1
|
Glajchen M, Otis-Green S, Berkman C, Portenoy RK. Educating Social Workers in Palliative and End-of-Life Care: Development and Implementation of a New National Training Program. J Palliat Med 2024; 27:638-643. [PMID: 38193765 DOI: 10.1089/jpm.2023.0516] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2024] Open
Abstract
Background: Educating Social Workers in Palliative and End-of-Life Care (ESPEC) is a nationally scalable continuing education program designed to improve the knowledge and skills of frontline health social workers caring for patients with serious illness. Objectives: This article describes ESPEC's rationale, development, and initial implementation. Design: Following the creation of consensus-derived core primary palliative care competencies for health primary care social workers based on the eight domains of palliative care outlined in the National Consensus Project Guidelines for Quality Palliative Care, an evidence-based curriculum was developed. This was used to develop a hybrid training model with a self-study component, synchronous instructor-led skills-based training, leadership training, and mentorship. The interactive curriculum incorporates patient scenarios highlighting the health social work role. Training targets high-impact skills-the biopsychosocial-spiritual assessment, advance care planning, family meetings, and interprofessional communication-and professional development. Settings/Subjects: ESPEC was launched in the United States in collaboration with the National Association of Social Workers (NASW) and the Social Work Hospice and Palliative Care Network (SWHPN). Results: The preliminary launch demonstrated high user acceptability, positive ratings for content and format, and gains in knowledge and competence. Conclusions: Data suggest that ESPEC can increase health social workers' knowledge and confidence as providers of palliative care interventions. National dissemination is ongoing.
Collapse
Affiliation(s)
- Myra Glajchen
- MJHS Institute for Innovation in Palliative Care, New York, New York, USA
- Department of Family and Social Medicine, Albert Einstein College of Medicine, Bronx, New York, USA
| | | | - Cathy Berkman
- Graduate School of Social Service, Fordham University, New York, New York, USA
| | - Russell K Portenoy
- MJHS Institute for Innovation in Palliative Care, New York, New York, USA
- Department of Family and Social Medicine, Albert Einstein College of Medicine, Bronx, New York, USA
| |
Collapse
|
2
|
Vivekananda K, Parratt C, Tucker M, Leonard R. The impact of online death literacy education on psychology students to have better end‐of‐life conversations. AUSTRALIAN PSYCHOLOGIST 2021. [DOI: 10.1111/ap.12444] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Kitty Vivekananda
- Counselling and Psychology Programs, Faculty of Education, Monash University, Melbourne, Victoria, Australia,
| | - Carrie Parratt
- Counselling and Psychology Programs, Faculty of Education, Monash University, Melbourne, Victoria, Australia,
| | - Mignon Tucker
- Counselling and Psychology Programs, Faculty of Education, Monash University, Melbourne, Victoria, Australia,
| | | |
Collapse
|
3
|
Weaver MS, Heinze KE, Kelly KP, Wiener L, Casey RL, Bell CJ, Wolfe J, Garee AM, Watson A, Hinds PS. Palliative Care as a Standard of Care in Pediatric Oncology. Pediatr Blood Cancer 2016; 62 Suppl 5:S829-33. [PMID: 26700928 DOI: 10.1002/pbc.25695] [Citation(s) in RCA: 129] [Impact Index Per Article: 16.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/30/2015] [Accepted: 07/14/2015] [Indexed: 11/08/2022]
Abstract
The study team conducted a systematic review of pediatric and adolescent palliative cancer care literature from 1995 to 2015 using four databases to inform development of a palliative care psychosocial standard. A total of 209 papers were reviewed with inclusion of 73 papers for final synthesis. Revealed topics of urgent consideration include the following: symptom assessment and intervention, direct patient report, effective communication, and shared decision-making. Standardization of palliative care assessments and interventions in pediatric oncology has the potential to foster improved quality of care across the cancer trajectory for children and adolescents with cancer and their family members.
Collapse
Affiliation(s)
- Meaghann S Weaver
- Department of Oncology, Children's National Health System, Washington, DC.,Department of Oncology, St. Jude Children's Research Hospital, Memphis, Tennessee
| | | | - Katherine P Kelly
- Department of Nursing Research and Quality Outcomes, Children's National Health System, Washington, DC
| | - Lori Wiener
- Pediatric Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland
| | - Robert L Casey
- Center for Cancer & Blood Disorders, Children's Hospital Colorado, University of Colorado, Denver, Colorado
| | - Cynthia J Bell
- College of Nursing, Wayne State University, Detroit, Michigan.,Hospice of Michigan Institute, Detroit, Michigan
| | - Joanne Wolfe
- Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Boston, Massachusetts
| | - Amy M Garee
- Department of Oncology, Nationwide Children's Hospital, Columbus, Ohio
| | - Anne Watson
- Department of Critical Care Medicine, Children's National Health System, Washington, DC
| | - Pamela S Hinds
- Department of Nursing Research and Quality Outcomes, Children's National Health System, Washington, DC.,Department of Pediatrics, George Washington University, Washington, DC
| |
Collapse
|
4
|
Weaver MS, Heinze KE, Bell CJ, Wiener L, Garee AM, Kelly KP, Casey RL, Watson A, Hinds PS. Establishing psychosocial palliative care standards for children and adolescents with cancer and their families: An integrative review. Palliat Med 2016; 30:212-23. [PMID: 25921709 PMCID: PMC4624613 DOI: 10.1177/0269216315583446] [Citation(s) in RCA: 91] [Impact Index Per Article: 11.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Despite standardization in disease assessments and curative interventions for childhood cancer, palliative assessments and psychosocial interventions remain diverse and disparate. AIM Identify current approaches to palliative care in the pediatric oncology setting to inform development of comprehensive psychosocial palliative care standards for pediatric and adolescent patients with cancer and their families. Analyze barriers to implementation and enabling factors. DESIGN Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines framed the search strategy and reporting. Data analysis followed integrative review methodology. DATA SOURCES Four databases were searched in May 2014 with date restrictions from 2000 to 2014: PubMed, Cochrane, PsycINFO, and Scopus. A total of 182 studies were included for synthesis. Types of studies included randomized and non-randomized trials with or without comparison groups, qualitative research, prior reviews, expert opinion, and consensus report. RESULTS Integration of patient, parent, and clinician perspectives on end-of-life needs as gathered from primary manuscripts (using NVivo coding for first-order constructs) revealed mutual themes across stakeholders: holding to hope, communicating honestly, striving for relief from symptom burden, and caring for one another. Integration of themes from primary author palliative care outcome reports (second-order constructs) revealed the following shared priorities in cancer settings: care access; cost analysis; social support to include primary caregiver support, sibling care, bereavement outreach; symptom assessment and interventions to include both physical and psychological symptoms; communication approaches to include decision-making; and overall care quality. CONCLUSION The study team coordinated landmark psychosocial palliative care papers into an informed conceptual model (third-order construct) for approaching pediatric palliative care and psychosocial support in oncology settings.
Collapse
Affiliation(s)
- Meaghann S Weaver
- Department of Oncology, Children's National Health System, Washington, DC, USA Department of Oncology, St. Jude Children's Research Hospital, Memphis, TN, USA
| | | | - Cynthia J Bell
- College of Nursing, Wayne State University, Detroit, MI, USA Hospice of Michigan Institute, Detroit, MI, USA
| | - Lori Wiener
- Pediatric Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA
| | - Amy M Garee
- Department of Oncology, Nationwide Children's Hospital, Columbus, OH, USA
| | - Katherine P Kelly
- Department of Nursing Research and Quality Outcomes, Children's National Health System, Washington, DC, USA
| | - Robert L Casey
- Department of Psychology, University of Colorado, Denver, CO, USA
| | - Anne Watson
- Department of Critical Care Medicine, Children's National Health System, Washington DC, USA
| | | |
Collapse
|
5
|
Otis-Green S, Jones B, Zebrack B, Kilburn L, Altilio TA, Ferrell B. ExCEL in Social Work: Excellence in Cancer Education & Leadership: An Oncology Social Work Response to the 2008 Institute of Medicine Report. JOURNAL OF CANCER EDUCATION : THE OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION FOR CANCER EDUCATION 2015; 30:503-513. [PMID: 25146345 PMCID: PMC4339672 DOI: 10.1007/s13187-014-0717-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
ExCEL in Social Work: Excellence in Cancer Education & Leadership was a multi-year National Cancer Institute (NCI)-funded grant for the development and implementation of an innovative educational program for oncology social workers. The program's curriculum focused upon six core competencies of psychosocial-spiritual support necessary to meet the standard of care recommended by the 2008 Institute of Medicine (IOM) Report: Cancer Care for the Whole Patient: Meeting Psychosocial Health Needs. The curriculum was delivered through a collaborative partnership between the City of Hope National Medical Center and the two leading professional organizations devoted exclusively to representing oncology social workers--the Association of Oncology Social Work and the Association of Pediatric Oncology Social Workers. Initial findings support the feasibility and acceptability of this tailored leadership skills-building program for participating oncology social workers.
Collapse
Affiliation(s)
- Shirley Otis-Green
- Division of Nursing Research and Education, Department of Population Sciences, City of Hope National Medical Center, 1500 E. Duarte Rd., Duarte, CA, 91010, USA,
| | | | | | | | | | | |
Collapse
|
6
|
Enabling sense-making for patients receiving outpatient palliative treatment: A participatory action research driven model for person-centered communication. Palliat Support Care 2015; 14:212-24. [PMID: 26235481 DOI: 10.1017/s1478951515000814] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
OBJECTIVES In clinical palliative cancer care, the diversity of patient concerns over time makes information provision a critical issue, the demands of information-seeking patients presenting a challenge to both the communicative and organizational skills of the health provider. This study puts forward a practice model for communication between patients, their family members, and professional health providers during ongoing palliative chemotherapy; a model which supports the providers in enabling person-centered communication. METHOD A constant comparative analysis adapted to participatory action research was applied. The model was developed step-wise in three interrelated cycles, with results from previous studies from palliative cancer care processed in relation to professional health providers' experience-based clinical knowledge. In doing this, focus group discussions were carried out with providers and patients to develop and revise the model. RESULTS The Enabling Sense Making model for person-centered communication gave rise to three domains (which are also the major communicative actors in palliative care): the patient, the family, and the provider. These actors were placed in the context of a communicative arena. The three respective domains were built up in different layers discriminating between significant aspects of person-centered communication, from the manifest that is most usually explicated in dialogues, to the latent that tends to be implicitly mediated. SIGNIFICANCE OF RESULTS The model intends to facilitate timely reorientation of care from curative treatment or rehabilitation to palliation, as well as the introduction of appropriate palliative interventions over time during palliative phases. In this way the model is to be regarded a frame for directing the awareness of the professionals, which focuses on how to communicate and how to consider the patient's way of reasoning. The model could be used as a complement to other strategic initiatives for the advancement of palliative care communication. It needs to be further evaluated in regard to practice evidence.
Collapse
|
7
|
Gardner DS, Gerbino S, Walls JW, Chachkes E, Doherty MJ. Mentoring the Next Generation of Social Workers in Palliative and End-of-Life Care: The Zelda Foster Studies Program. JOURNAL OF SOCIAL WORK IN END-OF-LIFE & PALLIATIVE CARE 2015; 11:107-131. [PMID: 26380922 DOI: 10.1080/15524256.2015.1074142] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
As Americans live longer with chronic illnesses, there is a growing need for social workers with the knowledge and skills to deliver quality palliative care to older adults and their families. Nevertheless, there remains a critical shortage of social workers prepared to provide quality palliative and end-of-life care (PELC) and to maintain the field into the next generation. Formal mentorship programs represent an innovative approach to enhancing practice, providing support and guidance, and promoting social work leadership in the field. This article reviews the literature on mentorship as an approach to professional and leadership development for emerging social workers in PELC. The Zelda Foster Studies Program in Palliative and End-of-Life Care bolsters competencies and mentors social workers in PELC over the trajectory of their careers, and enhances the capacity in the field. Findings from the first six years of two components of the ZF Program are examined to illustrate the feasibility, benefits, and challenges of formal mentorship programs. The authors describe the background, structure, and evaluation of the initiative's mentorship programs, and discuss the implications of mentorship in PELC for social work education, practice, and research.
Collapse
Affiliation(s)
- Daniel S Gardner
- a Silberman School of Social Work and Hartford Silberman Center of Excellence in Aging and Diversity , Hunter College of The City University of New York (CUNY) , New York , New York , USA
| | - Susan Gerbino
- b Zelda Foster Studies Program in Palliative and End-of-Life Care , New York University Silver School of Social Work , New York , New York , USA
| | - Jocelyn Warner Walls
- b Zelda Foster Studies Program in Palliative and End-of-Life Care , New York University Silver School of Social Work , New York , New York , USA
| | - Esther Chachkes
- b Zelda Foster Studies Program in Palliative and End-of-Life Care , New York University Silver School of Social Work , New York , New York , USA
| | - Meredith J Doherty
- a Silberman School of Social Work and Hartford Silberman Center of Excellence in Aging and Diversity , Hunter College of The City University of New York (CUNY) , New York , New York , USA
| |
Collapse
|
8
|
Jones B, Phillips F, Head BA, Hedlund S, Kalisiak A, Zebrack B, Kilburn L, Otis-Green S. Enhancing collaborative leadership in palliative social work in oncology. JOURNAL OF SOCIAL WORK IN END-OF-LIFE & PALLIATIVE CARE 2014; 10:309-321. [PMID: 25494928 DOI: 10.1080/15524256.2014.975319] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
The Institute of Medicine (IOM) Report-Cancer Care for the Whole Patient: Meeting Psychosocial Health Needs-provided recommendations for meeting the palliative care needs of our growing population of older Americans. The IOM report highlights the demand for social work leadership across all aspects of the health care delivery system. Social workers are core interdisciplinary members of the health care team and it is important for them to be well prepared for collaborative leadership roles across health care settings. The ExCEL in Social Work: Excellence in Cancer Education & Leadership education project was created as a direct response to the 2008 IOM Report. This article highlights a sampling of palliative care projects initiated by outstanding oncology social work participants in the ExCEL program. These projects demonstrate the leadership of social workers in palliative care oncology.
Collapse
Affiliation(s)
- Barbara Jones
- a School of Social Work , The University of Texas at Austin , Austin , Texas , USA
| | | | | | | | | | | | | | | |
Collapse
|