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Views of general practitioners on end-of-life care learning preferences: a systematic review

BACKGROUND: General practitioners (GPs) play a pivotal role in providing end-of-life care in the community. Although they value end-of-life care, they have apprehensions about providing care in view of the limitations in knowledge and skills in end-of-life care. This review aimed to explore, synthes...

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Autores principales: Atreya, Shrikant, Datta, Soumitra S., Salins, Naveen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9490975/
https://www.ncbi.nlm.nih.gov/pubmed/36127706
http://dx.doi.org/10.1186/s12904-022-01053-9
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author Atreya, Shrikant
Datta, Soumitra S.
Salins, Naveen
author_facet Atreya, Shrikant
Datta, Soumitra S.
Salins, Naveen
author_sort Atreya, Shrikant
collection PubMed
description BACKGROUND: General practitioners (GPs) play a pivotal role in providing end-of-life care in the community. Although they value end-of-life care, they have apprehensions about providing care in view of the limitations in knowledge and skills in end-of-life care. This review aimed to explore, synthesise, and analyse the views of general practitioners on end-of-life care learning preferences. METHODS: MEDLINE, CINAHL, PsycINFO, EMBASE, Scopus, Web of Science, and Cochrane were searched for literature on the views of general practitioners on end-of-life care learning preferences from 01/01/1990 to 31/05/2021. Methodological quality was reported. RESULTS: Of the 10,037 articles identified, 23 were included for the review. Five themes developed from the review. The desire to provide palliative care, as well as self-actualisation needs, relevance to practice, a sense of responsibility, and a therapeutic bond, motivates general practitioners to learn end-of-life care. Some of the learning needs expressed were pain and symptom management, communication skills, and addressing caregiver needs. Experiential learning and pragmatist learning styles were preferred learning styles. They perceived the need for an amicable learning environment in which they could freely express their deficiencies. The review also identified barriers to learning, challenges at personal and professional level, feelings of disempowerment, and conflicts in care. CONCLUSION: GPs’ preference for learning about end-of-life care was influenced by the value attributed to learning, context and content, as well as preference for learning styles and the availability of resources. Thus, future trainings must be in alignment with the GPs’ learning preferences. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12904-022-01053-9.
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spelling pubmed-94909752022-09-22 Views of general practitioners on end-of-life care learning preferences: a systematic review Atreya, Shrikant Datta, Soumitra S. Salins, Naveen BMC Palliat Care Research BACKGROUND: General practitioners (GPs) play a pivotal role in providing end-of-life care in the community. Although they value end-of-life care, they have apprehensions about providing care in view of the limitations in knowledge and skills in end-of-life care. This review aimed to explore, synthesise, and analyse the views of general practitioners on end-of-life care learning preferences. METHODS: MEDLINE, CINAHL, PsycINFO, EMBASE, Scopus, Web of Science, and Cochrane were searched for literature on the views of general practitioners on end-of-life care learning preferences from 01/01/1990 to 31/05/2021. Methodological quality was reported. RESULTS: Of the 10,037 articles identified, 23 were included for the review. Five themes developed from the review. The desire to provide palliative care, as well as self-actualisation needs, relevance to practice, a sense of responsibility, and a therapeutic bond, motivates general practitioners to learn end-of-life care. Some of the learning needs expressed were pain and symptom management, communication skills, and addressing caregiver needs. Experiential learning and pragmatist learning styles were preferred learning styles. They perceived the need for an amicable learning environment in which they could freely express their deficiencies. The review also identified barriers to learning, challenges at personal and professional level, feelings of disempowerment, and conflicts in care. CONCLUSION: GPs’ preference for learning about end-of-life care was influenced by the value attributed to learning, context and content, as well as preference for learning styles and the availability of resources. Thus, future trainings must be in alignment with the GPs’ learning preferences. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12904-022-01053-9. BioMed Central 2022-09-21 /pmc/articles/PMC9490975/ /pubmed/36127706 http://dx.doi.org/10.1186/s12904-022-01053-9 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
Atreya, Shrikant
Datta, Soumitra S.
Salins, Naveen
Views of general practitioners on end-of-life care learning preferences: a systematic review
title Views of general practitioners on end-of-life care learning preferences: a systematic review
title_full Views of general practitioners on end-of-life care learning preferences: a systematic review
title_fullStr Views of general practitioners on end-of-life care learning preferences: a systematic review
title_full_unstemmed Views of general practitioners on end-of-life care learning preferences: a systematic review
title_short Views of general practitioners on end-of-life care learning preferences: a systematic review
title_sort views of general practitioners on end-of-life care learning preferences: a systematic review
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9490975/
https://www.ncbi.nlm.nih.gov/pubmed/36127706
http://dx.doi.org/10.1186/s12904-022-01053-9
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