A Novel Interprofessional Palliative Care and Geriatrics Curriculum for Nephrology Teams.


Journal

The American journal of hospice & palliative care
ISSN: 1938-2715
Titre abrégé: Am J Hosp Palliat Care
Pays: United States
ID NLM: 9008229

Informations de publication

Date de publication:
Nov 2020
Historique:
pubmed: 3 4 2020
medline: 29 7 2021
entrez: 3 4 2020
Statut: ppublish

Résumé

The population of older adults with chronic kidney disease (CKD) is increasing and nephrologists need education on the principles of geriatrics and palliative care to effectively care for this population. Our objective was to develop and deliver a curriculum to interprofessional clinicians caring for older adults with CKD. The aim of this curriculum would be to improve knowledge of the principles of geriatrics and palliative care. We have previously developed a curriculum on geriatrics and palliative care targeted toward primary care teams. In this project, we used an interdisciplinary steering committee to modify the curriculum for nephrology teams. This curriculum was delivered in a live grand rounds setting and was recorded and made available via online platform for virtual learning. The 6-session curriculum was delivered to 611 live and online learners between January 2018 and April 2019, with more than half of the participants (n = 317) completing more than 1 session. Participants came from a variety of disciplines including medicine, nursing, pharmacy, and social work. Participants had a high rate of agreement with the statement that the curriculum met learning objectives, with live participants having stronger agreement. Participants reported that the activity would change their practice behavior by calling palliative care earlier, as well as improving their communication skills. Interprofessional collaboration can result in improved learning around the management of patients with CKD or end-stage kidney disease.

Sections du résumé

BACKGROUND BACKGROUND
The population of older adults with chronic kidney disease (CKD) is increasing and nephrologists need education on the principles of geriatrics and palliative care to effectively care for this population.
OBJECTIVES OBJECTIVE
Our objective was to develop and deliver a curriculum to interprofessional clinicians caring for older adults with CKD. The aim of this curriculum would be to improve knowledge of the principles of geriatrics and palliative care.
DESIGN METHODS
We have previously developed a curriculum on geriatrics and palliative care targeted toward primary care teams. In this project, we used an interdisciplinary steering committee to modify the curriculum for nephrology teams.
SETTING METHODS
This curriculum was delivered in a live grand rounds setting and was recorded and made available via online platform for virtual learning.
PARTICIPANTS METHODS
The 6-session curriculum was delivered to 611 live and online learners between January 2018 and April 2019, with more than half of the participants (n = 317) completing more than 1 session. Participants came from a variety of disciplines including medicine, nursing, pharmacy, and social work.
RESULTS RESULTS
Participants had a high rate of agreement with the statement that the curriculum met learning objectives, with live participants having stronger agreement. Participants reported that the activity would change their practice behavior by calling palliative care earlier, as well as improving their communication skills.
CONCLUSION CONCLUSIONS
Interprofessional collaboration can result in improved learning around the management of patients with CKD or end-stage kidney disease.

Identifiants

pubmed: 32233775
doi: 10.1177/1049909120915462
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

913-917

Auteurs

Ana Tuya Fulton (AT)

Geriatrics & Palliative Care, Care New England Health System, Providence, RI, USA.
The Warren Alpert School of Medicine, Brown University, Providence, RI, USA.
Integra Community Care Network, LLC, Providence, RI, USA.

Katherine Richman (K)

Geriatrics & Palliative Care, Care New England Health System, Providence, RI, USA.
Providence VA Medical Center, Lifespan, Providence, RI, USA.

Maroun Azar (M)

Geriatrics & Palliative Care, Care New England Health System, Providence, RI, USA.
Brown Medicine, Inc, Providence, RI, USA.

Kelley Sanzen (K)

The Warren Alpert School of Medicine, Brown University, Providence, RI, USA.
Brown Medicine, Inc, Providence, RI, USA.

Jessica Devine (J)

Brown Medicine, Inc, Providence, RI, USA.

Christine Ferrone (C)

Rhode Island Geriatric Education Center, University of Rhode Island, Kingston, RI, USA.

Joshua Ray Tanzer (JR)

Rhode Island Geriatric Education Center, University of Rhode Island, Kingston, RI, USA.

Kate Lally (K)

Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Boston, MA, USA.
Harvard Medical School, Harvard University, Boston, MA, USA.

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Classifications MeSH