Development of an existential support training program for healthcare professionals.

Objective: Our aim was to describe the developmental process of a training program for nurses to communicate existential issues with severely ill patients.Method: The Medical Research Council (MRC) framework for the development and evaluation of complex interventions was used to develop a training p...

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Publicado en:Palliative & Supportive Care Vol. 13; no. 6; pp. 1701 - 1710
Autores principales: Henoch, Ingela, Strang, Susann, Browall, Maria, Danielson, Ella, Melin-Johansson, Christina
Formato: research tables/charts Journal Article
Publicado: Cambridge University Press Dec2015
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2015
      vid: 13
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      pub: Cambridge University Press
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        atl: Development of an existential support training program for healthcare professionals.
      aug:
        au:
          Henoch, Ingela
          Strang, Susann
          Browall, Maria
          Danielson, Ella
          Melin-Johansson, Christina
        affil: University of Gothenburg, The Sahlgrenska Academy, Institute of Health and Care Sciences, Gothenburg, Sweden
      sug:
        subj:
          Health Personnel Education
          Palliative Care Methods
          Communication
          Education
          Philosophy
          Attitude of Health Personnel
          Palliative Care Psychosocial Factors
          Focus Groups
          Nurse-Patient Relations
          Spirituality
          Human
      ab: Objective: Our aim was to describe the developmental process of a training program for nurses to communicate existential issues with severely ill patients.Method: The Medical Research Council (MRC) framework for the development and evaluation of complex interventions was used to develop a training program for nurses to communicate about existential issues with their patients. The steps in the framework were employed to describe the development of the training intervention, and the development, feasibility and piloting, evaluation, and implementation phases. The development and feasibility phases are described in the Methods section. The evaluation and implementation phases are described in the Results section.Results: In the evaluation phase, the effectiveness of the intervention was shown as nurses' confidence in communication increased after training. The understanding of the change process was considered to be that the nurses could describe their way of communicating in terms of prerequisites, process, and content. Some efforts have been made to implement the training intervention, but these require further elaboration.Significance Of Results: Existential and spiritual issues are very important to severely ill patients, and healthcare professionals need to be attentive to such questions. It is important that professionals be properly prepared when patients need this communication. An evidence-based training intervention could provide such preparation. Healthcare staff were able to identify situations where existential issues were apparent, and they reported that their confidence in communication about existential issues increased after attending a short-term training program that included reflection. In order to design a program that should be permanently implemented, more knowledge is needed of patients' perceptions of the quality of the healthcare staff's existential support.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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