End Of Life care skills Workshop

Transcription

1 End Of Life care skills Workshop NMPDU conference 2016 Innovation: Inspiring and sharing excellence in Nursing and Midwifery Practice Leanne Madigan, SVUH NPD CNM 2

2 Around 29,000 people die in Ireland every year. 43% of these deaths (12,470 people) take place in hospital (HSE, 2014).

3 Background Examined what is in current practice Practice needs analysis questionnaire Set up an End Of Life Service review group Carried out Literature Review Developed Education package for end Of Life care incorporating End Of Life Care Skills workshop

4 Current Practice

5 A practice needs analysis questionnaire carried out in June 2015 identified that 63% of nurses (n=100) wished for guidance in End Of Life Care.

6 End Of Life Service Review Group Leanne Madigan, NPD CNM 2 Sheila Cahalane, CNM3 (Medical) Siobhan Hollingsworth, Palliative care CNS Barbara Whyte, Palliative care CNS Olga Price, Palliative care CNS Millie Devenish, Palliative care CNS

7 Dying in the hospital setting: Elements of end of life care that patients and families rank as being most important. (Virdun et al. 2015) 1.Effective communication and shared decision making 2.Expert care at all times (esp. to good physical care, symptom management and integrated care). 3.Respectful and compassionate care (preservation of dignity). 4.Trust and confidence in clinicians 5.An adequate environment for care

8 Objectives Increase awareness and update knowledge around End Of Life care. Promote standardisation and consistency of End Of Life Nursing care To Launch the new End of Life documentation: End of Life Assessment booklet End of Life care plan End of Life nursing care guidelines Palliative care facilities information leaflet Changes that occur at end of life leaflet End of Life suite guidelines

9 Organisational values & mission Human Dignity Staff Advocacy Compassion Staff PATIENTS Quality Justice Education Clinical Care Research

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14 How will we launch documentation?

15 End Of Life Care Skills Workshop

16 End Of Life Workshop plan Facilitators from the MDT were arranged for the stands. Invites were sent to all staff. Learning points were developed and a quiz was used to encourage staff to engage with the stand facilitators. Statistics and points of interest about end of life care were exhibited. Prizes sponsored by St Vincent s Hospital Foundation were awarded. NMBI category 1 approval with CEU s awarded to nursing attendees.

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19 Two short video clips A wish and Breaking Bad News provided by the Hospice Friendly Hospitals were shown.

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28 How people die remains in the memory of those who live on. Dame Cecily Saunders

29 Results Staff were given the opportunity to ask questions about the specifics of care for these patients and their families. This enabled the exchange of ideas and information between those providing services and the staff. 111 Staff attended the Workshop with several nurses coming in on their own time. 60 completing an evaluation form.

30 Evaluations

31 Conclusions The drop-in session (with lunch) worked well to entice staff to attend during their break. Suggestions from staff will be incorporated into the next workshop for January The End Of Life documentation is currently being rolled out across the hospital by NPD.

32 Only one chance to get it right!