See the published version of this preprint at BMC Palliative Care.
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Research article
Giovanna Artioli
Azienda Unita Sanitaria Locale di Reggio Emilia
Corresponding Author
ORCiD: https://orcid.org/0000-0002-1810-0857
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background
Despite the great advances in the concept of palliative care (PC) and its benefits, its application seems to be delayed, leaving unfulfilled the many needs of patients and family members. One way to overcome this difficulty could be to develop a new training programme by palliative care specialists to improve PC primary skills in healthcare professionals The aim of this study was to evaluate the training's impact on trainees within a hospital setting using Kirkpatrick’s and Moore's models.
Methods
We adopted a mixed-method evaluation with concurrent triangulation. The evaluation followed the first three steps of Kirkpatrick’s and Moore’s models and included a pre- and post-training evaluation through self-administered questionnaires and focus groups. We used the McNemar statistical test.
Results
The results highlighted the significant amount of knowledge acquired by the hospital professionals after training, in terms of increasing their knowledge of palliative care and in terms of the change in meaning that they attributed to phenomena related to chronicity and incurability, which they encounter daily in their professional practice. In both quantitative and qualitative research, the results, in synthesis, highlight:
(i) the development of a new concept of palliative care, centred on the response to the holistic needs of people;
(ii) that palliative care can also be extended to non-oncological patients in advanced illness stages (our training was directed to Geriatrics and Nephrology/Dialysis professionals);
(iii) the empowerment and the increase in self-esteem that healthcare professionals gained, from learning about the logistical and structural organization of palliative care, to activate and implement PC;
(iv) the need to share personal aspects of their professional life (this result emerges only in qualitative research);
(v)
the appreciation of cooperation and the joining of multiple competences towards a synergistic approach and enhanced outcomes.
Conclusion
It is necessary to further develop rigorous research on training evaluation, at the most complex levels of the Kirkpatrick and Moore models, to measure primary skills in health care professionals. This will develop the effectiveness of the integration of I- and II-level palliative care competencies in hospitals and improve outcomes of patients’ and families’ quality of life.
Keywords
palliative care, training evaluation, health care professionals, palliative care specialists, hospital, educational models
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Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Palliative Care.
No community comments so far
Submission checks complete
On 06 Nov, 2019
Editorial decision: Accept
On 01 Oct, 2019
Editor assigned
On 01 Oct, 2019
Editor invited
On 30 Sep, 2019
No comments provided
Editorial decision: Minor revision
On 27 Sep, 2019
Editor assigned
On 23 Sep, 2019
Submission checks complete
On 22 Sep, 2019
Editor invited
On 22 Sep, 2019
Version 1
Posted 20 Aug, 2019
No comments provided
Editorial decision: Minor revision
On 18 Sep, 2019
Review #2 received
Received 17 Sep, 2019
Reviewer #2 agreed
On 05 Sep, 2019
Review #1 received
Received 02 Sep, 2019
Reviewer #1 agreed
On 20 Aug, 2019
Editor assigned
On 19 Aug, 2019
Reviewers invited
Invitations sent on 19 Aug, 2019
Submission checks complete
On 16 Aug, 2019
Editor invited
On 16 Aug, 2019
First submitted
On 29 Jul, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Anesthesiology & Pain Medicine
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A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
See the published version of this preprint at BMC Palliative Care.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Giovanna Artioli
Azienda Unita Sanitaria Locale di Reggio Emilia
Corresponding Author
ORCiD: https://orcid.org/0000-0002-1810-0857
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Palliative Care.
No community comments so far
Submission checks complete
On 06 Nov, 2019
Editorial decision: Accept
On 01 Oct, 2019
Editor assigned
On 01 Oct, 2019
Editor invited
On 30 Sep, 2019
No comments provided
Editorial decision: Minor revision
On 27 Sep, 2019
Editor assigned
On 23 Sep, 2019
Submission checks complete
On 22 Sep, 2019
Editor invited
On 22 Sep, 2019
Version 1
Posted 20 Aug, 2019
No comments provided
Editorial decision: Minor revision
On 18 Sep, 2019
Review #2 received
Received 17 Sep, 2019
Reviewer #2 agreed
On 05 Sep, 2019
Review #1 received
Received 02 Sep, 2019
Reviewer #1 agreed
On 20 Aug, 2019
Editor assigned
On 19 Aug, 2019
Reviewers invited
Invitations sent on 19 Aug, 2019
Submission checks complete
On 16 Aug, 2019
Editor invited
On 16 Aug, 2019
First submitted
On 29 Jul, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Anesthesiology & Pain Medicine
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Palliative Care.
Background
Despite the great advances in the concept of palliative care (PC) and its benefits, its application seems to be delayed, leaving unfulfilled the many needs of patients and family members. One way to overcome this difficulty could be to develop a new training programme by palliative care specialists to improve PC primary skills in healthcare professionals The aim of this study was to evaluate the training's impact on trainees within a hospital setting using Kirkpatrick’s and Moore's models.
Methods
We adopted a mixed-method evaluation with concurrent triangulation. The evaluation followed the first three steps of Kirkpatrick’s and Moore’s models and included a pre- and post-training evaluation through self-administered questionnaires and focus groups. We used the McNemar statistical test.
Results
The results highlighted the significant amount of knowledge acquired by the hospital professionals after training, in terms of increasing their knowledge of palliative care and in terms of the change in meaning that they attributed to phenomena related to chronicity and incurability, which they encounter daily in their professional practice. In both quantitative and qualitative research, the results, in synthesis, highlight:
(i) the development of a new concept of palliative care, centred on the response to the holistic needs of people;
(ii) that palliative care can also be extended to non-oncological patients in advanced illness stages (our training was directed to Geriatrics and Nephrology/Dialysis professionals);
(iii) the empowerment and the increase in self-esteem that healthcare professionals gained, from learning about the logistical and structural organization of palliative care, to activate and implement PC;
(iv) the need to share personal aspects of their professional life (this result emerges only in qualitative research);
(v)
the appreciation of cooperation and the joining of multiple competences towards a synergistic approach and enhanced outcomes.
Conclusion
It is necessary to further develop rigorous research on training evaluation, at the most complex levels of the Kirkpatrick and Moore models, to measure primary skills in health care professionals. This will develop the effectiveness of the integration of I- and II-level palliative care competencies in hospitals and improve outcomes of patients’ and families’ quality of life.
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