Providing quality allied health placements in palliative care
Keywords:allied health student, education, attitude, palliative care
Introduction: Palliative care is a complex area for student placements due to the high level of grief and loss encountered. There is limited research into allied health student experiences in palliative care. The aim of this study was to investigate the attitudes, behaviours, perceptions and personal challenges faced by allied health students in palliative care. We sought to explore student preparation for a palliative care clinical placement and the impact of the placement on their self-efficacy in the areas of communication, patient management and interdisciplinary teamwork.
Methods: Eleven consecutive eligible allied health students undertaking a placement in palliative care were recruited to participate in this study. Each participant took part in a semi-structured interview at the beginning and end of their placement. Interviews were transcribed and analysed qualitatively. Questionnaires were also given to participant’s pre and post placement to identify the impact of self-efficacy and outcome expectancies on learning outcomes.
Results: The analysis of the results demonstrated that most, but not all, of participants experienced anxiety prior to placement. Participants’ perception and understanding of palliative care was positively influenced by their placement, and there were a wide variety of learning experiences described.
Conclusions: Allied health student placements in palliative care provide a positive environment for student learning and can be altered to maximise the learning experience. With careful planning, and by encouraging a culture of support, effective approaches and strategies can be identified to make a placement in palliative care more appealing and appropriate for individual students.
Arolker, M., Barnes, J., Gadoud, A., Jones, L., Barnes, L., & Johnson, M. (2010). “They’ve got to learn”: A qualitative study exploring the views of patients and staff regarding medical student teaching in a hospice. Palliative Medicine, 24(4), 419–426. doi:10.1177/0269216310366065
Barclay, S., Whyte, R., Thiemann. P., Benson, J., Wood, D., Parker, R., & Quince, T.
(2014). An important but stressful part of their future work: Medical students' attitudes to palliative care throughout their course. Journal of Pain & Symptom Management, 49(2), 231–242. doi:10.1016/j.jpainsymman.2014.06.004
Barrington, D., & Murrie, D. (1999). A preceptor model for introducing undergraduate medical students to palliative medicine. Journal of Palliative Care, 15, 37–43.
Bouffarda, T., Boucharda, M., Gouleta, G., Denoncourta, I., & Couturea, N. (2005). Influence of achievement goals and self‑efficacy on students' self‑regulation and performance. International Journal of Psychology, 40(6), 373–384. doi:10.1080/00207590444000302
Cairns, W., & Yates, P. (2003). Education and training in palliative care. Medical Journal of Australia, 179(6), S26–S28.
Carlsen, B., & Glenton, C. (2011). What about N? A methodological study of sample-size reporting in focus group studies. BMC Medical Research Methodology, 11(26). doi:10.1186/1471-2288-11-26
Chan, D. S. (2003). Validation of the Clinical Learning Environment Inventory. Western Journal of Nursing Research, 25(5), 519–532.
Chiarelli, P., Johnston, C., & Osmotherly, P. (2014). Introducing palliative care into entry-level physical therapy education. Journal of Palliative Medicine, 17(2), 152–158. doi:10.1089/jpm.2013.0158
Connell, S., Yates, P., & Barrett, L. (2011). Understanding the optimal learning environment in palliative care. Nurse Education Today, 31(5), 472–476.
Cooper, J., & Barnett, M. (2005). Aspects of caring for dying patients which cause anxiety to first year students. International Journal of Palliative Nursing, 11(8), 423–430. doi:10.12968/ijpn.2005.11.8.19611
Fossey, E., Harvey, C., McDermott, F., & Davidson, L. (2002). Understanding and evaluating qualitative research. Australian and New Zealand Journal of Psychiatry, 36(6), 717–732.
Frost, M. (2001). The role of physical, occupational and speech therapies in hospice: Patient empowerment. American Journal of Hospice Palliative Care, 18(6), 397–402.
Gibbins, J., McCoubrie, R., Maher, J., & Forbes, K. (2010). Recognizing that it is part and parcel of what they do: Teaching palliative care to medical students in the UK. Palliative Medicine, 24(3), 299–305. doi:10.1177/0269216309356029
Gomes, B., & Higginson, I. (2008). Where people die (1974–2030): Past trends, future projections and implications for care. Palliative Medicine, 22(1), 33–41. doi:10.1177/0269216307084606
Goodhead, A. (2011). Physiotherapy in palliative care: The interface between function and meaning. European Journal of Palliative Care, 18(6), 190–194.
Hegarty, M., Currow., D., Parker, D., Turnbull, B., Devery, K., Canning, D., Nash, R., Mitchell, G., Grbich, C., & Yates, P. (2010). Palliative care in undergraduate curricula: Results of a national scoping study. Focus on Health Professional Education: A Multi-Disciplinary Journal, 12(2), 97–109. Retrieved from http://search.informit.com.au/documentSummary;dn=575480298923527;res=IELHEA
Kumar, S., Jim, A., & Sisodia, V. (2011). Effects of palliative care training on knowledge, attitudes, beliefs and experiences among student physiotherapists: A preliminary quasi-experimental study. Indian Journal of Palliative Care, 17(1), 47–53. doi:10.4103/0973-1075.78449
Kwon, S., Kolomer, S., & Alper, J. (2014). The attitudes of social work students toward end-of-life care planning. Journal of Social Work in End-of-Life & Palliative Care, 10(3), 240–256. doi:10.1080/15524256.2014.938890
MacLeod, R., Parkin, C., Pullon, S., Robertson, G. (2003). Early clinical exposure to people who are dying: Learning to care at the end of life. Medical Education, 37(1), 51–58. doi:10.1046/j.1365-2923.2003.01412.x
Mason, S., & Ellershaw, J. (2004). Assessing undergraduate palliative care education: Validity and reliability of two scales examining perceived efficacy and outcome expectancies in palliative care. Medical Education, 38(10), 1103–1110. doi:10.1111/j.1365-2929.2004.01960.x
Mason, S., & Ellershaw, J. (2010). Undergraduate training in palliative care medicine: Is more necessarily better? Palliative Medicine, 24(3), 306–309. doi:10.1177/0269216309351867
Mayring, P. (2000). Qualitative content analysis. Forum: Qualitative Social Research, 1(2), Article 20. Retrieved from http://nbn-resolving.de/urn:nbn:de:0114-fqs0002204
Merriam, S. (2009). Qualitative research: A guide to design and implementation (3rd ed.). San Francisco, CA: John Wiley.
Merrill, J., Lorimor, R., Thornby, J., & Woods, A. (1998). Caring for terminally ill persons: Comparative analysis of attitudes (thanatophobia) of practising physicians, student nurses and medical students. Psychological Reports, 83, 123–128.
Miles, M., Huberman, A., & Saldana, J. (2013). Qualitative data analysis: A methods sourcebook (3rd ed.). London, England: Sage.
Miller, J., Kovacs, P., Wright, L., Corcoran, J., & Rosenblum, A. (2005). Field education: Student and field instructor perceptions of the learning process. Journal of Social Work Education, 41(1), 131–144.
Ormrod, J. (2006). Educational psychology: Developing learners (5th ed.). Upper Saddle River, NJ: Pearson/Merrill Prentice Hall.
Palliative Care Australia. (2010). Health system reform and care at the end of life: A guidance document. Sydney, Australia: Author.
Parker, J. (2006). Developing perceptions of competence during practice learning. British Journal of Social Work, 36, 1017–1086. doi:10.1093/bjsw/bch347
Parker, J. (2007). Developing effective practice learning for tomorrow’s social workers. Social Work Education, 26(8), 763–779. doi:10.1080/02615470601140476
QSR International. (2010). NVIVO 10 [computer software]. Retrieved from http://www.qsrinternational.com/products.aspx
Sandelowski, M. (2010). What’s in a name? Qualitative description revisited. Research in Nursing and Health, 33(1), 77–84. doi:10.1002/nur.20362
Simons, K., & Perk-Lee, E. (2009). Social work students comfort with end-of-life care. Journal of Social Work in End-of-Life and Palliative Care, 5(1), 34–38.
World Health Organisation. (2016). WHO definition of palliative care. Retrieved from http://www.who.int/cancer/palliative/definition/en/
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