TY - JOUR
T1 - That was a game changer
T2 - clinical impact of an emergency department-based palliative care communication skills training workshop
AU - Wright, Rebecca
AU - Hayward, Bradley
AU - Kistler, Emmett
AU - Vaughan Dickson, Victoria
AU - Grudzen, Corita
PY - 2020/5/1
Y1 - 2020/5/1
N2 - OBJECTIVE: To explore the impact of an adapted goals-of-care communications skills workshop created for ED physicians from the physicians' perspective. METHODS: Semi-structured, one-on-one audio-recorded interviews lasting 30-60 min were conducted with twelve physicians who had completed the training workshop. Interviews explored the experience of undertaking the workshop, its impact on their clinical practice and their ability to teach new skills to other clinicians using learnt techniques. Descriptive content analysis was performed on interview transcripts. RESULTS: Participants reported positive experiences of the workshop. The analysis identified four main themes and ten subthemes dealing with workshop content and its impact on subsequent ED-based clinical practice. There were: 1) value and future improvements for the course; 2) value of the course to practice; 3) value of the course for teaching residents and 4) barriers to application of learning. Specifically recommended components include the use of mnemonics, mechanisms to introduce difficult conversations and a positive feedback environment. Participant-recommended refinements to the workshop included emphasising urgency, replicating the chaotic ED environment and expanding content to include more ED-focused goals-of-care discussions. CONCLUSION: A short, focused training workshop directed at improving palliative care communication skills among ED clinicians appears to be welcomed and useful.
AB - OBJECTIVE: To explore the impact of an adapted goals-of-care communications skills workshop created for ED physicians from the physicians' perspective. METHODS: Semi-structured, one-on-one audio-recorded interviews lasting 30-60 min were conducted with twelve physicians who had completed the training workshop. Interviews explored the experience of undertaking the workshop, its impact on their clinical practice and their ability to teach new skills to other clinicians using learnt techniques. Descriptive content analysis was performed on interview transcripts. RESULTS: Participants reported positive experiences of the workshop. The analysis identified four main themes and ten subthemes dealing with workshop content and its impact on subsequent ED-based clinical practice. There were: 1) value and future improvements for the course; 2) value of the course to practice; 3) value of the course for teaching residents and 4) barriers to application of learning. Specifically recommended components include the use of mnemonics, mechanisms to introduce difficult conversations and a positive feedback environment. Participant-recommended refinements to the workshop included emphasising urgency, replicating the chaotic ED environment and expanding content to include more ED-focused goals-of-care discussions. CONCLUSION: A short, focused training workshop directed at improving palliative care communication skills among ED clinicians appears to be welcomed and useful.
KW - communications
KW - education
KW - education, methods
KW - emergency department
KW - qualitative research
UR - http://www.scopus.com/inward/record.url?scp=85070821276&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85070821276&partnerID=8YFLogxK
U2 - 10.1136/emermed-2019-208567
DO - 10.1136/emermed-2019-208567
M3 - Article
C2 - 31350282
AN - SCOPUS:85070821276
VL - 37
SP - 262
EP - 264
JO - Emergency Medicine Journal
JF - Emergency Medicine Journal
SN - 1472-0205
IS - 5
ER -