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EOL Essentials Project News

EDITION 48 - July 2020

What's New in the Project?

Project Co-Leads Ms Deb Rawlings and Associate Professor Kim Devery 

End-of-Life Essentials is once again the proud recipient of an Australian Department of Health grant, securing funding for the project until 30 June 2023.
 
Outcomes for the next three years include:
  • Development of four new online modules with targeted learning in:
     
    • Patient coordination – Health, Aged and Disability sectors
    • End-of-life care for Culturally and Linguistically Diverse (CALD) and LGBTI groups, and those living with mental illness
    • Clinical change management, leadership, and governance
    • Meeting the ACSQHC/NSQHC Standards 2nd edition
       
  • A new Education Hub will extend and evaluate the current Toolkit to facilitate practice change
A national qualitative study has suggested that the practical nature of End-of-Life Essentials’ modules has contributed to improved communication skills for health professionals, including increased confidence in their the ability to have end-of-life conversations.

The study included interviews with registered and enrolled nurses, doctors and allied health professionals and found improvement in:
  • Ability to initiate conversations about end of life
  • Skills to explore patient and family’s end-of-life expectations and acknowledge grief
  • Development of tactful forthrightness in communication
  • Improved active listening skills including more effective use of silence and validation of concerns
  • Acquisition of a suite of practical phrases
  • Confidence in end-of-life conversations and
  • Empathy skills - i.e. ability to be respectfully present and available 
Our education is always available - for free! Start or recommence your learning anytime to improve your communication skills in end-of-life care.
Access our free education 24 hours a day, 7 days a week

Sector News

  • In the Northern Territory there has been a growing recognition of the need for improved discussions regarding patient values and preferences regarding end of life, informed specifically by cultural understandings. 'Opening the lines of communication: towards shared decision making and improved end-of-life care in the Top End' explores the progress of the Top End Health Service goals of care committee. 
     
  • The Australian College of Critical Care Nurses have commissioned discussions on development and end-of-life care in an ICU position statement. A significant gap was identified in research about end-of-life care in the ICU, which predominantly focuses on medically oriented information and less on nursing. More in the ACCCN June newsletter. 

Latest Evidence

 
  • Admissions to ICU's are common during terminal hospitalisations, but little is known about how ICU care affects the end-of-life experience for patients dying in hospitals, and their families. This study measured the association between ICU care during terminal hospitalisation, and family ratings of end-of-life care for those patients.

    Rolnick JA., et al (2020) The quality of end-of-life care among ICU versus ward decedents Am J Respir Crit Care Med, 2020201832–839
     
  • The provision of end-of-life care is a significant component of work for clinicians in critical care settings, however critical care nurses report that this area of practice receives limited attention in education and training. The object of this study was to identify and describe the end-of-life care content in postgraduate critical care nursing programs in Australia. 

    Ranse, K., et al (2020) End-of-life care content in postgraduate critical care nursing programs: Structured telephone interviews to evaluate content-informing practiceAustralian Critical Care, doi: 10.1016/j.aucc.2019.04.004 

For your Notice Board

As a reminder for you and your staff that EOL Essentials is available until 2023, please click on the poster below to print for your work space. Other promotional resources can also be downloaded anytime.   

Next Newsletter
August 2020

Please forward this newsletter to others who may be interested, subscribe to the newsletter or contact us on eolessentials@flinders.edu.au for any queries.
 
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End-of-Life Essentials is based on the Australian Commission on Safety and Quality in Health Care’s National Consensus Statement: Essential elements for safe and high-quality end-of-life care, and the Commission provides ongoing advice to the project.

End-of-Life Essentials is funded by the Australian Government Department of Health
Copyright © 2020 End-of-Life Essentials, All rights reserved.


Our mailing address is:
End-of-Life Essentials project
Flinders University
Palliative & Supportive Services
GPO Box 2100
ADELAIDE  SA 5001

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