Evaluation Toolkit: assessing outcomes of end of life

learning events.

Project Overview

Becky Chady, Lecturer Palliative and End of Life Studies, School of Nursing, Midwifery and Physiotherapy

evaluationtoolkit@nottingham.ac.uk

Evaluation Project Team• Becky Chady – Co-author and project lead / Lecturer, University of Nottingham.

• Sharan Watson – Project Manager/ Advancing Practice Development Facilitator, LOROS.

• Sarah Todd, Research Assistant, University of Nottingham

• Lydia Bird – Research Fellow, Sue Ryder Centre for Palliative and End of Life Studies, University of Nottingham. Statistics testing for reliability and validity.

• Tony Arthur – Senior Research Fellow, Sue Ryder Centre for Palliative and End of Life Studies, University of Nottingham Statistical analysis advisor

Co-authors• Debbie Broadhurst – Advancing Practice Development Manager, LOROS.

• Christina Faull – Medical Consultant, LOROS.

04/18/23Thursday 30th June 2011 COMET Conference Nottingham 3

Challenges – measuring competence

Background to developing and testing the Tools

•review of validated tools available •short course in EoLC - 116 delegates•East Midlands SHA / national EoLC programme•feedback from facilitators – Tool E •reliability/validity testing•testing Tool C•published version 5 June 2012

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Communication Assessment and care planning

Symptom management

Advance care planning

Values and knowledge

EoLC dementia course

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Post

Tool C

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Tool C

7.Yes No Not

SurePlease give examples:

a. Do you feel that after attending the learning event you have helped to prevent any inappropriate hospital admissions at life’s end?

b. Do you feel that after attending the learning event you have been able to initiate conversations with a patient or their family about life’s end?

c. Do you feel that after attending the learning event you have been able to

recognise when a person is dying?

Tool C7.

Yes No Not Sure

Please give examples:

a. Do you feel that after attending the learning event you have helped to prevent any inappropriate hospital admissions at life’s end?

“I felt confident enough to recognise that a lady was nearly at end of life and I asked the general practitioners not to admit to hospital and start the Liverpool Care Pathway”

b. Do you feel that after attending the learning event you have been able to initiate conversations with a patient or their family about life’s end?

“I feel more confident and comfortable to initiate conversation especially with family members”

c. Do you feel that after attending the learning event you have been able to

recognise when a person is dying?

“I identified two clients who were at this stage, one was a lady of 31 who wanted to die at home with her family and I was able to support her with this wish”

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Resources• Chady B, Broadhurst D, Faull C (2012) Evaluation Toolkit: assessing outcomes of End of Life Learning Events version 5 . East

Midlands SHA: University of Nottingham. available on line: http://www.endoflifecareforadults.nhs.uk/case-studies/evaluation-toolkit-modelling-a-tool-that-will-link-learning-to-care-delivery [accessed on 2.11.2012]

• Chady B, Bird L, Broadhurst D et al (2012) Evaluation Toolkit: A project to assess outcomes of end of life care learning events – project report. Available by request evaluationtoolkit@nottingham.ac.uk

• Frey R, Gott M, Banfield R et al (2011) ‘What questionnaires exist to measure the perceived competence of generalists in palliative care provision? A critical literature review’. BMJ Supportive and Palliative Care 1 19-32