end-of-life care skills workshop - leanne madigan st vincents university hospital nov 15 2016
TRANSCRIPT
Around 29,000 people die in Ireland every year. 43% of these deaths (12,470
people) take place in hospital (HSE, 2014).
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
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.
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
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
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
Organisational values & mission
PATIENTS
Human Dignity
Compassion
Justice Quality
Advocacy
Clinical Care Education Research
Staff Staff
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.
Two short video clips “A wish” and “Breaking Bad News” provided by
the Hospice Friendly Hospitals were shown.
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.
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.
