Nursing Staff’s Experiences of Learning Palliative Care through Simulation Coaching
Learning palliative care
Keywords:nursing staff, learning, palliative care, simulation-based learning, ethical competence, emotional competence, counselling competence
The need to develop palliative care has been recognised in both the public and private sector. This qualitative study is based on self-assessed learning needs of staff in private elderly care and nursing services. This is a sub-study of a large research and development project, carried out in private care and welfare industries in one region of Finland in the years 2017-2019. The study describes nursing staff’s experiences of simulation coaching in learning palliative care at their own workplaces in nursing homes.
The participants, employees of two enterprises providing residential elderly care and nursing services (n= 20), wrote essays describing the competence they had developed through palliative care simulations. The essays were analysed using inductive content analysis.
The participants found the simulations suitable for learning palliative care. The intervention had been particularly effective in the areas of ethical competence, emotional intelligence, situational awareness and counselling competence.
Simulation-based coaching seems a promising method for learning palliative care in both initial and continuing education programmes. Despite the limited sample size, the knowledge produced can be used to develop palliative care training.
WHO. Palliative Care. 2018. http://www.who.int/news-room/fact-sheets/detail/palliative- care
WHO. Strengthening of palliative care as a component of integrated treatment within the continuum of care. 2014. http://apps.who.int/gb/ebwha/pdf_files/EB134/B134_R7-en.pdf
Gwythere L, Krakauer E. WPCA policy statement on defining palliative care. 2011. http://www.thewpca.org/resources/?WPCA%20policy%20defining%20palliative%20care
Radbruch L, Payne S, de Lima L, Lohmann D. The Lisbon Challenge: acknowledging palliative care as a human right. Journal of Palliative Medicine 2013; 16: 301-304.
Connor S, Sepulveda C. Global atlas of palliative care at the end-of-life. 2014. http://www.thewpca.org/resources/global-atlas-of-palliative-care/
Palliatiivinen hoito ja saattohoito. Käypä hoito -suositus. [Palliative care and end-of-life care. Current care guidelines. Helsinki: Suomalainen Lääkäriseura [The Finnish Medical Society] Duodecim. 2019. www.kaypahoito.fi
Terveyden ja hyvinvoinnin laitos. [Finnish Institute for Health and Welfare.] Mitä on palliatiivinen hoito? [What is palliative care?] 2020. https://thl.fi/fi/web/ikaantyminen/elaman-loppuvaiheen-hoito/mita-on-palliatiivinen-hoito
Saarto T. Palliatiivinen hoito ja saattohoito. [Palliative and end-of-life care.] In: Saarto T, Hänninen J, Antikainen R, Vainio A. 2018. Palliatiivisen hoidon hyvät käytännöt. [Good practices in palliative care.] Tallinn: Kustannus Oy Duodecim. 2018.
Worldwide Hospice Palliative Care Alliance (WHPCA) https://www.thewhpca.org/ cited 2021Feb 2.
Reville B, Foxwell AM. The global state of palliative care-progress and challenges in cancer care. Annals of Palliative Medicine 2014; 3(3): 129-38. DOI: 10.3978/j.issn.2224-5820.2014.07.03
Saarto T, Hänninen J, Antikainen R, Vainio A. Palliatiivisen hoidon hyvät käytännöt. [Good practices in palliative care.]Tallinn: Kustannus Oy Duodecim. 2018.
Garcia-Baquero Merino MT. Palliative care: taking the long view. Frontiers in Pharmacology 2018; 9 (1140): 1-5. doi: 10.3389/fphar.2018.01140
WHO. Planning and implementing palliative care services: a guide for programme managers. 2016. https://apps.who.int/iris/bitstream/handle/10665/250584/9789241565417-eng.pdf?sequence=1
Avati A, Jung K, Harman S, Downing L, Ng A, Shah NH. Improving palliative care with deep learning. Stanford, CA: Department of Computer Science, Stanford University. 2018.
Gruenewald DA, White EJ. The illness experience of older adults near the end of life: a systematic review. Anesthesiology Clinics 2006; 1: 163-180.
Cartwright JC. 2002. Nursing homes and assisted living facilities as places for dying. Annual Review of Nursing Research 2002; 20: 231-264.
Hall S, Kolliakou A, Petkova H, Froggatt K, Higginson IJ. Interventions for improving palliative care for older people living in nursing care homes. The Cochrane Database of Systematic Reviews 2011; 16: (3). CD007132. doi: 10.1002/14651858.CD007132.pub2.
Brinkman-Stoppelenburg A, Rietjens JA, van der Heide A. The effects of advance care planning on end-of-life care: a systematic review. Palliative Medicine 2014; 28: 1000-1025.
Martin RS, Hayes B, Gregorevic K, Lim WK. 2016. The Effects of Advance Care Planning Interventions on Nursing Home Residents: A Systematic Review. Journal of the American Medical Directors Association 2016; 17(4):284-293. doi: 10.1016/j.jamda.2015.12.017.
Morrison RS. Suffering in silence: addressing the needs of nursing home residents. Journal of Palliative Medicine 2009: 12(8):671-672. DOI: 10.1089/jpm.2009.9584
Arias-Casais N, Garralda E, Rhee JY, de Lima L, Pons JJ, Clark D et al. EAPC Atlas of palliative care in Europe 2019. Vilvoorde: EAPC Press. 2019. https://www.researchgate.net/publication/333390123_EAPC_Atlas_of_Palliative_Care_in_Europe_2019/link/5d7d17f84585155f1e4da736/download
Phillips J, Davidson PM, Jackson D, Kristjanson L, Daly J, Curran J. Residential aged care: the last frontier for palliative care. Journal of Advanced Nursing 2006; 55(4):416-424. doi: 10.1111/j.1365-2648.2006.03945.x.
Phillips JL, Davidson PM, Jackson D, Kristjanson LJ. Multi-faceted palliative care intervention: aged care nurses' and care assistants' perceptions and experiences. Journal of Advanced Nursing 2008; 62(2): 216-227. doi: 10.1111/j.1365-2648.2008.04600.x.
Ferrell B, Malloy P, Mazanec P, Virani R. CARES: Competencies and recommendations for educating undergraduate nursing students. Journal of Professional Nursing 2016; 32(5): 327-333. DOI: 10.1016/j.profnurs.2016.07.002
ten Koppel M, Onwuteaka-Philipsen BD, Van den Block L, Deliens L, Gambassi G, Heymans MW et al. Palliative care provision in long-term care facilities differs across Europe : results of a cross-sectional study in six European countries (PACE). Palliative Medicine 2019; 33(9), 1176-1188. https://biblio.ugent.be/publication/8622827/file/8622828 2019_06_PalliativeMedicine_tenKoppelM.pdf
Lipponen V, Karvinen I. Palliatiivista ja saattohoitoa koskevat koulutustarpeet hoitohenkilöstön ja lääkäreiden kuvaamina. (Palliative and end-of-life care education needs as described by nursing and medical staff.] Gerontologia 2015; 29(3):152-163.
Seppänen M, Vähäkangas A, Anttonen MS. Hyvä kuolema. [Good death.] Gerontologia 2020; 34(4), 363-367.
Gamondi C, Larkin P, Payne SA. Core competencies in palliative care: an EAPC White Paper on palliative care education part 1. European Journal of Palliative Care 2013; 20(2): 86-91
Eddy K, Jordan Z, Stephenson M. Health professionals' experience of teamwork education in acute hospital settings: a systematic review of qualitative literature. JBI Database of Systematic Reviews and Implementation Reports 2016; 14(4): 96-137. doi: 10.11124/JBISRIR-2016-1843.
Eppich W, Howard V, Vozenilek J, Curran I. Simulation-based team training in healthcare. Simulation in Healthcare 2011; 6(7): (Suppl), S14–9.
Weaver SJ, Lyons R, DiazGranados D, Rosen MA, Salas E, Oglesby J et al. The anatomy of health care team training and the state of practice: a critical review. Academic Medicine 2010; 85: 1746–60.
Duff B. Creating a culture of safety by coaching clinicians to competence. Nurse Education Today 2013; 33(10):1108-1111.
Forneris SG, Neal DO, Tiffany J, Kuehn MB, Meyer HM, Blazovich LM et al. Enhancing clinical reasoning through simulation debriefing: a multisite study. Nurse Education Perspectives 2015; 36(5): 304-310.
Vestal HS, Sowden G, Nejad S, Stoklosa J, Valcourt SC, Keary C et al. Simulation-based training for residents in the management of acute agitation: a cluster randomized controlled trial. Academic Psychiatry 2017; 41(1):62–67.
Krull W, Gusenius TM, Germain D, Schnepper L. Staff perception of interprofessional simulation for verbal de-escalation and restraint application to mitigate violent patient behaviors in the emergency department. Journal of Emergency Nursing 2019; 45(1): 24–30.
Lewis R, Strachan A, Smith M. Is high fidelity simulation the most effective method for the development of non-technical skills in nursing? A review of the current evidence. The Open Nursing Journal 2012; 6: 82–89.
Polit DF, Beck CT. Nursing research: Generating and assessing evidence for nursing practice (8th ed.) Wolters Kluwer Health/Lippincott Williams & Wilkins; 2012.
Burns N, Grove S. The practice of nursing research. Appraisal, synthesis and generation of evidence. 6th ed. Missouri: Saunders Elsevier. 2009.
TENK (Finnish Advisory Board on Research Integrity). Responsible conduct of research and procedures for handling allegations of misconduct in Finland 2012. (In Finnish, Swedish and English). http://www.tenk.fi/files/HTK_ohje_2013.pdf
Saarto T, Finne-Soveri. Palliatiivisen hoidon ja saattohoidon tila Suomessa: Alueellinen kartoitus ja suositusehdotukset laadun ja saatavuuden parantamiseksi. [State of palliative and terminal care in Finland Regional survey and proposals to improve the quality and availability of care Reports and Memorandums of the Ministry of Social Affairs and Health 2019:1.] Helsinki: Sosiaali- ja terveysministeriö. https://julkaisut.valtioneuvosto.fi/bitstream/handle/10024/161396/R_14_19_Palliatiivisen_hoidonjasaattohoidon_tila.pdf?sequence=1&isAllowed=y
Gaba DM. The future vision of simulation in health care. Quality & Safety in Health Care 2004; 13(1): i2–10.
Eggenberger SK, Krumwiede NE, Young PK. Using simulation pedagogy in the formation of family-focused generalist nurses. The Journal of Nursing Education 2015; 54(10):588–593.
Chen IH, Lin KY, Hu SH, Chuang YH, Long CO, Chang CC et al. Palliative care for advanced dementia: knowledge and attitudes of long-term care staff. Journal of Clinical Nursing 2018; 27(3-4): 848-858. doi: 10.1111/jocn.14132.
Tiilikainen E, Seppänen M. Lost and unfulfilled relationships behind emotional loneliness in old age. Ageing & Society 2017; 37(5):1068–1088.
Seville E. Resilient organizations: how to survive, thrive and create opportunities through crisis and change. Kogan Page. 2016.
Mager DR, Lange JW, Greiner PA, Saracino KH. Using simulation pedagogy to enhance teamwork and communication in the care of older adults: The ELDER project. Journal of Continuing Education in Nursing 2012; 43(8): 363–369.
Silvennoinen P, Ahonen O. Simulaatiopedagogiikka ammatillisen asiantuntijuuden kehittämisen välineenä sote-alan koulutuksessa. [Simulation pedagogy as a tool in developing professional competence in health and social care.] IN: Tuomi J, Joronen K, Huhdanpää A, eds. Oivaltamisen iloa. Tampere: TAMK; 2017. p. 37–49.
How to Cite
Copyright (c) 2022 Mari Salminen-Tuomaala
This work is licensed under a Creative Commons Attribution 4.0 International License.