Workshop delivered by Leanne Madigan at the Hospice Friendly Hospitals acute hospital network meeting on November 15 2016

1. End Of Life care skills
Workshop
Leanne Madigan, SVUH NPD CNM 2
Leanne.Madigan@svuh.ie

2. Around 29,000 people die
in Ireland every year. 43%
of these deaths (12,470
people) take place in
hospital (HSE, 2014).
Leanne.Madigan@svuh.ie

3. Background
• Examined what is in current practice
• Practice needs analysis questionnaire
• Set up an End Of Life Service review group
• Carried out Literature Review
• Developed Education package for end Of Life
care incorporating End Of Life Care Skills
workshop
Leanne.Madigan@svuh.ie

4. Current Practice
Leanne.Madigan@svuh.ie

5. A practice needs analysis
questionnaire carried out in June
2015 identified that 63% of nurses
(n=100) wished for guidance in End
Of Life Care.
Leanne.Madigan@svuh.ie

6. End Of Life Service Review
Group
• Leanne Madigan, NPD CNM 2
• Sheila Cahalane, CNM3 (Medical)
• Siobhan Hollingsworth, Palliative care CNS
• Barbara Whyte, Palliative care CNS
• Olga Price, Palliative care CNS
• Millie Devenish, Palliative care CNS
Leanne.Madigan@svuh.ie

7. Dying in the hospital setting: Elements of end
of life care that patients and families rank as
being most important. (Virdun et al. 2015)
1.Effective communication and shared decision making
2.Expert care at all times (esp. to good physical care,
symptom management and integrated care).
3.Respectful and compassionate care (preservation of
dignity).
4.Trust and confidence in clinicians
5.An adequate environment for care
Leanne.Madigan@svuh.ie

8. Objectives
• Increase awareness and update knowledge
around End Of Life care.
• Promote standardisation and consistency of
End Of Life Nursing care
• To Launch the new End of Life documentation:
• End of Life Assessment booklet
• End of Life care plan
• End of Life nursing care guidelines
• Palliative care facilities information leaflet
• Changes that occur at end of life leaflet
• End of Life suite guidelines
Leanne.Madigan@svuh.ie

9. Organisational values & mission
PATIENTS
Human
Dignity
Compassion
JusticeQuality
Advocacy
Clinical CareEducation Research
StaffStaff

10. Leanne.Madigan@svuh.ie

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14. How will we launch documentation?
Leanne.Madigan@svuh.ie

15. Leanne.Madigan@svuh.ie
End Of Life
Care Skills
Workshop

16. End Of Life Workshop plan
• Facilitators from the MDT were arranged for the stands.
• Invites were sent to all staff.
• Learning points were developed and a quiz was used to
encourage staff to engage with the stand facilitators.
• Statistics and points of interest about end of life care
were exhibited.
• Prizes sponsored by St Vincent’s Hospital Foundation
were awarded.
• NMBI category 1 approval with CEU’s awarded to
nursing attendees. Leanne.Madigan@svuh.ie

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19. Two short video clips “A wish” and
“Breaking Bad News” provided by
the Hospice Friendly Hospitals
were shown.
Leanne.Madigan@svuh.ie

20. Leanne.Madigan@svuh.ie
https://www.youtube.com/watch?v=chBiz5SCMCo

21. Leanne.Madigan@svuh.ie
https://www.youtube.com/watch?v=juKAMBh9J54

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“How
people die
remains in
the
memory of
those who
live on.”
Dame Cecily
Saunders

29. Results
• Staff were given the opportunity to ask
questions about the specifics of care for these
patients and their families.
• This enabled the exchange of ideas and
information between those providing services
and the staff.
• 111 Staff attended the Workshop with several
nurses coming in on their own time.
• 60 completing an evaluation form.
Leanne.Madigan@svuh.ie

30. Leanne.Madigan@svuh.ie
Evaluations

31. Conclusions
• The drop-in session (with lunch) worked well to
entice staff to attend during their break.
• Suggestions from staff will be incorporated into
the next workshop for January 2017.
• The End Of Life documentation is currently
being rolled out across the hospital by NPD.
Leanne.Madigan@svuh.ie

32. Only one chance to
get it right!
Leanne.Madigan@svuh.ie