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Facilitating Conversations about
End of Life
Sue Willis
Sheffield Hallam University
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
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
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.
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.
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.
Table to show motivation for doing the course
Key themes
• Talking about death and
dying
• Spiritual and cultural
issues
• Preparing for end of life
• Bereavement
• ‘Looking after yourself’
Supporting the conversations
• Webinars – experts in SPC
• Videos of real experiences of patients and
carers
• Conversation Space
• Digital Workbooks for personal reflection
• E-tivities
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.
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
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’
Challenges
• Marketing – target audience
• Technology – support
• Timing of the webinars
• Time commitment for staff and participants
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!
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

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Cpc showcase shu 2016 conversations about end of life[1]

  • 1. Facilitating Conversations about End of Life Sue Willis Sheffield Hallam University
  • 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.
  • 7.
  • 8.
  • 9. Table to show motivation for doing the course
  • 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

  1. 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)
  2. 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
  3. Talk about debrief for staff, our own opportunity for conversation!
  4. Comments from participants
  5. Would have liked more patients and public
  6. 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