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Related Concept Videos

Continuing Care01:25

Continuing Care

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Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
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Documentation in Long-Term and Home Healthcare Setting01:29

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Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
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Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation01:20

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Evaluation of the teaching process enables the nurse to determine if the patient's learning needs were met and if training was effective. If the expected outcomes are not met, the care plan is revised, and additional education or reinforcement is provided. Nurses can ask questions after the session or obtain feedback to assess the patient's understanding of the topic.
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Nursing Evaluation01:15

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The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
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Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis01:24

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The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
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Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation01:24

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Planning for learning involves the development of a teaching plan. Teaching plans are similar to nursing care plans—both follow the steps of the nursing process. Planning in the teaching process involves setting goals and outcomes. Here, goals identify what a patient needs to achieve to understand a healthcare topic better, whereas the outcomes are the action to be performed by the patient to achieve the goal within a timeframe. For example, if the goal is to educate the patient about...
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Related Experiment Video

Updated: Dec 23, 2025

Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
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Evaluating a palliative care education programme for domiciliary care workers.

Jane Manson1, Lynne Ghasemi1, Emma Westerdale1

  • 1St Luke's Hospice, Sheffield, England.

Nursing Older People
|April 30, 2020
PubMed
Summary

Project Extension for Community Healthcare Outcomes (ECHO) training improved palliative care knowledge and confidence for domiciliary care workers. While accessible, variable attendance presented a challenge for maximizing participation in this end-of-life care initiative.

Keywords:
clinicalcommunitycommunity caredying at homee-learningeducationeducational methodsend of life caregerontologyolder peoplepalliative careprofessionalsupport staff

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Area of Science:

  • Healthcare delivery
  • Palliative care education
  • Community health initiatives

Background:

  • Domiciliary care workers often lack confidence and feel isolated when providing end-of-life care.
  • Project Extension for Community Healthcare Outcomes (ECHO) has successfully trained hospice and nursing staff but not domiciliary care workers.

Purpose of the Study:

  • Evaluate the acceptability of Project ECHO for domiciliary care workers.
  • Assess the program's effectiveness in enhancing palliative care knowledge and confidence.
  • Determine if Project ECHO can reduce isolation by fostering a community of practice.

Main Methods:

  • A service evaluation was conducted with 25 domiciliary care workers over 12 months.
  • A curriculum was developed based on identified knowledge gaps, delivered through 12 educational sessions.
  • Pre- and post-intervention questionnaires and a focus group assessed the program's impact.

Main Results:

  • Participants reported increased knowledge across all 12 palliative care topics.
  • Self-reported confidence improved in seven out of 12 topics.
  • Attendance was inconsistent, with a maximum of nine sessions attended per participant.

Conclusions:

  • ECHO-based palliative care education is well-received, relevant, and accessible for domiciliary care staff.
  • The program shows potential for improving self-assessed knowledge and confidence in end-of-life care.
  • Scheduling challenges may hinder optimal staff attendance and program effectiveness.