O-10 Embedding palliative education and learning into care homes: a prospective pilot study of observational feedback and role modelling

Wendy Freeman, Nicky Wood
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Abstract

Background

The Ambitions for Palliative and End of Life Care (2021) highlight the need for all staff to be prepared to care. This includes ensuring staff working in care homes can support their patients’ palliative care needs. Palliative education is a good first step to ensure this quality care and prevent inappropriate admissions to hospital from care homes echoed in a report by Public Health England (2014) which noted increases in care home deaths and called for training in end of life care recognition. But how do we guarantee this education is embedded? Bandura’s social learning model (1986) highlights the importance of learning within the care setting.

Aims

This pilot study aims to harness an educational approach which will consist of observational feedback and role modelling. Intention is to give real time education that will be embedded.

Methods

A pilot has been designed taking place from May 2023 to June 2023. The care home educator gained agreement of two homes to deliver this pilot over two sessions. The educator will create a transparent real-time observational and role modelling approach. Feedback will be offered to individuals and overall, to the care home. Consent has been obtained from both homes to conduct this pilot. All learning will be documented within an observational template collating evidence of observations and resulting learning. Embedding of learning will be monitored on subsequent sessions. This evidence will be reviewed to highlight themes and findings. All evidence will be anonymised.

Conclusion

A observational and role modelling approach could allow embedding of real time learning into practice. The aim is to ensure all care home staff are prepared to give high quality palliative care to their residents. This pilot aims to provide evidence to allow further such initiatives within other care homes.
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将姑息教育和学习纳入养老院:一项观察反馈和角色建模的前瞻性试点研究
《缓和和临终关怀的目标》(2021年)强调了所有工作人员做好护理准备的必要性。这包括确保在护理院工作的工作人员能够支持患者的姑息治疗需求。缓和教育是确保这种高质量护理的良好开端,并防止疗养院的不当入院,这与英国公共卫生部(2014年)的一份报告相呼应,该报告指出疗养院死亡人数有所增加,并呼吁进行临终关怀识别培训。但我们如何保证这种教育深入人心呢?Bandura的社会学习模型(1986)强调了在护理环境中学习的重要性。该试点研究旨在利用一种教育方法,该方法将包括观察反馈和角色建模。目的是提供将嵌入的实时教育。方法设计于2023年5月至2023年6月进行试点。护理院教育工作者获得了两个家庭的同意,在两个会议上提供这个试点。教育者将创建一个透明的实时观察和角色建模方法。反馈将提供给个人和整体的养老院。已取得双方同意进行这项试验。所有的学习都将记录在一个观察模板中,整理观察证据和由此产生的学习。学习的嵌入将在随后的会议上进行监测。将对这些证据进行审查,以突出主题和发现。所有证据将被匿名处理。结论观察和角色建模方法可以将实时学习嵌入到实践中。目的是确保所有养老院的工作人员都准备好为他们的居民提供高质量的姑息治疗。这项试验旨在提供证据,以便在其他护理院进一步采取此类措施。
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