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Adult education program in palliative care for nursing facility physicians: design and pilot test
T J Keay1, C Alexander, K McNally
1University of Maryland School of Medicine, Baltimore, Maryland, USA. tkeay@umaryland.edu
Journal of Palliative Medicine
|April 30, 2005
Summary
This study adapted a palliative care curriculum for nursing facility physicians to improve end-of-life care. The enhanced program used adult learning and behavior change strategies, showing promise for better patient outcomes.
Area of Science:
- Geriatrics and Palliative Care
- Medical Education
- Healthcare Quality Improvement
Background:
- Nursing facilities (NF) are critical settings for end-of-life care.
- Experienced NF physicians require specialized palliative care training.
- Existing curricula need adaptation for this specific physician group.
Purpose of the Study:
- To modify a medical school palliative care curriculum for experienced NF physicians.
- To incorporate adult learning principles and physician behavior change strategies.
- To develop a feasible educational intervention for improving end-of-life care in NFs.
Main Methods:
- Adapted a model palliative care curriculum using adult learning techniques.
- Integrated behavior change interventions: opinion leader involvement, audit with feedback, consensus guidelines.
- Pilot tested the modified program and identified supplementary written materials.
Main Results:
- The modified curriculum was pilot tested and subsequently improved.
- The intervention includes an initial audit, educational session, and follow-up.
- Further testing is needed to confirm efficacy in improving patient outcomes.
Conclusions:
- A tailored palliative care educational intervention shows potential for NF physicians.
- The program emphasizes practical application and behavior modification.
- Future research should evaluate the impact on patient end-of-life care outcomes.
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