From Competencies to Curriculum, Classroom, and Clinical Setting

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Richard Dickerson
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1 From Competencies to Curriculum, Classroom, and Clinical Setting Three part series 1. Competency Development 2. Competency to Curriculum Resource 3. Curriculum Resources to Curriculum, Classroom and Clinical Setting

2 Canadian Hospice Palliative Care Conference Faculty/Presenter Disclosure Presenter Name: Jeanne Weis, Kath Murray, Stephanie Buchanan and Andrea Leatherdale Relationships with commercial interests: Kath Murray, Founder Life and Death Matters and author of the curriculum resources being discussed today Commercial Support: None Conflict of Interest: None 2

3 Session #1 - Development of Hospice Palliative End-of-Life Competencies for Practical Nurses in Alberta Jeanne Weis MN, RN, CHPCN(c) College of Licensed Practical Nurses of Alberta Kath Murray RN, MN Life and Death Matters

4 Session #1 Overview Understanding Competency Developing Palliative Competencies

6 Competencies to Curriculum Legislation Regulation Curriculum

7 Developing Alberta Practical Nurse Competencies Stakeholder Consults Results: A comprehensive update that reflects current practice

8 Feedback Process- LDM Feedback from PNs, RNs, Job Descriptions... CLPNA earlier competencies CASN competencies European Interprofessional Competencies LPN Inter-Jurisdictional Entry to Practice Competencies 2013 Unregulated Care Providers Standards 2012 Ontario Personal Support Worker program Vocational Learning Outcomes September 2014

10 Mind Maps to organize content and concepts

13 Four Primary areas of Palliative Care Practice Palliative Principles and Values Physical Changes Physical and Psychosocial Care Post Mortem Care

16 Source: Pallimed

17 Questions? The Alberta LPN Competency Profile can be located at

18 From Competencies to Curriculum, Classroom, and Clinical Setting Three part series 1. Competency Development 2. Competency to Curriculum Resource 3. Curriculum Resources to Curriculum, Classroom and Clinical Setting

19 Session #2 Creating a Competency-based Text and Companion Book of Learning Activities for Nurses and Educators Kath Murray BSN, MA, CHPCN(C) Life and Death Matters Jeanne Weis MN, RN, CHPCN(C) College of Licensed Practical Nurses of Alberta

20 My goal as an educator, To help students be more confident, competent, and compassionate when caring for the dying person and family

21 My 2006 goal to improve the handouts Essentials in Hospice Palliative Care and companion workbooks Hospice Palliative Care in Nepal and workbook

22 The question How are we going to prepare the workforce for the coming tsunami of dying? Dr. George Eisler, BC Academic Health Council

23 My emerging goals To help students be more confident, competent, and compassionate when caring for the dying person and family To support educators (in the workplace and colleges) and address their concerns To create competency-based resources

24 Life and Death Matters response 2013 Research 2014 PSW s textbook and companion workbook Integrating a Palliative Approach Essentials for Personal Support Workers 2015 NA s textbook and companion workbook, Essentials in Hospice and Palliative Care A Resource for Nursing Assistants 2016/17 Nurse s text and companion learning activities Essentials in Hospice and Palliative Care: A Practical Resource for Every Nurse

26 The emerging goals - continued To integrate art, colour, design and to have resources that are...

27 Delicious and digestible

28 For Personal Support Workers Integrating a Palliative Approach Essentials for Personal Support Workers

29 For Nurses Essentials in Hospice and Palliative Care A Practical Resource for Every Nurse

30 Ethics woven throughout the text

31 Review/Development Process CLPNA Jeanne Weis Educators in all nursing programs Practical Nurses/students Registered Nurses/students Did I mention Jeanne Weis?

32 Overarching goal To integrate palliative care (education) into core curriculum For all nursing* students Early in the program Across all settings: o o o Classroom Lab (HD and LD) Clinical

33 A few of the challenges

34 Support for the Educators To decrease the amount of time needed to prepare for teaching palliative care content To support continuing education

35 Media resources Videos Introduction to Managing Pain Dyspnea and the Feeling of Breathlessness Podcasts: Examples Predeath 101- Why Prepare for Dying? Last Days and Hours: Breathing

36 Use prepared PowerPoint presentations Provides lecture line PPTs can be: Personalized Localized Customized

37 Use Instructor s Guide Identifies competencies addressed in each chapter Identifies media resources that support each topic Provides guidelines for teaching activities

38 Companion Teaching Resources Life and Death Matters website Podcasts Videos PPTs Blogs Newsletters

39 Support for the students Learning activities designed to help students meet the competencies Hard copy and accessible in digital format

40 Learning Activities Competency-based and inspired Students learn through these sections: Understanding Your Beliefs and Baggage Solidifying Concepts Integrating into Practice

41 Mapping... (Next session)

42 My advice Pull together a great team Include an educator, an artist, a graphics person and a professional editor! Keep excellence as a goal, but know that you may need to stop when it is good enough Remember to Get over yourself it is not about you!

43 My advice continued... Find a great coach or mentor Know that no matter what you do, there will always be more that you can do Know that no matter what you do, there will always be more than you can do Get a Ted and an Ann-Marie in your life!

44 Questions? Comments?

45 From Competencies to Curriculum, Classroom, and Clinical Setting Three part series 1. Competency Development 2. Competency to Curriculum Resource 3. Curriculum Resources to Curriculum, Classroom and Clinical Setting

46 Session #3 Integration of a palliative approach to care in core curriculum for Practical Nurses in Ontario Stephanie Buchanan Clinical Instructor/ Professor, RN, MHScN, EdD(cand) Andrea Leatherdale, RN, BScN, Faculty of Practical Nursing, Centennial College Kath Murray RN, MA Life and Death Matters

47 References - handout Limited research on integrating death and dying, hospice and palliative care in the core curriculum...but what there is, indicates it is important to integrate, early in the nursing program Handout

48 Integrate palliative care (education) in core curriculum For all nursing students Early in the nursing program Across all settings: Classroom Lab (HD and LD) clinical (life)

49 A few of the challenges

50 Goal is to: 1. Integrate HPC into curriculum - mapping 2. Find overlaps (ways to dovetail with existing materials, and meet other competencies at the same time) 3. Use podcasts and videos for Flipped Classroom teaching method

51 Mapping to curriculum Map competencies and resources to curriculum Examples: BC HCA and PN curriculum mapping (link) University of Massachusetts BSN program (handout) Vancouver Island University BSN program (photo) Centennial College (notes)

52 Brainstorming meetings Vancouver Island BSN program - example

54 Identify competencies and content that can integrate with other areas of study Dr. Betty Davies and Dr. Rose Steele Best Practice Interactions (Nurse s text, pg ) Being flexible Engaging authentically Being reflective Connecting

55 Support the flipped classroom Use podcasts and videos

56 Integrating Palliative Care into a Practical Nursing Curriculum LEAP: Taking Ownership sent to PN teachers to introduce the philosophy Very limited number of hours existed in curriculum - focus on final days/hours of life Discussion with PN Chair regarding update to curriculum Committee established to design the integration

throughout courses starting in the first semester

57 Integrating Palliative Care into a Practical Nursing Curriculum Content from Kath s book dispersed throughout courses starting in the first semester Current content updated - reflecting a Palliative Approach to Care

58 Integrating a Palliative Approach to care in the Clinical Setting

59 Questions????

60 Contact Information Jeanne Weis Kath Murray Stephanie Buchanan

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