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iValidate : a communication-based clinical intervention in life-limiting illness
Article
Objectives: Report the implementation, user evaluation and key outcome measures of an educational intervention-the iValidate educational programme-designed to improve engagement in shared decision-making by health professionals caring for patients with life-limiting illness (LLI).
Design: Prospective, descriptive, cohort study.
Participants: Health professionals working in acute care settings caring for patients with an LLI.
Main Outcomes Measured: Participant evaluation of learning outcomes for communication skills and shared decision-making; demographic data of participants attending education workshops; and documentation of patients with LLI goals of management, including patient values and care decision based on area in acute care and seniority of doctor.
Results: The programme was well accepted by participants. Participant evaluations demonstrated self-reported improved confidence in the areas of patient identification, information gathering to ascertain patient values and shared decision-making. There was strong agreement with the course-enhanced knowledge of core communication skills and advanced skills such as discussing mismatched agendas.
Conclusions: We described the educational pedagogy, implementation and key outcome measures of the iValidate education programme, an intervention designed to improve person-centred care for patients with an LLI. A targeted education programme could produce cultural and institutional change for vulnerable populations within a healthcare institution. A concurrent research programme suggests effectiveness within the current service and the potential for transferability.
https://spcare.bmj.com/content/bmjspcare/early/2019/04/24/bmjspcare-2018-001669.full.pdf
Voir la revue «BMJ supportive & palliative care, 12»
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