From Competencies to Curriculum, Classroom, and Clinical Setting

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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

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

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

Session #1 Overview Understanding Competency Developing Palliative Competencies

Competencies to Curriculum Legislation Regulation Curriculum

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

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

Mind Maps to organize content and concepts

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

Source: Pallimed

Questions? The Alberta LPN Competency Profile can be located at www.clpna.com

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

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

My goal as an educator, 1990... To help students be more confident, competent, and compassionate when caring for the dying person and family

My 2006 goal to improve the handouts 2009 - Essentials in Hospice Palliative Care and companion workbooks 2012 - Hospice Palliative Care in Nepal and workbook

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

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

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

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

Delicious and digestible

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

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

Ethics woven throughout the text

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

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

A few of the challenges

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

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

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

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

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

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

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

Mapping... (Next session)

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!

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!

Questions? Comments?

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

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

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

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)

A few of the challenges

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

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)

Brainstorming meetings Vancouver Island BSN program - example

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. 35-42) Being flexible Engaging authentically Being reflective Connecting

Support the flipped classroom Use podcasts and videos

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

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

Integrating a Palliative Approach to care in the Clinical Setting

Questions????

Contact Information Jeanne Weis jweis@clpna.com Kath Murray kath@lifeanddeathmatters.ca Stephanie Buchanan rnbuchanan09@gmail.com