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Development of an existential support training program for healthcare professionals
University of Gothenburg, The Sahlgrenska Academy, Institute of Health and Care Sciences, Gothenburg, Sweden / Ersta Sköndal University College and Ersta Hospital, Palliative Research Centre, Stockholm, Sweden.
University of Gothenburg, The Sahlgrenska Academy, Institute of Health and Care Sciences, Gothenburg, Sweden / Angered Local Hospital, Gothenburg, Sweden.
University of Skövde, School of Health and Education. University of Skövde, Health and Education. Karolinska Institute, Department of Neurobiology, Care Science and Society, Division of Nursing, Solna, Sweden. (Äldre och långvariga hälsoproblem, Older Adults and Long-Term Health Problems)ORCID iD: 0000-0003-0976-531X
University of Gothenburg, The Sahlgrenska Academy, Institute of Health and Care Sciences, Gothenburg, Sweden / Mid Sweden University, Department of Health Sciences, Östersund, Sweden.
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2015 (English)In: Palliative & Supportive Care, ISSN 1478-9515, E-ISSN 1478-9523, Vol. 13, no 6, 1701-1709 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: Our aim was to describe the developmental process of a training program for nurses to communicate existential issues with severely ill patients.

METHOD: The Medical Research Council (MRC) framework for the development and evaluation of complex interventions was used to develop a training program for nurses to communicate about existential issues with their patients. The steps in the framework were employed to describe the development of the training intervention, and the development, feasibility and piloting, evaluation, and implementation phases. The development and feasibility phases are described in the Methods section. The evaluation and implementation phases are described in the Results section.

RESULTS: In the evaluation phase, the effectiveness of the intervention was shown as nurses' confidence in communication increased after training. The understanding of the change process was considered to be that the nurses could describe their way of communicating in terms of prerequisites, process, and content. Some efforts have been made to implement the training intervention, but these require further elaboration.

SIGNIFICANCE OF RESULTS: Existential and spiritual issues are very important to severely ill patients, and healthcare professionals need to be attentive to such questions. It is important that professionals be properly prepared when patients need this communication. An evidence-based training intervention could provide such preparation. Healthcare staff were able to identify situations where existential issues were apparent, and they reported that their confidence in communication about existential issues increased after attending a short-term training program that included reflection. In order to design a program that should be permanently implemented, more knowledge is needed of patients' perceptions of the quality of the healthcare staff's existential support.

Place, publisher, year, edition, pages
Cambridge University Press, 2015. Vol. 13, no 6, 1701-1709 p.
Keyword [en]
Education, Existential, Medical Research Council framework, Nurses, Spirituality, Training
National Category
Nursing
Research subject
Medical sciences
Identifiers
URN: urn:nbn:se:his:diva-11199DOI: 10.1017/S1478951515000632ISI: 000365665500022PubMedID: 26088936ScopusID: 2-s2.0-84975093881OAI: oai:DiVA.org:his-11199DiVA: diva2:824781
Available from: 2015-06-22 Created: 2015-06-22 Last updated: 2016-12-05Bibliographically approved

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CiteExportLink to record
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Citation style
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