TY - JOUR
T1 - A blended learning for general practitioners and nurses on skills to support shared decision-making with patients about palliative cancer treatment
T2 - A one-group pre-posttest study
AU - Bos – van den Hoek, Danique W.
AU - Smets, Ellen M. A.
AU - Ali, Rania
AU - Baas-Thijssen, Monique C. M.
AU - Bomhof-Roordink, Hanna
AU - Helsper, Charles W.
AU - Stacey, Dawn
AU - Tange, Dorien
AU - van Laarhoven, Hanneke W. M.
AU - Henselmans, Inge
N1 - Funding Information: We would like to thank all GPs and nurses who participated in this study, Esther van Weele for her commitment as an experienced nurse trainer, Emma ten Brink for her coding efforts and Marius Schalkwijk, Hans van Dijk en Paul Vermeulen for their skilled and careful acting. This work was supported by a grant from the Netherlands Organization of Health Research and Development (ZonMw, #844001514). I confirm all patient/personal identifiers have been removed or disguised so the patient/person(s) described are not identifiable and cannot be identified through the details of the story. Publisher Copyright: © 2023 The Authors
PY - 2023/7/1
Y1 - 2023/7/1
N2 - Objective: To evaluate a newly developed blended learning programme for general practitioners (GPs) and nurses in supporting shared decision making (SDM) about palliative cancer treatment in a simulated setting. Methods: In a pre-posttest study, healthcare professionals (HCPs) participated in the blended learning (i.e. e-learning and (online) training session). HCPs filled out surveys (T0 (baseline), T1 (after e-learning) and T2 (after full blended learning)) and engaged in simulated consultations at T0 and T2. The primary outcome was observed SDM support (Triple-S; DSAT-10 for validation). Secondary outcomes included satisfaction, knowledge about and attitude towards SDM support. Repeated measures General Linear Models were conducted. Results: 33 HCPs (17 GPs and 16 nurses) participated. SDM support significantly improved after training (Triple-S; medium effect). Observers’ overall rating of SDM support (medium effect) as well as HCPs’ knowledge (large effect) and beliefs about their capabilities (medium effect) improved after training. There was no difference in decision support skills (DSAT-10), HCPs’ other clinical behavioural intentions and satisfaction. HCPs evaluated the training positively. Conclusion: Blended learning for HCPs on supporting SDM in palliative cancer care improved their skills, knowledge and confidence in simulated consultations. Practice implications: These first findings are promising for evaluating interprofessional SDM in clinical practice.
AB - Objective: To evaluate a newly developed blended learning programme for general practitioners (GPs) and nurses in supporting shared decision making (SDM) about palliative cancer treatment in a simulated setting. Methods: In a pre-posttest study, healthcare professionals (HCPs) participated in the blended learning (i.e. e-learning and (online) training session). HCPs filled out surveys (T0 (baseline), T1 (after e-learning) and T2 (after full blended learning)) and engaged in simulated consultations at T0 and T2. The primary outcome was observed SDM support (Triple-S; DSAT-10 for validation). Secondary outcomes included satisfaction, knowledge about and attitude towards SDM support. Repeated measures General Linear Models were conducted. Results: 33 HCPs (17 GPs and 16 nurses) participated. SDM support significantly improved after training (Triple-S; medium effect). Observers’ overall rating of SDM support (medium effect) as well as HCPs’ knowledge (large effect) and beliefs about their capabilities (medium effect) improved after training. There was no difference in decision support skills (DSAT-10), HCPs’ other clinical behavioural intentions and satisfaction. HCPs evaluated the training positively. Conclusion: Blended learning for HCPs on supporting SDM in palliative cancer care improved their skills, knowledge and confidence in simulated consultations. Practice implications: These first findings are promising for evaluating interprofessional SDM in clinical practice.
KW - Communication
KW - Continuing education
KW - General practitioners
KW - Neoplasms
KW - Nurses
KW - Palliative care
KW - Shared decision making
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85151296842&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/37004502
UR - http://www.scopus.com/inward/record.url?scp=85151296842&partnerID=8YFLogxK
U2 - https://doi.org/10.1016/j.pec.2023.107712
DO - https://doi.org/10.1016/j.pec.2023.107712
M3 - Article
C2 - 37004502
SN - 0738-3991
VL - 112
JO - Patient Education and Counseling
JF - Patient Education and Counseling
M1 - 107712
ER -