care Education Research

Staff Staff

Leanne.Madigan@svuh.ie

Leanne.Madigan@svuh.ie

Leanne.Madigan@svuh.ie

Leanne.Madigan@svuh.ie

How will we launch documentation?

Leanne.Madigan@svuh.ie

Leanne.Madigan@svuh.ie

End Of Life Care Skills Workshop

End Of Life Workshop plan

• Facilitators from the MDT were arranged for the stands.

• Invites were sent to all staff.

• Learning points were developed and a quiz was used to encourage staff to engage with the stand facilitators.

• Statistics and points of interest about end of life care were exhibited.

• Prizes sponsored by St Vincent’s Hospital Foundation were awarded.

• NMBI category 1 approval with CEU’s awarded to nursing attendees.

Leanne.Madigan@svuh.ie

Leanne.Madigan@svuh.ie

Leanne.Madigan@svuh.ie

Two short video clips “A wish” and “Breaking Bad News” provided by

the Hospice Friendly Hospitals were shown.

Leanne.Madigan@svuh.ie

Leanne.Madigan@svuh.ie

https://www.youtube.com/watch?v=chBiz5SCMCo

Leanne.Madigan@svuh.ie

https://www.youtube.com/watch?v=juKAMBh9J54

Leanne.Madigan@svuh.ie

Leanne.Madigan@svuh.ie

Leanne.Madigan@svuh.ie

Leanne.Madigan@svuh.ie

Leanne.Madigan@svuh.ie

Leanne.Madigan@svuh.ie

Leanne.Madigan@svuh.ie

“How people die remains in

the memory of those who

live on.”

Dame Cecily Saunders

Results

• Staff were given the opportunity to ask

questions about the specifics of care for these

patients and their families.

• This enabled the exchange of ideas and

information between those providing services

and the staff.

• 111 Staff attended the Workshop with several

nurses coming in on their own time.

• 60 completing an evaluation form.

Leanne.Madigan@svuh.ie

Leanne.Madigan@svuh.ie

Evaluations

Conclusions

• The drop-in session (with lunch) worked well to

entice staff to attend during their break.

• Suggestions from staff will be incorporated into

the next workshop for January 2017.

• The End Of Life documentation is currently

being rolled out across the hospital by NPD.

Leanne.Madigan@svuh.ie

Only one chance to

get it right!

Leanne.Madigan@svuh.ie