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Implementing palliative care education into primary care practice: a qualitative case study of the CAPACITI pilot
Midori Matthew1, Daryl Bainbridge2, Valerie Bishop2
1Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.
BMC Palliative Care
|September 27, 2023
Summary
The CAPACITI virtual education program effectively trained primary care teams in early palliative care. Participants reported increased confidence and competence, though challenges like team fragmentation need addressing for future implementation.
Area of Science:
- Palliative Care Education
- Virtual Learning Environments
- Primary Healthcare Research
Background:
- The CAPACITI program offers virtual education for primary care teams on early palliative care.
- A qualitative study assessed the effectiveness, challenges, and enablers of this virtual palliative care education.
Purpose of the Study:
- To evaluate the effectiveness of the CAPACITI program's components.
- To identify challenges and enablers in virtual palliative care education for primary care teams.
Main Methods:
- A qualitative case study approach was used.
- Data sources included reflection surveys, open text responses, and focus group transcripts.
- Thematic analysis was applied to understand participant experiences.
Main Results:
- 22 primary care teams (159 participants) completed the program in Ontario, Canada.
- Key themes identified were practice changes, program utility, and barriers to implementation.
- Participants reported enhanced confidence and competence in applying palliative care.
Conclusions:
- Primary care teams found the CAPACITI program effective for integrating palliative care.
- Further national-scale randomized trials are recommended.
- Future versions should address barriers like team fragmentation to improve collaboration and knowledge translation.
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