title: Preparing palliative home care nurses to act as facilitators for physicians' learning: Evaluation of a training programme.
abstract: BACKGROUND
  Palliative care requires a multidisciplinary care team. General practitioners often ask specialised palliative home care teams for support. Working with specialised nurses offers learning opportunities, also called workplace learning. This can be enhanced by the presence of a learning facilitator.
  
  
  OBJECTIVE
  To describe the development and evaluation of a training programme for nurses in primary care. The programme aimed to prepare palliative home care team nurses to act as facilitators for general practitioners' workplace learning.
  
  
  METHODS
  A one-group post-test only design (quantitative) and semi-structured interviews (qualitative) were used.
  
  
  METHODS
  A multifaceted train-the-trainer programme was designed. Evaluation was done through assignments with individual feedback, summative assessment through videotaped encounters with simulation-physicians and individual interviews after a period of practice implementation.
  
  
  RESULTS
  A total of 35 nurses followed the programme. The overall satisfaction was high. Homework assignments interfered with the practice workload but showed to be fundamental in translating theory into practice. Median score on the summative assessment was 7 out of 14 with range 1-13. Interviews revealed some aspects of the training (e.g. incident analysis) to be too difficult for implementation or to be in conflict with personal preferences (focus on patient care instead of facilitating general practitioners' learning).
  
  
  CONCLUSIONS
  Training palliative home care team nurses as facilitator of general practitioners' workplace learning is a feasible but complex intervention. Personal characteristics, interpersonal relationships and contextual variables have to be taken into account. Training expert palliative care nurses to facilitate general practitioners' workplace learning requires careful and individualised mentoring.
authors.affiliation: Department of Family Medicine and Primary Health Care, Ghent University, Ghent, Belgium peter.pype@ugent.be.
authors.forename: Peter
authors.initials: P
authors.lastname: Pype
authors.affiliation: Department of Family Medicine and Primary Health Care, Ghent University, Ghent, Belgium.
authors.forename: Fien
authors.initials: F
authors.lastname: Mertens
authors.affiliation: Primary and Interdisciplinary Care Antwerp - PICA, University of Antwerp, Antwerp, Belgium.
authors.forename: Johan
authors.initials: J
authors.lastname: Wens
authors.affiliation: Institute for Education and Information Sciences, University of Antwerp, Antwerp, Belgium.
authors.forename: Ann
authors.initials: A
authors.lastname: Stes
authors.affiliation: Primary and Interdisciplinary Care Antwerp - PICA, University of Antwerp, Antwerp, Belgium.
authors.forename: Bart
authors.initials: B
authors.lastname: Van den Eynden
authors.affiliation: Department of Family Medicine and Primary Health Care, Ghent University, Ghent, Belgium.
authors.forename: Myriam
authors.initials: M
authors.lastname: Deveugele
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D019033:Delivery of Health Care, Integrated; D004502:Education, Medical, Continuing / Q000458:organization & administration*; D004509:Education, Nursing, Continuing / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007318:Inservice Training / Q000458:organization & administration*; D007400:Interprofessional Relations; D008297:Male; D008875:Middle Aged; D024802:Nurse's Role; D009745:Nursing, Supervisory / Q000458:organization & administration*; D010166:Palliative Care; D010821:Physicians, Family / Q000193:education*; D016730:Program Development; D015397:Program Evaluation
keywords: Palliative care; inter-professional collaboration; inter-professional relationship; primary health care; programme evaluation; train-the-trainer; workplace learning