Experiential learning to increase palliative care competence among the Indigenous workforce

An Australian experience

Shaouli Shahid, Stuart Ekberg, Michele Holloway, Catherine Jacka, Patsy Yates, Gail Garvey, Sandra C. Thompson

    Research output: Contribution to journalArticleResearchpeer-review

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    Abstract

    Objectives: Improving Indigenous people's access to palliative care requires a health workforce with appropriate knowledge and skills to respond to end-of-life (EOL) issues. The Indigenous component of the Program of Experience in the Palliative Approach (PEPA) includes opportunities for Indigenous health practitioners to develop skills in the palliative approach by undertaking a supervised clinical placement of up to 5 days within specialist palliative care services. This paper presents the evaluative findings of the components of an experiential learning programme and considers the broader implications for delivery of successful palliative care education programme for Indigenous people. 

    Methods: Semistructured interviews were conducted with PEPA staff and Indigenous PEPA participants. Interviews were recorded, transcribed and key themes identified. 

    Results: Participants reported that placements increased their confidence about engaging in conversations about EOL care and facilitated relationships and ongoing work collaboration with palliative care services. Management support was critical and placements undertaken in settings which had more experience caring for Indigenous people were preferred. Better engagement occurred where the programme included Indigenous staffing and leadership and where preplacement and postplacement preparation and mentoring were provided. Opportunities for programme improvement included building on existing postplacement and follow-up activities. 

    Conclusions: A culturally respectful experiential learning education programme has the potential to upskill Indigenous health practitioners in EOL care.

    Original languageEnglish
    Pages (from-to)158-163
    Number of pages6
    JournalBMJ Supportive and Palliative Care
    Volume9
    Issue number2
    Early online date20 Jan 2018
    DOIs
    Publication statusPublished - 1 Jun 2019

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    Problem-Based Learning
    Palliative Care
    Mental Competency
    Terminal Care
    Interviews
    Health Manpower
    Education
    Health

    Cite this

    Shahid, Shaouli ; Ekberg, Stuart ; Holloway, Michele ; Jacka, Catherine ; Yates, Patsy ; Garvey, Gail ; Thompson, Sandra C. / Experiential learning to increase palliative care competence among the Indigenous workforce : An Australian experience. In: BMJ Supportive and Palliative Care. 2019 ; Vol. 9, No. 2. pp. 158-163.
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    abstract = "Objectives: Improving Indigenous people's access to palliative care requires a health workforce with appropriate knowledge and skills to respond to end-of-life (EOL) issues. The Indigenous component of the Program of Experience in the Palliative Approach (PEPA) includes opportunities for Indigenous health practitioners to develop skills in the palliative approach by undertaking a supervised clinical placement of up to 5 days within specialist palliative care services. This paper presents the evaluative findings of the components of an experiential learning programme and considers the broader implications for delivery of successful palliative care education programme for Indigenous people. Methods: Semistructured interviews were conducted with PEPA staff and Indigenous PEPA participants. Interviews were recorded, transcribed and key themes identified. Results: Participants reported that placements increased their confidence about engaging in conversations about EOL care and facilitated relationships and ongoing work collaboration with palliative care services. Management support was critical and placements undertaken in settings which had more experience caring for Indigenous people were preferred. Better engagement occurred where the programme included Indigenous staffing and leadership and where preplacement and postplacement preparation and mentoring were provided. Opportunities for programme improvement included building on existing postplacement and follow-up activities. Conclusions: A culturally respectful experiential learning education programme has the potential to upskill Indigenous health practitioners in EOL care.",
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    Experiential learning to increase palliative care competence among the Indigenous workforce : An Australian experience. / Shahid, Shaouli; Ekberg, Stuart; Holloway, Michele; Jacka, Catherine; Yates, Patsy; Garvey, Gail; Thompson, Sandra C.

    In: BMJ Supportive and Palliative Care, Vol. 9, No. 2, 01.06.2019, p. 158-163.

    Research output: Contribution to journalArticleResearchpeer-review

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