Cargando…
The OUTREACH study: oncologists of German university hospitals in rotation on a palliative care unit—evaluation of attitude and competence in palliative care and hospice
PURPOSE: The effect of the duration of an educational rotation presented at a palliative care unit on the palliative care knowledge gain and the increase of palliative care self-efficacy expectations are unclear. METHODS: This national prospective multicenter pre–post survey conducted at twelve Germ...
Autores principales: | , , , , , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10314826/ https://www.ncbi.nlm.nih.gov/pubmed/35831764 http://dx.doi.org/10.1007/s00432-022-04131-w |
_version_ | 1785067389844455424 |
---|---|
author | Biersching, T. Schweda, A. Oechsle, K. Nauck, F. Rosenbruch, J. Schuler, U. Hense, J. Neukirchen, M. Weber, M. Junghanss, C. Kramer, T. Ostgathe, C. Thuss-Patience, P. Van Oorschot, B. Teufel, M. Schuler, M. Bausewein, C. Tewes, M. |
author_facet | Biersching, T. Schweda, A. Oechsle, K. Nauck, F. Rosenbruch, J. Schuler, U. Hense, J. Neukirchen, M. Weber, M. Junghanss, C. Kramer, T. Ostgathe, C. Thuss-Patience, P. Van Oorschot, B. Teufel, M. Schuler, M. Bausewein, C. Tewes, M. |
author_sort | Biersching, T. |
collection | PubMed |
description | PURPOSE: The effect of the duration of an educational rotation presented at a palliative care unit on the palliative care knowledge gain and the increase of palliative care self-efficacy expectations are unclear. METHODS: This national prospective multicenter pre–post survey conducted at twelve German University Comprehensive Cancer Centers prospectively enrolled physicians who were assigned to training rotations in specialized palliative care units for three, six, or twelve months. Palliative care knowledge [in %] and palliative care self-efficacy expectations [max. 57 points] were evaluated before and after the rotation with a validated questionnaire. RESULTS: From March 2018 to October 2020, questionnaires of 43 physicians were analyzed. Physicians participated in a 3- (n = 3), 6- (n = 21), or 12-month (n = 19) palliative care rotation after a median of 8 (0–19) professional years. The training background of rotating physicians covered a diverse spectrum of specialties; most frequently represented were medical oncology (n = 15), and anesthesiology (n = 11). After the rotation, median palliative care knowledge increased from 81.1% to 86.5% (p < .001), and median palliative care self-efficacy expectations scores increased from 38 to 50 points (p < .001). The effect of the 12-month rotation was not significantly greater than that of the 6-month rotation. CONCLUSION: An educational rotation presented in a specialized palliative care unit for at least six months significantly improves palliative care knowledge and palliative care self-efficacy expectations of physicians from various medical backgrounds. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00432-022-04131-w. |
format | Online Article Text |
id | pubmed-10314826 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-103148262023-07-03 The OUTREACH study: oncologists of German university hospitals in rotation on a palliative care unit—evaluation of attitude and competence in palliative care and hospice Biersching, T. Schweda, A. Oechsle, K. Nauck, F. Rosenbruch, J. Schuler, U. Hense, J. Neukirchen, M. Weber, M. Junghanss, C. Kramer, T. Ostgathe, C. Thuss-Patience, P. Van Oorschot, B. Teufel, M. Schuler, M. Bausewein, C. Tewes, M. J Cancer Res Clin Oncol Research PURPOSE: The effect of the duration of an educational rotation presented at a palliative care unit on the palliative care knowledge gain and the increase of palliative care self-efficacy expectations are unclear. METHODS: This national prospective multicenter pre–post survey conducted at twelve German University Comprehensive Cancer Centers prospectively enrolled physicians who were assigned to training rotations in specialized palliative care units for three, six, or twelve months. Palliative care knowledge [in %] and palliative care self-efficacy expectations [max. 57 points] were evaluated before and after the rotation with a validated questionnaire. RESULTS: From March 2018 to October 2020, questionnaires of 43 physicians were analyzed. Physicians participated in a 3- (n = 3), 6- (n = 21), or 12-month (n = 19) palliative care rotation after a median of 8 (0–19) professional years. The training background of rotating physicians covered a diverse spectrum of specialties; most frequently represented were medical oncology (n = 15), and anesthesiology (n = 11). After the rotation, median palliative care knowledge increased from 81.1% to 86.5% (p < .001), and median palliative care self-efficacy expectations scores increased from 38 to 50 points (p < .001). The effect of the 12-month rotation was not significantly greater than that of the 6-month rotation. CONCLUSION: An educational rotation presented in a specialized palliative care unit for at least six months significantly improves palliative care knowledge and palliative care self-efficacy expectations of physicians from various medical backgrounds. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00432-022-04131-w. Springer Berlin Heidelberg 2022-07-13 2023 /pmc/articles/PMC10314826/ /pubmed/35831764 http://dx.doi.org/10.1007/s00432-022-04131-w Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Research Biersching, T. Schweda, A. Oechsle, K. Nauck, F. Rosenbruch, J. Schuler, U. Hense, J. Neukirchen, M. Weber, M. Junghanss, C. Kramer, T. Ostgathe, C. Thuss-Patience, P. Van Oorschot, B. Teufel, M. Schuler, M. Bausewein, C. Tewes, M. The OUTREACH study: oncologists of German university hospitals in rotation on a palliative care unit—evaluation of attitude and competence in palliative care and hospice |
title | The OUTREACH study: oncologists of German university hospitals in rotation on a palliative care unit—evaluation of attitude and competence in palliative care and hospice |
title_full | The OUTREACH study: oncologists of German university hospitals in rotation on a palliative care unit—evaluation of attitude and competence in palliative care and hospice |
title_fullStr | The OUTREACH study: oncologists of German university hospitals in rotation on a palliative care unit—evaluation of attitude and competence in palliative care and hospice |
title_full_unstemmed | The OUTREACH study: oncologists of German university hospitals in rotation on a palliative care unit—evaluation of attitude and competence in palliative care and hospice |
title_short | The OUTREACH study: oncologists of German university hospitals in rotation on a palliative care unit—evaluation of attitude and competence in palliative care and hospice |
title_sort | outreach study: oncologists of german university hospitals in rotation on a palliative care unit—evaluation of attitude and competence in palliative care and hospice |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10314826/ https://www.ncbi.nlm.nih.gov/pubmed/35831764 http://dx.doi.org/10.1007/s00432-022-04131-w |
work_keys_str_mv | AT bierschingt theoutreachstudyoncologistsofgermanuniversityhospitalsinrotationonapalliativecareunitevaluationofattitudeandcompetenceinpalliativecareandhospice AT schwedaa theoutreachstudyoncologistsofgermanuniversityhospitalsinrotationonapalliativecareunitevaluationofattitudeandcompetenceinpalliativecareandhospice AT oechslek theoutreachstudyoncologistsofgermanuniversityhospitalsinrotationonapalliativecareunitevaluationofattitudeandcompetenceinpalliativecareandhospice AT nauckf theoutreachstudyoncologistsofgermanuniversityhospitalsinrotationonapalliativecareunitevaluationofattitudeandcompetenceinpalliativecareandhospice AT rosenbruchj theoutreachstudyoncologistsofgermanuniversityhospitalsinrotationonapalliativecareunitevaluationofattitudeandcompetenceinpalliativecareandhospice AT schuleru theoutreachstudyoncologistsofgermanuniversityhospitalsinrotationonapalliativecareunitevaluationofattitudeandcompetenceinpalliativecareandhospice AT hensej theoutreachstudyoncologistsofgermanuniversityhospitalsinrotationonapalliativecareunitevaluationofattitudeandcompetenceinpalliativecareandhospice AT neukirchenm theoutreachstudyoncologistsofgermanuniversityhospitalsinrotationonapalliativecareunitevaluationofattitudeandcompetenceinpalliativecareandhospice AT weberm theoutreachstudyoncologistsofgermanuniversityhospitalsinrotationonapalliativecareunitevaluationofattitudeandcompetenceinpalliativecareandhospice AT junghanssc theoutreachstudyoncologistsofgermanuniversityhospitalsinrotationonapalliativecareunitevaluationofattitudeandcompetenceinpalliativecareandhospice AT kramert theoutreachstudyoncologistsofgermanuniversityhospitalsinrotationonapalliativecareunitevaluationofattitudeandcompetenceinpalliativecareandhospice AT ostgathec theoutreachstudyoncologistsofgermanuniversityhospitalsinrotationonapalliativecareunitevaluationofattitudeandcompetenceinpalliativecareandhospice AT thusspatiencep theoutreachstudyoncologistsofgermanuniversityhospitalsinrotationonapalliativecareunitevaluationofattitudeandcompetenceinpalliativecareandhospice AT vanoorschotb theoutreachstudyoncologistsofgermanuniversityhospitalsinrotationonapalliativecareunitevaluationofattitudeandcompetenceinpalliativecareandhospice AT teufelm theoutreachstudyoncologistsofgermanuniversityhospitalsinrotationonapalliativecareunitevaluationofattitudeandcompetenceinpalliativecareandhospice AT schulerm theoutreachstudyoncologistsofgermanuniversityhospitalsinrotationonapalliativecareunitevaluationofattitudeandcompetenceinpalliativecareandhospice AT bauseweinc theoutreachstudyoncologistsofgermanuniversityhospitalsinrotationonapalliativecareunitevaluationofattitudeandcompetenceinpalliativecareandhospice AT tewesm theoutreachstudyoncologistsofgermanuniversityhospitalsinrotationonapalliativecareunitevaluationofattitudeandcompetenceinpalliativecareandhospice AT theoutreachstudyoncologistsofgermanuniversityhospitalsinrotationonapalliativecareunitevaluationofattitudeandcompetenceinpalliativecareandhospice AT bierschingt outreachstudyoncologistsofgermanuniversityhospitalsinrotationonapalliativecareunitevaluationofattitudeandcompetenceinpalliativecareandhospice AT schwedaa outreachstudyoncologistsofgermanuniversityhospitalsinrotationonapalliativecareunitevaluationofattitudeandcompetenceinpalliativecareandhospice AT oechslek outreachstudyoncologistsofgermanuniversityhospitalsinrotationonapalliativecareunitevaluationofattitudeandcompetenceinpalliativecareandhospice AT nauckf outreachstudyoncologistsofgermanuniversityhospitalsinrotationonapalliativecareunitevaluationofattitudeandcompetenceinpalliativecareandhospice AT rosenbruchj outreachstudyoncologistsofgermanuniversityhospitalsinrotationonapalliativecareunitevaluationofattitudeandcompetenceinpalliativecareandhospice AT schuleru outreachstudyoncologistsofgermanuniversityhospitalsinrotationonapalliativecareunitevaluationofattitudeandcompetenceinpalliativecareandhospice AT hensej outreachstudyoncologistsofgermanuniversityhospitalsinrotationonapalliativecareunitevaluationofattitudeandcompetenceinpalliativecareandhospice AT neukirchenm outreachstudyoncologistsofgermanuniversityhospitalsinrotationonapalliativecareunitevaluationofattitudeandcompetenceinpalliativecareandhospice AT weberm outreachstudyoncologistsofgermanuniversityhospitalsinrotationonapalliativecareunitevaluationofattitudeandcompetenceinpalliativecareandhospice AT junghanssc outreachstudyoncologistsofgermanuniversityhospitalsinrotationonapalliativecareunitevaluationofattitudeandcompetenceinpalliativecareandhospice AT kramert outreachstudyoncologistsofgermanuniversityhospitalsinrotationonapalliativecareunitevaluationofattitudeandcompetenceinpalliativecareandhospice AT ostgathec outreachstudyoncologistsofgermanuniversityhospitalsinrotationonapalliativecareunitevaluationofattitudeandcompetenceinpalliativecareandhospice AT thusspatiencep outreachstudyoncologistsofgermanuniversityhospitalsinrotationonapalliativecareunitevaluationofattitudeandcompetenceinpalliativecareandhospice AT vanoorschotb outreachstudyoncologistsofgermanuniversityhospitalsinrotationonapalliativecareunitevaluationofattitudeandcompetenceinpalliativecareandhospice AT teufelm outreachstudyoncologistsofgermanuniversityhospitalsinrotationonapalliativecareunitevaluationofattitudeandcompetenceinpalliativecareandhospice AT schulerm outreachstudyoncologistsofgermanuniversityhospitalsinrotationonapalliativecareunitevaluationofattitudeandcompetenceinpalliativecareandhospice AT bauseweinc outreachstudyoncologistsofgermanuniversityhospitalsinrotationonapalliativecareunitevaluationofattitudeandcompetenceinpalliativecareandhospice AT tewesm outreachstudyoncologistsofgermanuniversityhospitalsinrotationonapalliativecareunitevaluationofattitudeandcompetenceinpalliativecareandhospice AT outreachstudyoncologistsofgermanuniversityhospitalsinrotationonapalliativecareunitevaluationofattitudeandcompetenceinpalliativecareandhospice |