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Impact of a multifaceted education program on implementing a pediatric palliative care guideline: a pilot study.

Jagt-van Kampen CT, Kremer LC, Verhagen AA, Schouten-van Meeteren AY - BMC Med Educ (2015)

Bottom Line: The educational program did not result in significant improvement in compliance for any of these indicators.The multifaceted education program did not lead to improvement in documentation of compliance to the guideline.Parent reported outcome revealed better performance and might be the more adequate assessment tool for future studies.

View Article: PubMed Central - PubMed

Affiliation: Emma Children's Hospital, Academic Medical Centre, Pediatric Oncology F8 Zuid, Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands. c.t.jagt@amc.nl.

ABSTRACT

Background: A national clinical practice guideline for pediatric palliative care was published in 2013. So far there are only few reports available on whether an educational program fosters compliance with such a guideline implementation. We aimed to test the effect of the education program on actual compliance as well as documentation of compliance to the guideline.

Methods: We performed a prospective study with pre- and post-intervention evaluation on compliance to the guideline of the nurse specialists of a pediatric palliative care team for case management at a children's university hospital. Eleven quality indicators were selected from 192 recommendations from the pediatric palliative care guideline, based on frequency, measurability and relevance. The multifaceted education program included e-learning and an interactive educational meeting. Four e-learning modules addressed 19 patient cases on symptoms, diagnostics and treatment, and a chart-documentation exercise. During the interactive educational meeting patient cases were discussed on how to use the guideline. Documentation of compliance to the guideline in the web-based patient-charts as well as actual compliance to the guideline through weekly web-based parent reports was measured before and after completion of the e-learning.

Results: Eleven quality indicators were selected. The educational program did not result in significant improvement in compliance for any of these indicators. The indicators "treatment of nausea", "pain medications two steps ahead" and "pain medication for 48 h present", measured through parent reports, scored a compliance beyond 80 % before and after e-learning. The remaining indicators measuring compliance, as well as six indicators measuring documentation by chart review, showed a compliance below 80 % before and after e-learning.

Conclusions: The multifaceted education program did not lead to improvement in documentation of compliance to the guideline. Parent reported outcome revealed better performance and might be the more adequate assessment tool for future studies.

No MeSH data available.


Related in: MedlinePlus

Displays the results of the nurse specialists on each of the four e-learning modules, shown as percentage of correct answers
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Fig2: Displays the results of the nurse specialists on each of the four e-learning modules, shown as percentage of correct answers

Mentions: The percentage of correct answers on the four e-learning modules per nurse specialist is shown in Fig. 2. The results are similar between the nurse specialists. During the interactive educational meeting, all participants showed a great deal of enthusiasm and eagerness to keep expanding knowledge and applicability of the guideline. All nurse specialists showed increased awareness of the importance and added value of correct use of the CPG, and stated to comply to the CPG increasingly. Evaluation of the education program by the nurse specialists revealed a mean satisfaction score of 7.6 out of 10 for the usefulness of the education program. The nurse specialists also rated their perceived improvement of compliance to the guideline after completion of the education program. For compliance to the guideline regarding evaluation and treatment of symptoms, their self-assessment mean score was 7.8 out of 10. The self-assessment mean score for documentation was 6.4 (Table 2).Fig. 2


Impact of a multifaceted education program on implementing a pediatric palliative care guideline: a pilot study.

Jagt-van Kampen CT, Kremer LC, Verhagen AA, Schouten-van Meeteren AY - BMC Med Educ (2015)

Displays the results of the nurse specialists on each of the four e-learning modules, shown as percentage of correct answers
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4631052&req=5

Fig2: Displays the results of the nurse specialists on each of the four e-learning modules, shown as percentage of correct answers
Mentions: The percentage of correct answers on the four e-learning modules per nurse specialist is shown in Fig. 2. The results are similar between the nurse specialists. During the interactive educational meeting, all participants showed a great deal of enthusiasm and eagerness to keep expanding knowledge and applicability of the guideline. All nurse specialists showed increased awareness of the importance and added value of correct use of the CPG, and stated to comply to the CPG increasingly. Evaluation of the education program by the nurse specialists revealed a mean satisfaction score of 7.6 out of 10 for the usefulness of the education program. The nurse specialists also rated their perceived improvement of compliance to the guideline after completion of the education program. For compliance to the guideline regarding evaluation and treatment of symptoms, their self-assessment mean score was 7.8 out of 10. The self-assessment mean score for documentation was 6.4 (Table 2).Fig. 2

Bottom Line: The educational program did not result in significant improvement in compliance for any of these indicators.The multifaceted education program did not lead to improvement in documentation of compliance to the guideline.Parent reported outcome revealed better performance and might be the more adequate assessment tool for future studies.

View Article: PubMed Central - PubMed

Affiliation: Emma Children's Hospital, Academic Medical Centre, Pediatric Oncology F8 Zuid, Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands. c.t.jagt@amc.nl.

ABSTRACT

Background: A national clinical practice guideline for pediatric palliative care was published in 2013. So far there are only few reports available on whether an educational program fosters compliance with such a guideline implementation. We aimed to test the effect of the education program on actual compliance as well as documentation of compliance to the guideline.

Methods: We performed a prospective study with pre- and post-intervention evaluation on compliance to the guideline of the nurse specialists of a pediatric palliative care team for case management at a children's university hospital. Eleven quality indicators were selected from 192 recommendations from the pediatric palliative care guideline, based on frequency, measurability and relevance. The multifaceted education program included e-learning and an interactive educational meeting. Four e-learning modules addressed 19 patient cases on symptoms, diagnostics and treatment, and a chart-documentation exercise. During the interactive educational meeting patient cases were discussed on how to use the guideline. Documentation of compliance to the guideline in the web-based patient-charts as well as actual compliance to the guideline through weekly web-based parent reports was measured before and after completion of the e-learning.

Results: Eleven quality indicators were selected. The educational program did not result in significant improvement in compliance for any of these indicators. The indicators "treatment of nausea", "pain medications two steps ahead" and "pain medication for 48 h present", measured through parent reports, scored a compliance beyond 80 % before and after e-learning. The remaining indicators measuring compliance, as well as six indicators measuring documentation by chart review, showed a compliance below 80 % before and after e-learning.

Conclusions: The multifaceted education program did not lead to improvement in documentation of compliance to the guideline. Parent reported outcome revealed better performance and might be the more adequate assessment tool for future studies.

No MeSH data available.


Related in: MedlinePlus