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Assessment of palliative care training in gynecologic oncology: a gynecologic oncology fellow research network study.

ABSTRACT: Palliative care is recognized as an important component of oncologic care. We sought to assess the quality/quantity of palliative care education in gynecologic oncology fellowship.A self-administered on-line questionnaire was distributed to current gynecologic oncology fellow and candidate members during the 2013 academic year. Descriptive statistics, bivariate and multivariate analyses were performed.Of 201 fellow and candidate members, 74.1% (n=149) responded. Respondents were primarily women (75%) and white (76%). Only 11% of respondents participated in a palliative care rotation. Respondents rated the overall quality of teaching received on management of ovarian cancer significantly higher than management of patients at end of life (EOL), independent of level of training (8.25 vs. 6.23; p<0.0005). Forty-six percent reported never being observed discussing transition of care from curative to palliative with a patient, and 56% never received feedback about technique regarding discussions on EOL care. When asked to recall their most recent patient who had died, 83% reported enrollment in hospice within 4 weeks of death. Fellows reporting higher quality EOL education were significantly more likely to feel prepared to care for patients at EOL (p<0.0005). Mean ranking of preparedness increased with the number of times a fellow reported discussing changing goals from curative to palliative and the number of times he/she received feedback from an attending (p<0.0005).Gynecologic oncology fellow/candidate members reported insufficient palliative care education. Those respondents reporting higher quality EOL training felt more prepared to care for dying patients and to address complications commonly encountered in this setting.

SUBMITTER: Eskander RN

PROVIDER: S-EPMC4191825 | biostudies-literature | 2014 Aug

REPOSITORIES: biostudies-literature

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Assessment of palliative care training in gynecologic oncology: a gynecologic oncology fellow research network study.

Eskander Ramez N RN Osann Kathryn K Dickson Elizabeth E Holman Laura L LL Rauh-Hain J Alejandro JA Spoozak Lori L Wu Eijean E Krill Lauren L Fader Amanda Nickles AN Tewari Krishnansu S KS

Gynecologic oncology 20140602 2

<h4>Objective</h4>Palliative care is recognized as an important component of oncologic care. We sought to assess the quality/quantity of palliative care education in gynecologic oncology fellowship.<h4>Methods</h4>A self-administered on-line questionnaire was distributed to current gynecologic oncology fellow and candidate members during the 2013 academic year. Descriptive statistics, bivariate and multivariate analyses were performed.<h4>Results</h4>Of 201 fellow and candidate members, 74.1% (n ...[more]

PMID: 24887355

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Project description:BACKGROUND:Grieving relatives can suffer from numerous consequences like anxiety, depression, post-traumatic stress disorder (PTSD) symptoms, and prolonged grief. This study aims to assess the psychological consequences of grieving relatives after patients' death in French palliative care units and their needs for support. METHODS:This is a prospective observational multicenter mixed study. Relatives of adult patients with a neoplasia expected to be hospitalized more than 72?h in a palliative care unit for end-of-life issues will be included within 48?h after patient admission. End-of-life issues are defined by the physician at patient admission. Relatives who are not able to have a phone call at 6-months are excluded. The primary outcome is the incidence of prolonged grief reaction defined by an ICG (Inventory Complicate Grief)?>?25 (0 best-76 worst) at 6?months after patient' death. Prespecified secondary outcomes are the risk factors of prolonged grief, anxiety and depression symptoms between day 3 and day 5 and at 6?months after patients' death based on an Hospital Anxiety and Depression score (range 0-42)?>?8 for each subscale (minimal clinically important difference: 2.5), post-traumatic stress disorder symptoms 6?months after patient' death based on the Impact of Events Scale questionnaire (0 best-88 worst) score?>?22, experience of relatives during palliative care based on the Fami-Life questionnaire, specifically built for the study. Between 6 and 12?months after the patient's death, a phone interview with relatives with prolonged grief reactions will be planned by a psychologist to understand the complex system of grief. It will be analyzed with the Interpretative Phenomenological Analysis. We planned to enroll 500 patients and their close relatives assuming a 25% prolonged grief rate and a 6-month follow-up available in 60% of relatives. DISCUSSION:This study will be the first to report the psychological consequences of French relatives after a loss of a loved one in palliative care units. Evaluating relatives' experiences can provide instrumental insights for means of improving support for relatives and evaluation of bereavement programs. TRIAL REGISTRATION:NCT03748225 registered on 11/19/2018. Recruiting patients.

Dataset Information

Assessment of palliative care training in gynecologic oncology: a gynecologic oncology fellow research network study.

Publications

Assessment of palliative care training in gynecologic oncology: a gynecologic oncology fellow research network study.

Similar Datasets

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