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Optimizing the integration of family caregivers in the delivery of person-centered care: evaluation of an educational program for the healthcare workforce

BACKGROUND: While family caregivers provide 70-90% of care for people living in the community and assist with 10-30% of the care in congregate living, most healthcare providers do not meaningfully involve family caregivers as partners in care. Recent research recommends that the healthcare workforce...

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Autores principales: Parmar, Jasneet K., L’Heureux, Tanya, Anderson, Sharon, Duggleby, Wendy, Pollard, Cheryl, Poole, Lisa, Charles, Lesley, Sonnenberg, Lyn K., Leslie, Myles, McGhan, Gwen, Huhn, Arlene, Sereda, Sandy, Marion, Cecilia, Tarnowski, Glenda, Mah, Jennifer, Melenberg, Denise, Weir, Carolyn, Pooler, Charlotte, MacLachlan, Nora, Bremault-Phillips, Suzette, Tian, Peter George J., Sacrey, Lori-Ann R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8932680/
https://www.ncbi.nlm.nih.gov/pubmed/35303870
http://dx.doi.org/10.1186/s12913-022-07689-w
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author Parmar, Jasneet K.
L’Heureux, Tanya
Anderson, Sharon
Duggleby, Wendy
Pollard, Cheryl
Poole, Lisa
Charles, Lesley
Sonnenberg, Lyn K.
Leslie, Myles
McGhan, Gwen
Huhn, Arlene
Sereda, Sandy
Marion, Cecilia
Tarnowski, Glenda
Mah, Jennifer
Melenberg, Denise
Weir, Carolyn
Pooler, Charlotte
MacLachlan, Nora
Bremault-Phillips, Suzette
Tian, Peter George J.
Sacrey, Lori-Ann R.
author_facet Parmar, Jasneet K.
L’Heureux, Tanya
Anderson, Sharon
Duggleby, Wendy
Pollard, Cheryl
Poole, Lisa
Charles, Lesley
Sonnenberg, Lyn K.
Leslie, Myles
McGhan, Gwen
Huhn, Arlene
Sereda, Sandy
Marion, Cecilia
Tarnowski, Glenda
Mah, Jennifer
Melenberg, Denise
Weir, Carolyn
Pooler, Charlotte
MacLachlan, Nora
Bremault-Phillips, Suzette
Tian, Peter George J.
Sacrey, Lori-Ann R.
author_sort Parmar, Jasneet K.
collection PubMed
description BACKGROUND: While family caregivers provide 70-90% of care for people living in the community and assist with 10-30% of the care in congregate living, most healthcare providers do not meaningfully involve family caregivers as partners in care. Recent research recommends that the healthcare workforce receive competency-based education to identify, assess, support, and partner with family caregivers across the care trajectory. OBJECTIVE: This paper reports a mixed-methods evaluation of a person-centered competency-based education program on Caregiver-Centered Care for the healthcare workforce. METHODS: This foundational education was designed for all healthcare providers and trainees who work with family caregivers and is offered free online (caregivercare.ca). Healthcare providers from five healthcare settings (primary, acute, home, supportive living, long-term care) and trainees in medicine, nursing, and allied health were recruited via email and social media. We used the Kirkpatrick-Barr health workforce training evaluation framework to evaluate the education program, measuring various healthcare providers’ learner satisfaction with the content (Level 1), pre-post changes in knowledge and confidence when working with family caregivers (Level 2), and changes in behaviors in practice (Level 3). RESULTS: Participants were primarily healthcare employees (68.9%) and trainees (21.7%) and represented 5 healthcare settings. Evaluation of the first 161 learners completing the program indicated that on a 5-point Likert scale, the majority were satisfied with the overall quality of the education (Mean(M) = 4.69; SD = .60). Paired T-tests indicated that out of a score of 50, post-education changes in knowledge and confidence to work with family caregivers was significantly higher than pre-education scores (pre M = 38.90, SD = 6.90; post M = 46.60, SD = 4.10; t(150) = − 16.75, p < .0001). Qualitative results derived from open responses echoed the quantitative findings in satisfaction with the education delivery as well as improvements in learners’ knowledge and confidence. CONCLUSION: Health workforce education to provide person-centered care to all family caregivers is an innovative approach to addressing the current inconsistent system of supports for family caregivers. The education program evaluated here was effective at increasing self-reported knowledge and confidence to work with family caregivers. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-022-07689-w.
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spelling pubmed-89326802022-03-21 Optimizing the integration of family caregivers in the delivery of person-centered care: evaluation of an educational program for the healthcare workforce Parmar, Jasneet K. L’Heureux, Tanya Anderson, Sharon Duggleby, Wendy Pollard, Cheryl Poole, Lisa Charles, Lesley Sonnenberg, Lyn K. Leslie, Myles McGhan, Gwen Huhn, Arlene Sereda, Sandy Marion, Cecilia Tarnowski, Glenda Mah, Jennifer Melenberg, Denise Weir, Carolyn Pooler, Charlotte MacLachlan, Nora Bremault-Phillips, Suzette Tian, Peter George J. Sacrey, Lori-Ann R. BMC Health Serv Res Research BACKGROUND: While family caregivers provide 70-90% of care for people living in the community and assist with 10-30% of the care in congregate living, most healthcare providers do not meaningfully involve family caregivers as partners in care. Recent research recommends that the healthcare workforce receive competency-based education to identify, assess, support, and partner with family caregivers across the care trajectory. OBJECTIVE: This paper reports a mixed-methods evaluation of a person-centered competency-based education program on Caregiver-Centered Care for the healthcare workforce. METHODS: This foundational education was designed for all healthcare providers and trainees who work with family caregivers and is offered free online (caregivercare.ca). Healthcare providers from five healthcare settings (primary, acute, home, supportive living, long-term care) and trainees in medicine, nursing, and allied health were recruited via email and social media. We used the Kirkpatrick-Barr health workforce training evaluation framework to evaluate the education program, measuring various healthcare providers’ learner satisfaction with the content (Level 1), pre-post changes in knowledge and confidence when working with family caregivers (Level 2), and changes in behaviors in practice (Level 3). RESULTS: Participants were primarily healthcare employees (68.9%) and trainees (21.7%) and represented 5 healthcare settings. Evaluation of the first 161 learners completing the program indicated that on a 5-point Likert scale, the majority were satisfied with the overall quality of the education (Mean(M) = 4.69; SD = .60). Paired T-tests indicated that out of a score of 50, post-education changes in knowledge and confidence to work with family caregivers was significantly higher than pre-education scores (pre M = 38.90, SD = 6.90; post M = 46.60, SD = 4.10; t(150) = − 16.75, p < .0001). Qualitative results derived from open responses echoed the quantitative findings in satisfaction with the education delivery as well as improvements in learners’ knowledge and confidence. CONCLUSION: Health workforce education to provide person-centered care to all family caregivers is an innovative approach to addressing the current inconsistent system of supports for family caregivers. The education program evaluated here was effective at increasing self-reported knowledge and confidence to work with family caregivers. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-022-07689-w. BioMed Central 2022-03-18 /pmc/articles/PMC8932680/ /pubmed/35303870 http://dx.doi.org/10.1186/s12913-022-07689-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/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Parmar, Jasneet K.
L’Heureux, Tanya
Anderson, Sharon
Duggleby, Wendy
Pollard, Cheryl
Poole, Lisa
Charles, Lesley
Sonnenberg, Lyn K.
Leslie, Myles
McGhan, Gwen
Huhn, Arlene
Sereda, Sandy
Marion, Cecilia
Tarnowski, Glenda
Mah, Jennifer
Melenberg, Denise
Weir, Carolyn
Pooler, Charlotte
MacLachlan, Nora
Bremault-Phillips, Suzette
Tian, Peter George J.
Sacrey, Lori-Ann R.
Optimizing the integration of family caregivers in the delivery of person-centered care: evaluation of an educational program for the healthcare workforce
title Optimizing the integration of family caregivers in the delivery of person-centered care: evaluation of an educational program for the healthcare workforce
title_full Optimizing the integration of family caregivers in the delivery of person-centered care: evaluation of an educational program for the healthcare workforce
title_fullStr Optimizing the integration of family caregivers in the delivery of person-centered care: evaluation of an educational program for the healthcare workforce
title_full_unstemmed Optimizing the integration of family caregivers in the delivery of person-centered care: evaluation of an educational program for the healthcare workforce
title_short Optimizing the integration of family caregivers in the delivery of person-centered care: evaluation of an educational program for the healthcare workforce
title_sort optimizing the integration of family caregivers in the delivery of person-centered care: evaluation of an educational program for the healthcare workforce
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8932680/
https://www.ncbi.nlm.nih.gov/pubmed/35303870
http://dx.doi.org/10.1186/s12913-022-07689-w
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