Knowledge and Self-Efficacy Assessment of Residents and Fellows Following Palliative Care Unit Rotation : a Pilot Study

Affiliation
Department of Medical Oncology, West German Cancer Center, University Hospital Essen, Essen, Germany
Burmann, Sven Niklas;
GND
136684122
Affiliation
Department of Palliative Medicine, Medical Faculty, Heinrich-Heine-University, Duesseldorf University Hospital, Moorenstrasse, Duesseldorf, Germany
Neukirchen, Martin;
GND
1124573526
ORCID
0000-0003-4449-5036
Affiliation
Department of Palliative Medicine, University Hospital Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany
Ostgathe, Christoph;
GND
13982118X
Affiliation
Department of Psychosomatic Medicine and Psychotherapy, University of Duisburg-Essen, LVR-Klinikum Essen, Essen, Germany
Beckmann, Mingo;
GND
130432318
Affiliation
Department of Palliative Medicine, Medical Faculty, Heinrich-Heine-University, Duesseldorf University Hospital, Moorenstrasse, Duesseldorf, Germany
Schwartz, Jacqueline;
Affiliation
Hospice Care, University Hospital Essen, University of Duisburg-Essen, Essen, Germany
Scheer, Karin;
GND
135486289
Affiliation
West German Cancer Center, DAGGIST Consortium, University Hospital Essen, Essen, Germany
Klco-Brosius, Stephanie;
GND
1195082878
ORCID
0000-0003-4679-2026
LSF
14570
Affiliation
Department of Medical Oncology, West German Cancer Center, University Hospital Essen, Essen, Germany
Hense, Jörg;
GND
124950140
ORCID
0000-0003-2120-184
LSF
58993
Affiliation
Department of Psychosomatic Medicine and Psychotherapy, University of Duisburg-Essen, LVR-Klinikum Essen, Essen, Germany
Teufel, Martin;
GND
1211702537
ORCID
0000-0001-8868-8329
LSF
13245
Affiliation
Department of Medical Oncology, West German Cancer Center, University Hospital Essen, Essen, Germany
Tewes, Mitra

Background: In Germany, some units of specialized palliative care (SPC) offer a 6- to 12-month rotation for resident physicians (RPs) and fellows from different specialties.

Objective: This pilot study aimed to evaluate feasibility of assessing palliative care knowledge (PCK) and palliative care self-efficacy (PCSE) using a paper-based questionnaire.

Methods: Palliative care knowledge and PCSE were assessed by introducing a score, followed by a descriptive analysis (determination of frequency, mean, median, and range) using nonparametric tests (χ 2 test, Mann–Whitney U test).

Results: We assessed 17 RPs following SPC rotation and 16 board-certified specialists (BCSs) who had no experience in SPC from 3 German comprehensive cancer centers. Resident physicians were predominantly enrolled in residency programs of hematology and oncology (n = 6), anesthesiology (n = 6), and psychosomatic medicine (n = 3). Resident physicians rotated between year 1 and 8 of residency. Fifteen RPs (88%) had elected this rotation and 72% preferred 12-month duration. The total PCK score of PCK was 27 (RPs) and 24 (BCSs; P = .002). Mean PCSE scores were 46 (RPs) and 39 (BCSs; P = .016). Of 71% of RPs, only 27% of BCSs knew how support of hospice service was initiated ( P = .004). Participants rated the items as comprehensible (n = 24; 73%), relevant (n = 25; 76%) and the questionnaire as adequately long (n = 23; 70%).

Conclusion: An improved PCK and PCSE were observed in physicians who rotated through an SPC unit; this resulted in an increased tangibility of local palliative care and hospice services. The questionnaire was comprehensible, relevant in terms of content, and adequate in length for a prospective multicenter survey.

Cite

Citation style:
Could not load citation form.

Rights

License Holder:

© The Author(s) 2019

Use and reproduction:
All rights reserved

Export