This document discusses the development and delivery of an open online course called SHOOC (Sheffield Hallam Open Online Course) in partnership with St. Luke's Hospice to promote conversations about end of life. The course aimed to provide an educational opportunity for participants to discuss difficult topics around death and dying. Over 1,300 people enrolled in the course. Feedback indicated that the course helped participants reflect on personal experiences and learn from others. While the course was emotionally rewarding for many, challenges included marketing, technology support, and the time commitment required.
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How to collate, aggregate and triangulate patient experience, clinical effectiveness and safety data across GP practices, NHS England, CCGs and providers to create themes and trends and make improvements to services based on patient and clinical feedback.
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2. Aim
• To give an example of one educational tool to
promote conversation about end of life
• To discuss our experience of delivering a
SHOOC (Sheffield Hallam Open Online Course)
in Partnership with St Luke’s Hospice,
highlighting the successes and challenges
3. Why develop an
open online course?
• Changing attitudes to death
and dying, current policy
drivers
• Provide a platform to facilitate
conversation
• Access to a wider audience
• To build and harness learning
gained from the first open
online course EPCC – 12
months earlier
• Develop partnership working
with St Luke’s Hospice
4. Engaging in Conversations about End
of Life is difficult
• Personal feelings (fear?)
• Experiences, beliefs and values
• Ability to portray empathy – ‘walking with the
patient’
• All impact on our ability to talk about it
personally and professionally.
5. Aims of the SHOOC
• To provide an educational opportunity to
engage in conversations about death and
dying and preparing for end of life.
• To facilitate learning about the perspectives
and experiences of patients, family members,
carers and health care professionals engaging
in difficult or challenging conversations.
6. When
• November 2015 - SHU
• 1372 participants enrolled on the CELC
SHOOC.
• A pre-course survey, completed by 816
participants (representing a 59% response
rate), explored motivations for participation
and sought to identify the goals of
participants.
10. Key themes
• Talking about death and
dying
• Spiritual and cultural
issues
• Preparing for end of life
• Bereavement
• ‘Looking after yourself’
11. Supporting the conversations
• Webinars – experts in SPC
• Videos of real experiences of patients and
carers
• Conversation Space
• Digital Workbooks for personal reflection
• E-tivities
12. Outcomes
• An emotional and rewarding experience with
many participants to reflecting on personal
experiences of, and engaging in conversations
about death and dying and preparing for end of
life.
• Contributions to the discussions were extremely
moving, enlightening and ‘supportive’ -
highlighting the willingness of participants to
share their learning and experiences.
13.
14.
15.
16.
17. Reward and Recognition
• Digital workbooks
• 5 open badges awarded
• 486 claims 421 approved
• 24 expressed interest in RPL credit
• 4 successfully submitted and achieved 15C at
level 7 mapped against the CWISPC module
18. Feedback
• ‘You would not believe how quickly the course
material has impacted my day to day practice,
with an increase in my palliative advanced
prostate cancer patients in the last two
months. Thank you for the opportunity to
attend this online education’
19. Challenges
• Marketing – target audience
• Technology – support
• Timing of the webinars
• Time commitment for staff and participants
20. Summary
• Engaging in conversations about death and
dying or end of life is difficult
• The SHOOC provided an opportunity to
express views, values, opinions and beliefs
and learn from others
• It is not about having the answers
• Importance of good communications skills and
• Looking after yourself!
21.
22. References
Department of Health (2008). End of Life Care Strategy. Last accessed 12th April 2016 at:
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/136431/End_of_li
fe_strategy.pdf
Hollands, F.M. & Tirthali, D. (2014). MOOCs: Expectations and Reality. Full Report. [Online]. Last
accessed 12th April 2016 at: http://cbcse.org/wordpress/wp-
content/uploads/2014/05/MOOCs_Expectations_and_Reality.pdf
Leadership Alliance for the Care of Dying People (2014) One chance to get it right. Leadership
Alliance for the Care of Dying people. [Online]Last accessed 12th April 2016 at:
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/323188/One_cha
nce_to_get_it_right.pdf
Parkin, H. (2015). Enhancing Prostate Cancer Care MOOC – Evaluation Report. [Online]. Last
accessed 12th April 2016 at:
https://blogs.shu.ac.uk/telteam/files/2015/06/PUBLIC-Evaluation-Report-Enhancing-ProstateCancer-Care-
MOOC.pdf
Parr, C. (2015). MOOCs: fluctuating rates in online investment. THES article. [Online]. Last accessed
12th April 2016 at:
https://www.timeshighereducation.com/news/moocs-fluctuating-rates-in-onlineinvestment/2019816.article
Editor's Notes
Important in this is Personalised care planning - Everybody approaching the end of their life should be offered the chance to create a personalised care plan. Opportunities for informed discussion and planning should be universal. Such conversations must be ongoing with options regularly reviewed. This is in line with current developments focusing on Person Centred Care - Health Foundation Person Centred Care (2014)
Course held over 4 weeks, weekly themes supported with learning materials and webinars from specialist practitioners at St Luke’s
Students could be selective and dip in and out
Talk about debrief for staff, our own opportunity for conversation!
Comments from participants
Would have liked more patients and public
Challenging to engage in conversations about end of life and dying
Thinking about our own perspective helps us to empathise
Talking to others helps to see that there are a variety of views, values opinions and beliefs
Important to get support for one’s self, clinical supervision, peer support