‘A basic understanding’; evaluation of a blended training programme for healthcare providers in hospital-based palliative care to improve communication with patients with limited health literacy
Abstract Background The non-curative setting makes communication and shared decision-making in palliative care extremely demanding. This is even more so for patients with limited health literacy. So far, research in palliative care focusing on shared decision-making with patients with limited health...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-08-01
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| Series: | BMC Medical Education |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12909-022-03685-0 |
| _version_ | 1828300364929040384 |
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| author | Janneke Noordman Ruud Roodbeen Leonie Gach Lotte Schulze Jany Rademakers Maria van den Muijsenbergh Gudule Boland Sandra van Dulmen |
| author_facet | Janneke Noordman Ruud Roodbeen Leonie Gach Lotte Schulze Jany Rademakers Maria van den Muijsenbergh Gudule Boland Sandra van Dulmen |
| author_sort | Janneke Noordman |
| collection | DOAJ |
| description | Abstract Background The non-curative setting makes communication and shared decision-making in palliative care extremely demanding. This is even more so for patients with limited health literacy. So far, research in palliative care focusing on shared decision-making with patients with limited health literacy is lacking. Recent research from our team indicates that the assessment of these patients’ understanding of their situation and the implementation of shared decision-making in palliative care, needs improvement. Methods To improve communication and decision-making, especially with patients with limited health literacy, we developed and evaluated a blended training programme for healthcare providers. The training programme comprised of an e-learning and a team training. The evaluation was performed by 1. conducting interviews (n = 15) focused on evaluating the whole programme and, 2. coding video-recorded outpatient consultations on the extent to which providers involved patients in decision-making before (n = 19) and after (n = 20) the intervention, using the 5-item OPTION coding instrument. Results The interviews showed that healthcare providers valued the skills they had learned during the e-learning and team training. Providers specifically valued the teach-back technique, learned to use simpler wording and felt better able to recognize patients with limited health literacy. Many providers reported a change in communication behaviour as a consequence of the training programme. Suggestions for improvement for both e-learning and training were, amongst others, a follow-up team training course and a new scenarios for the e-learning about discussing palliative care. For both the pre- and the post-measurement, involving patients in decision-making lies between a minimal and a moderate effort; differences were not significant. Conclusions The e-learning and team training were valued positively by the healthcare providers. Adaptations to the e-learning have been made after evaluation. The e-learning has been implemented in several hospitals and medical education. To improve shared decision-making in practice a more sustained effort is needed. |
| first_indexed | 2024-04-13T13:09:32Z |
| format | Article |
| id | doaj.art-64c3eb044bc6411284fca3bb94bcbb6f |
| institution | Directory Open Access Journal |
| issn | 1472-6920 |
| language | English |
| last_indexed | 2024-04-13T13:09:32Z |
| publishDate | 2022-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Education |
| spelling | doaj.art-64c3eb044bc6411284fca3bb94bcbb6f2022-12-22T02:45:40ZengBMCBMC Medical Education1472-69202022-08-0122111110.1186/s12909-022-03685-0‘A basic understanding’; evaluation of a blended training programme for healthcare providers in hospital-based palliative care to improve communication with patients with limited health literacyJanneke Noordman0Ruud Roodbeen1Leonie Gach2Lotte Schulze3Jany Rademakers4Maria van den Muijsenbergh5Gudule Boland6Sandra van Dulmen7Nivel (Netherlands Institute for Health Services Research)Nivel (Netherlands Institute for Health Services Research)Nivel (Netherlands Institute for Health Services Research)Nivel (Netherlands Institute for Health Services Research)Nivel (Netherlands Institute for Health Services Research)Pharos, Dutch Centre of Expertise on Health DisparitiesDepartment of Family Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht UniversityNivel (Netherlands Institute for Health Services Research)Abstract Background The non-curative setting makes communication and shared decision-making in palliative care extremely demanding. This is even more so for patients with limited health literacy. So far, research in palliative care focusing on shared decision-making with patients with limited health literacy is lacking. Recent research from our team indicates that the assessment of these patients’ understanding of their situation and the implementation of shared decision-making in palliative care, needs improvement. Methods To improve communication and decision-making, especially with patients with limited health literacy, we developed and evaluated a blended training programme for healthcare providers. The training programme comprised of an e-learning and a team training. The evaluation was performed by 1. conducting interviews (n = 15) focused on evaluating the whole programme and, 2. coding video-recorded outpatient consultations on the extent to which providers involved patients in decision-making before (n = 19) and after (n = 20) the intervention, using the 5-item OPTION coding instrument. Results The interviews showed that healthcare providers valued the skills they had learned during the e-learning and team training. Providers specifically valued the teach-back technique, learned to use simpler wording and felt better able to recognize patients with limited health literacy. Many providers reported a change in communication behaviour as a consequence of the training programme. Suggestions for improvement for both e-learning and training were, amongst others, a follow-up team training course and a new scenarios for the e-learning about discussing palliative care. For both the pre- and the post-measurement, involving patients in decision-making lies between a minimal and a moderate effort; differences were not significant. Conclusions The e-learning and team training were valued positively by the healthcare providers. Adaptations to the e-learning have been made after evaluation. The e-learning has been implemented in several hospitals and medical education. To improve shared decision-making in practice a more sustained effort is needed.https://doi.org/10.1186/s12909-022-03685-0EducationBlended trainingEvaluationHealthcare providersCommunicationShared decision-making |
| spellingShingle | Janneke Noordman Ruud Roodbeen Leonie Gach Lotte Schulze Jany Rademakers Maria van den Muijsenbergh Gudule Boland Sandra van Dulmen ‘A basic understanding’; evaluation of a blended training programme for healthcare providers in hospital-based palliative care to improve communication with patients with limited health literacy BMC Medical Education Education Blended training Evaluation Healthcare providers Communication Shared decision-making |
| title | ‘A basic understanding’; evaluation of a blended training programme for healthcare providers in hospital-based palliative care to improve communication with patients with limited health literacy |
| title_full | ‘A basic understanding’; evaluation of a blended training programme for healthcare providers in hospital-based palliative care to improve communication with patients with limited health literacy |
| title_fullStr | ‘A basic understanding’; evaluation of a blended training programme for healthcare providers in hospital-based palliative care to improve communication with patients with limited health literacy |
| title_full_unstemmed | ‘A basic understanding’; evaluation of a blended training programme for healthcare providers in hospital-based palliative care to improve communication with patients with limited health literacy |
| title_short | ‘A basic understanding’; evaluation of a blended training programme for healthcare providers in hospital-based palliative care to improve communication with patients with limited health literacy |
| title_sort | a basic understanding evaluation of a blended training programme for healthcare providers in hospital based palliative care to improve communication with patients with limited health literacy |
| topic | Education Blended training Evaluation Healthcare providers Communication Shared decision-making |
| url | https://doi.org/10.1186/s12909-022-03685-0 |
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