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Nursing Center of Excellence in Palliative Care for the Central Eastern European Region. Hospice Casa Speranței, Romania

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(1)

Nursing Center of Excellence in Palliative Care

for the Central Eastern European Region

(2)
(3)
(4)
(5)

Objective I

Improved access to quality PC for patients and families

throughout

:

– Developing a PC Information Centre for patients and families, which will run a website,

hold regular courses for carers, develop, publish and distribute brochures on simple

nursing intervention.

(6)

Objective II

Increased access to PC nursing training at undergraduate

level of education through

:

– Training of trainers (ToT) course for undergraduate teachers responsible for

PC modules in the public nursing colleges in Romania;

– Ongoing technical support and provision of best practices to trainees;

– Follow-up on the activity of the participants at the ToT course. Monitoring and

evaluation (M&E) of their performance between February and July 2015

(7)

Objective III

HCS - ensuring access to quality PC education and training of

profesionals at regional level

:

– Organizing 2 PC Leadership programs;

– Assisting participants coming from CEE countries with their own M&E and quality

improvement framework on the projects they applied at the leadership programe;

– Follow-up on the activity of the participants at the leadership programs through

monthly skype conferences between mentors and mentees for 12 months after the

residential course;

– M&E of their performance in advancing with their project proposals at 6 and 12

(8)

Objective IV

Increased access to PC nursing training at postgraduate level of

education throughout:

– ToT course for trainers associated to each National Order for Registered Nurses (NORN)

local branch, providing continual medical education (CME) to nurses of different

specialities;

– Ongoing technical support and provision of best practices to trainees;

– Follow-up on the activity of the participants at the ToT courses. Monitoring and evaluation

of their performance at 6 and 12 months after the course, through pre and post tests

applied to participants at the courses held by trainees.

– Creating a library in PC nursing, addressed to the nursing community, in order to provide

updated information and thus contribute to assuring continuum of care to cancer patients.

(9)

Objective V

• HCS - ensuring accesss to quality PC education and training

of professionals at national level:

– Develop training materials based on existing Level C curriculum;

– Roll-out specialty course in PC;

– Research the impact of professional competencies of nurses in PC specialized

services in Romania in order to establish at national level a plan of

professional development for these nurses and determine the need for more

specialized education for the delivery of high quality palliative nursing care.

(10)

Organization structure of the CoE

Hospice Casa Sperantei Education and National Development Dpt. CoE coordinator Palliative nursing trainers Sociologist nursing researcher Nursing researcher CoE project assistant Infocenter coordinator Services Dpt. Brasov Bucharest

(11)

Hierarchy of goals and objectives

• Health outcomes

• Health equity

• Capacity building

• Community involvement and mobilization

• Sustainability and replication

(12)

Hierarchy of goals and objectives

Activities

Output/Outcome

Indicator/Target

When

Results

Source/Who

To improve the training capacity of teachers in undergraduate training schools for nurses

ToT (Train of Trainers) course for

undergraduate teachers responsible for PC modules

Improved knowledge and teaching methods in PC for teachers at undergraduate level nursing schools / Improved knowledge of nursing students in PC (indicator results at pre- and post-tests)

* No. of trained teachers ( targeted 30 persons) * No. of nursing students (targeted 650 nursing students)

*identification - October - november 2014 * ToT course - december 2014 *follow-up - February - Iuly 2015 (the module in PC is thought in the second semester)

For reporting

purposes only

*identification - project assistant (PA) *ToT course - Palliative Nursing trainers *follow-up - Palliative nursing trainers and PA *under the supervision of project manager (PM)

To setup a network of PC trainers, one in each county branch of the NORN (National Order for Registered Nurses), who deliver level A PC courses at postgraduate level of education

ToT course for trainers associated to each NORN local branch, providing CME (Continual Medical Education) to nurses of different specialities

CME, consisting of level A PC courses, available in the annual program of each local branch of NORN / Raising awareness of trained nurses in providing PC

* No. of nursing trainers in PC in each of the 41 local branches of NORN (targeted 41 persons) * No. of CME in PC every year(targeted 41)

*identification - August - September 2015 * ToT course - October 2015 *follow-up - November 2015 - September 2016 *identification - PA *ToT course - Palliative Nursing trainers *follow-up - Palliative nursing trainers and PA * supervision from PM

To raise awarness among patients and family members on selfcare supportive interventions

Develop a PC Information Center for patients and families

*selfcare curriculum *courses to patient support groups *website with information for patiens/ improved PC information and support for patients and relatives

* Training curriculum * One PC selfcare course organized every other month * produce and administer website

24 months of the project and beyound

*Coordinator of Patient and family Information Center * supervision and coordination from PM

Theme

GOALS

(What/Why)

Objectives

(How)

Activities

improved access to quality PC for patients

and families

Health

outcomes

(13)

Monitoring and evaluation framework

• Inputs

– Perspectives

• Activities

• Outputs

• Outputs indicators

• Outcomes

• Outcomes indicators

• Impact

(14)

Predicted challenges

• Palliative Care as a specialty for nurses in the

specialized services in Romania;

(15)

Our mentality…

“If not

us

, who?

If not

here

, where?

If not

now

, when?”

Hillel the Elder

John F. Kennedy

Ronald Reagan

References

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