Evaluation of the impact of telementoring using ECHO© technology on healthcare professionals’ knowledge and self-efficacy in assessing and managing pain ... View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2018-04-02

AUTHORS

Bannin De Witt Jansen, Kevin Brazil, Peter Passmore, Hilary Buchanan, Doreen Maxwell, Sonja J. McIlfatrick, Sharon M. Morgan, Max Watson, Carole Parsons

ABSTRACT

BACKGROUND: Pain assessment and management in advanced and end-stage dementia are challenging; patients are at risk of under-diagnosis, under-assessment and under-treatment. Previous research has highlighted the importance of needs-driven training and development in this area for physicians, nurses and healthcare assistants (HCAs) across specialties, disciplines and care settings. This study used teleconferencing technology to connect healthcare professionals across multiple settings and disciplines in real-time clinics, based on the Project ECHO© model. This paper reports the evaluation of the clinics by physicians, nurses and HCAs, including their knowledge and self-efficacy in pain assessment and management for patients with advanced and end-stage dementia. METHODS: A mixed method evaluation comprising quantitative survey of self-reported knowledge and self-efficacy pre- and post-ECHO clinic participation, and qualitative exploration of experiences of the clinics using focus group interviews. A census approach to sampling was undertaken. Pre- and post-ECHO evaluations were administered electronically using Survey Monkey software. Mann-Whitney U tests were used to explore differences in knowledge and self-efficacy scores pre- and post-ECHO clinic participation. Statistical significance was set a-priori at p = 0.05. Focus groups were video- and audio-recorded, transcribed verbatim and analysed using Braun & Clarke's model of thematic analysis. RESULTS: Eighteen healthcare professionals [HCPs] (physicians [n = 7], nurses [n = 10], HCA [n = 1]) and twenty HCPs (physicians [n = 10], nurses [n = 10]) completed pre- and post-ECHO evaluations respectively, reporting improvements in knowledge and self-efficacy on participation in ECHO clinics and perceived utility of the clinics. Seven HCPs (physicians [n = 2], nurses [n = 5]) participated in two focus groups. Four themes emerged: knowledge and skills development and dissemination; protected time; areas for improvement; and the future of ECHO. CONCLUSIONS: Telementoring clinics for HCP education and training in pain assessment and management in advanced and end-stage dementia demonstrate a positive impact on knowledge and self-efficacy of HCPs and highlight the value of a cross-specialty network of practice which spans across disciplines/HCP types, care settings and geographical areas. Further development of ECHO services in this and in other clinical areas, shows significant potential to support delivery of high-quality care to complex patient populations. More... »

PAGES

228

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s12913-018-3032-y

DOI

http://dx.doi.org/10.1186/s12913-018-3032-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1101887807

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/29606132


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1110", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Nursing", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1117", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Public Health and Health Services", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Allied Health Personnel", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Ambulatory Care", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Delivery of Health Care", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Dementia", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Education, Distance", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Education, Medical", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Education, Nursing", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Focus Groups", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Health Knowledge, Attitudes, Practice", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Health Personnel", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Humans", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Male", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Mentoring", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Pain", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Pain Management", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Pain Measurement", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Physicians", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Self Efficacy", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Self Report", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Surveys and Questionnaires", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Terminal Care", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "School of Pharmacy, Queen\u2019s University Belfast, 97 Lisburn Road, Belfast, BT9 7BL UK", 
          "id": "http://www.grid.ac/institutes/grid.4777.3", 
          "name": [
            "School of Pharmacy, Queen\u2019s University Belfast, 97 Lisburn Road, Belfast, BT9 7BL UK"
          ], 
          "type": "Organization"
        }, 
        "familyName": "De Witt Jansen", 
        "givenName": "Bannin", 
        "id": "sg:person.01151022661.41", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01151022661.41"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "School of Nursing and Midwifery, Queen\u2019s University Belfast, Belfast, UK", 
          "id": "http://www.grid.ac/institutes/grid.4777.3", 
          "name": [
            "School of Nursing and Midwifery, Queen\u2019s University Belfast, Belfast, UK"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Brazil", 
        "givenName": "Kevin", 
        "id": "sg:person.01365220215.28", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01365220215.28"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen\u2019s University Belfast, Belfast, UK", 
          "id": "http://www.grid.ac/institutes/grid.4777.3", 
          "name": [
            "Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen\u2019s University Belfast, Belfast, UK"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Passmore", 
        "givenName": "Peter", 
        "id": "sg:person.0751705456.81", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0751705456.81"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Patient and Public Involvement Representative, Carer for a person living with dementia, Belfast, UK", 
          "id": "http://www.grid.ac/institutes/None", 
          "name": [
            "Patient and Public Involvement Representative, Carer for a person living with dementia, Belfast, UK"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Buchanan", 
        "givenName": "Hilary", 
        "id": "sg:person.013070271011.18", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.013070271011.18"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Kerrsland Surgery, Belfast, UK", 
          "id": "http://www.grid.ac/institutes/None", 
          "name": [
            "Kerrsland Surgery, Belfast, UK"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Maxwell", 
        "givenName": "Doreen", 
        "id": "sg:person.013665651411.30", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.013665651411.30"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "All Ireland Institute of Hospice and Palliative Care, Our Lady\u2019s Hospice and Care Services, Dublin, Ireland", 
          "id": "http://www.grid.ac/institutes/grid.499597.f", 
          "name": [
            "Institute of Nursing and Health Research, Ulster University, Coleraine, UK", 
            "All Ireland Institute of Hospice and Palliative Care, Our Lady\u2019s Hospice and Care Services, Dublin, Ireland"
          ], 
          "type": "Organization"
        }, 
        "familyName": "McIlfatrick", 
        "givenName": "Sonja J.", 
        "id": "sg:person.01017442751.11", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01017442751.11"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Marie Curie Hospice, Belfast, UK", 
          "id": "http://www.grid.ac/institutes/grid.470550.3", 
          "name": [
            "Marie Curie Hospice, Belfast, UK"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Morgan", 
        "givenName": "Sharon M.", 
        "id": "sg:person.015260612411.85", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.015260612411.85"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Northern Ireland Hospice, Belfast, UK", 
          "id": "http://www.grid.ac/institutes/grid.470409.e", 
          "name": [
            "Northern Ireland Hospice, Belfast, UK"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Watson", 
        "givenName": "Max", 
        "id": "sg:person.01214227636.32", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01214227636.32"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "School of Pharmacy, Queen\u2019s University Belfast, 97 Lisburn Road, Belfast, BT9 7BL UK", 
          "id": "http://www.grid.ac/institutes/grid.4777.3", 
          "name": [
            "School of Pharmacy, Queen\u2019s University Belfast, 97 Lisburn Road, Belfast, BT9 7BL UK"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Parsons", 
        "givenName": "Carole", 
        "id": "sg:person.01333364461.55", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01333364461.55"
        ], 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "sg:pub.10.1186/s12904-017-0184-1", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1053897692", 
          "https://doi.org/10.1186/s12904-017-0184-1"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/1471-2296-11-65", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1005124139", 
          "https://doi.org/10.1186/1471-2296-11-65"
        ], 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2018-04-02", 
    "datePublishedReg": "2018-04-02", 
    "description": "BACKGROUND: Pain assessment and management in advanced and end-stage dementia are challenging; patients are at risk of under-diagnosis, under-assessment and under-treatment. Previous research has highlighted the importance of needs-driven training and development in this area for physicians, nurses and healthcare assistants (HCAs) across specialties, disciplines and care settings. This study used teleconferencing technology to connect healthcare professionals across multiple settings and disciplines in real-time clinics, based on the Project ECHO\u00a9 model. This paper reports the evaluation of the clinics by physicians, nurses and HCAs, including their knowledge and self-efficacy in pain assessment and management for patients with advanced and end-stage dementia.\nMETHODS: A mixed method evaluation comprising quantitative survey of self-reported knowledge and self-efficacy pre- and post-ECHO clinic participation, and qualitative exploration of experiences of the clinics using focus group interviews. A census approach to sampling was undertaken. Pre- and post-ECHO evaluations were administered electronically using Survey Monkey software. Mann-Whitney U tests were used to explore differences in knowledge and self-efficacy scores pre- and post-ECHO clinic participation. Statistical significance was set a-priori at p\u2009=\u20090.05. Focus groups were video- and audio-recorded, transcribed verbatim and analysed using Braun & Clarke's model of thematic analysis.\nRESULTS: Eighteen healthcare professionals [HCPs] (physicians [n\u2009=\u20097], nurses [n\u2009=\u200910], HCA [n\u2009=\u20091]) and twenty HCPs (physicians [n\u2009=\u200910], nurses [n\u2009=\u200910]) completed pre- and post-ECHO evaluations respectively, reporting improvements in knowledge and self-efficacy on participation in ECHO clinics and perceived utility of the clinics. Seven HCPs (physicians [n\u2009=\u20092], nurses [n\u2009=\u20095]) participated in two focus groups. Four themes emerged: knowledge and skills development and dissemination; protected time; areas for improvement; and the future of ECHO.\nCONCLUSIONS: Telementoring clinics for HCP education and training in pain assessment and management in advanced and end-stage dementia demonstrate a positive impact on knowledge and self-efficacy of HCPs and highlight the value of a cross-specialty network of practice which spans across disciplines/HCP types, care settings and geographical areas. Further development of ECHO services in this and in other clinical areas, shows significant potential to support delivery of high-quality care to complex patient populations.", 
    "genre": "article", 
    "id": "sg:pub.10.1186/s12913-018-3032-y", 
    "inLanguage": "en", 
    "isAccessibleForFree": true, 
    "isPartOf": [
      {
        "id": "sg:journal.1327417", 
        "issn": [
          "1472-6963"
        ], 
        "name": "BMC Health Services Research", 
        "publisher": "Springer Nature", 
        "type": "Periodical"
      }, 
      {
        "issueNumber": "1", 
        "type": "PublicationIssue"
      }, 
      {
        "type": "PublicationVolume", 
        "volumeNumber": "18"
      }
    ], 
    "keywords": [
      "end-stage dementia", 
      "pain assessment", 
      "healthcare professionals", 
      "healthcare assistants", 
      "care settings", 
      "clinic participation", 
      "complex patient population", 
      "Mann-Whitney U test", 
      "high-quality care", 
      "end of life", 
      "mixed-methods evaluation", 
      "patient population", 
      "advanced dementia", 
      "Survey Monkey software", 
      "focus groups", 
      "self-reported knowledge", 
      "self-efficacy scores", 
      "self-efficacy pre", 
      "clinic", 
      "HCP education", 
      "dementia", 
      "Project ECHO", 
      "clinical areas", 
      "statistical significance", 
      "patients", 
      "nurses", 
      "physicians", 
      "multiple settings", 
      "qualitative exploration", 
      "thematic analysis", 
      "focus group interviews", 
      "professionals", 
      "method evaluation", 
      "assessment", 
      "setting", 
      "pain", 
      "group", 
      "evaluation", 
      "management", 
      "group interviews", 
      "HCP types", 
      "care", 
      "treatment", 
      "risk", 
      "scores", 
      "verbatim", 
      "geographical areas", 
      "training", 
      "pre", 
      "specialties", 
      "delivery", 
      "improvement", 
      "census approach", 
      "quantitative survey", 
      "population", 
      "development", 
      "knowledge", 
      "participation", 
      "dissemination", 
      "differences", 
      "area", 
      "significance", 
      "study", 
      "life", 
      "further development", 
      "positive impact", 
      "interviews", 
      "impact", 
      "assistants", 
      "test", 
      "previous research", 
      "utility", 
      "survey", 
      "experience", 
      "people", 
      "significant potential", 
      "echoes", 
      "practice", 
      "education", 
      "services", 
      "assessing", 
      "sampling", 
      "model", 
      "types", 
      "time", 
      "potential", 
      "end", 
      "importance", 
      "analysis", 
      "themes", 
      "Braun", 
      "values", 
      "research", 
      "future", 
      "exploration", 
      "approach", 
      "disciplines", 
      "software", 
      "video", 
      "technology", 
      "network", 
      "Clarke's model", 
      "paper", 
      "needs-driven training", 
      "real-time clinics", 
      "post-ECHO clinic participation", 
      "post-ECHO evaluations", 
      "Monkey software", 
      "U tests", 
      "ECHO clinics", 
      "future of ECHO", 
      "cross-specialty network", 
      "disciplines/HCP types", 
      "ECHO services"
    ], 
    "name": "Evaluation of the impact of telementoring using ECHO\u00a9 technology on healthcare professionals\u2019 knowledge and self-efficacy in assessing and managing pain for people with advanced dementia nearing the end of life", 
    "pagination": "228", 
    "productId": [
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1101887807"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1186/s12913-018-3032-y"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "29606132"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1186/s12913-018-3032-y", 
      "https://app.dimensions.ai/details/publication/pub.1101887807"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2022-01-01T18:48", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-springernature-scigraph/baseset/20220101/entities/gbq_results/article/article_774.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "https://doi.org/10.1186/s12913-018-3032-y"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1186/s12913-018-3032-y'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1186/s12913-018-3032-y'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1186/s12913-018-3032-y'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1186/s12913-018-3032-y'


 

This table displays all metadata directly associated to this object as RDF triples.

346 TRIPLES      22 PREDICATES      164 URIs      153 LITERALS      28 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1186/s12913-018-3032-y schema:about N1b5b62133b0744a29bb2120fd87fd9f2
2 N24480c6e06e54e44a2ebb0ef23ecb694
3 N2b3c327915334b2095aa47b91ab0ecc2
4 N3c272831288b45f09b8472dd04dab609
5 N55bd16f6cd434ba98330fb966df97f0d
6 N64ab2d5256e2481b8d87bcd8d48f4d4f
7 N6a6d6a5b444e4164b1d9c32d04c161ba
8 N6ac94580e2a943d5be5c88d31df3d6e0
9 N74efc219f3c5465e8f58da2ecbf26f24
10 N8839724db7f446bea1ad4f7b19c5dc88
11 N89a62914a8534f3d93a08b148f69dd62
12 N8e7e9332a9c8404887d103c531e9eb16
13 Nb09b566b02ff4c92bcfc357e76ddee59
14 Nb0d1d26b7d0c4eedb9237498ddd6f348
15 Nb5fb1fbfe485451a87b579f882d74e69
16 Nc6e79b0afc9d4c67bfa5ba6d50b9569f
17 Nc9a65e09c2024a0b85e12661b20095a2
18 Nd9180f30ae06435fb336436b399336b4
19 Ne76db635165e40bb88bc92e9959ec90f
20 Nf1624a1c2b5142df83cccd594039e839
21 Nfc4fdab3dde741748dafa4e5ebfb9e68
22 anzsrc-for:11
23 anzsrc-for:1110
24 anzsrc-for:1117
25 schema:author N68f3ff96b58d4a62852a92b988f1629c
26 schema:citation sg:pub.10.1186/1471-2296-11-65
27 sg:pub.10.1186/s12904-017-0184-1
28 schema:datePublished 2018-04-02
29 schema:datePublishedReg 2018-04-02
30 schema:description BACKGROUND: Pain assessment and management in advanced and end-stage dementia are challenging; patients are at risk of under-diagnosis, under-assessment and under-treatment. Previous research has highlighted the importance of needs-driven training and development in this area for physicians, nurses and healthcare assistants (HCAs) across specialties, disciplines and care settings. This study used teleconferencing technology to connect healthcare professionals across multiple settings and disciplines in real-time clinics, based on the Project ECHO© model. This paper reports the evaluation of the clinics by physicians, nurses and HCAs, including their knowledge and self-efficacy in pain assessment and management for patients with advanced and end-stage dementia. METHODS: A mixed method evaluation comprising quantitative survey of self-reported knowledge and self-efficacy pre- and post-ECHO clinic participation, and qualitative exploration of experiences of the clinics using focus group interviews. A census approach to sampling was undertaken. Pre- and post-ECHO evaluations were administered electronically using Survey Monkey software. Mann-Whitney U tests were used to explore differences in knowledge and self-efficacy scores pre- and post-ECHO clinic participation. Statistical significance was set a-priori at p = 0.05. Focus groups were video- and audio-recorded, transcribed verbatim and analysed using Braun & Clarke's model of thematic analysis. RESULTS: Eighteen healthcare professionals [HCPs] (physicians [n = 7], nurses [n = 10], HCA [n = 1]) and twenty HCPs (physicians [n = 10], nurses [n = 10]) completed pre- and post-ECHO evaluations respectively, reporting improvements in knowledge and self-efficacy on participation in ECHO clinics and perceived utility of the clinics. Seven HCPs (physicians [n = 2], nurses [n = 5]) participated in two focus groups. Four themes emerged: knowledge and skills development and dissemination; protected time; areas for improvement; and the future of ECHO. CONCLUSIONS: Telementoring clinics for HCP education and training in pain assessment and management in advanced and end-stage dementia demonstrate a positive impact on knowledge and self-efficacy of HCPs and highlight the value of a cross-specialty network of practice which spans across disciplines/HCP types, care settings and geographical areas. Further development of ECHO services in this and in other clinical areas, shows significant potential to support delivery of high-quality care to complex patient populations.
31 schema:genre article
32 schema:inLanguage en
33 schema:isAccessibleForFree true
34 schema:isPartOf N260a6f26cadf49b489002e193612fd74
35 Nfef8c2e808134e329aa7bc75724ed838
36 sg:journal.1327417
37 schema:keywords Braun
38 Clarke's model
39 ECHO clinics
40 ECHO services
41 HCP education
42 HCP types
43 Mann-Whitney U test
44 Monkey software
45 Project ECHO
46 Survey Monkey software
47 U tests
48 advanced dementia
49 analysis
50 approach
51 area
52 assessing
53 assessment
54 assistants
55 care
56 care settings
57 census approach
58 clinic
59 clinic participation
60 clinical areas
61 complex patient population
62 cross-specialty network
63 delivery
64 dementia
65 development
66 differences
67 disciplines
68 disciplines/HCP types
69 dissemination
70 echoes
71 education
72 end
73 end of life
74 end-stage dementia
75 evaluation
76 experience
77 exploration
78 focus group interviews
79 focus groups
80 further development
81 future
82 future of ECHO
83 geographical areas
84 group
85 group interviews
86 healthcare assistants
87 healthcare professionals
88 high-quality care
89 impact
90 importance
91 improvement
92 interviews
93 knowledge
94 life
95 management
96 method evaluation
97 mixed-methods evaluation
98 model
99 multiple settings
100 needs-driven training
101 network
102 nurses
103 pain
104 pain assessment
105 paper
106 participation
107 patient population
108 patients
109 people
110 physicians
111 population
112 positive impact
113 post-ECHO clinic participation
114 post-ECHO evaluations
115 potential
116 practice
117 pre
118 previous research
119 professionals
120 qualitative exploration
121 quantitative survey
122 real-time clinics
123 research
124 risk
125 sampling
126 scores
127 self-efficacy pre
128 self-efficacy scores
129 self-reported knowledge
130 services
131 setting
132 significance
133 significant potential
134 software
135 specialties
136 statistical significance
137 study
138 survey
139 technology
140 test
141 thematic analysis
142 themes
143 time
144 training
145 treatment
146 types
147 utility
148 values
149 verbatim
150 video
151 schema:name Evaluation of the impact of telementoring using ECHO© technology on healthcare professionals’ knowledge and self-efficacy in assessing and managing pain for people with advanced dementia nearing the end of life
152 schema:pagination 228
153 schema:productId N52ed0c00f712408b9afdc80a7e268029
154 Ndabb3ab028af4cb3bd6b4feaf9069009
155 Nf7105aa0cffe41399eef8483e332783e
156 schema:sameAs https://app.dimensions.ai/details/publication/pub.1101887807
157 https://doi.org/10.1186/s12913-018-3032-y
158 schema:sdDatePublished 2022-01-01T18:48
159 schema:sdLicense https://scigraph.springernature.com/explorer/license/
160 schema:sdPublisher N5c52c25acd75424a869e8af3f3434a63
161 schema:url https://doi.org/10.1186/s12913-018-3032-y
162 sgo:license sg:explorer/license/
163 sgo:sdDataset articles
164 rdf:type schema:ScholarlyArticle
165 N1b5b62133b0744a29bb2120fd87fd9f2 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
166 schema:name Focus Groups
167 rdf:type schema:DefinedTerm
168 N1bf6be13db17456183f19a0ec95a7515 rdf:first sg:person.013070271011.18
169 rdf:rest N7fb24ca7c37c49bfbcf4d3869c004e99
170 N24480c6e06e54e44a2ebb0ef23ecb694 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
171 schema:name Allied Health Personnel
172 rdf:type schema:DefinedTerm
173 N260a6f26cadf49b489002e193612fd74 schema:issueNumber 1
174 rdf:type schema:PublicationIssue
175 N2b3c327915334b2095aa47b91ab0ecc2 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
176 schema:name Pain Management
177 rdf:type schema:DefinedTerm
178 N3c272831288b45f09b8472dd04dab609 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
179 schema:name Health Personnel
180 rdf:type schema:DefinedTerm
181 N3d196008e877435daa15006f4f4e7939 rdf:first sg:person.01365220215.28
182 rdf:rest Nb20d6d6c41f440b39f69d3a20b8d2399
183 N493aead4ff46495dadcef8e06141cc9b rdf:first sg:person.01017442751.11
184 rdf:rest Nb7295e468e854632961b85c1a6c8f0ae
185 N52ed0c00f712408b9afdc80a7e268029 schema:name dimensions_id
186 schema:value pub.1101887807
187 rdf:type schema:PropertyValue
188 N55bd16f6cd434ba98330fb966df97f0d schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
189 schema:name Pain Measurement
190 rdf:type schema:DefinedTerm
191 N5c52c25acd75424a869e8af3f3434a63 schema:name Springer Nature - SN SciGraph project
192 rdf:type schema:Organization
193 N64ab2d5256e2481b8d87bcd8d48f4d4f schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
194 schema:name Physicians
195 rdf:type schema:DefinedTerm
196 N68f3ff96b58d4a62852a92b988f1629c rdf:first sg:person.01151022661.41
197 rdf:rest N3d196008e877435daa15006f4f4e7939
198 N6a6d6a5b444e4164b1d9c32d04c161ba schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
199 schema:name Surveys and Questionnaires
200 rdf:type schema:DefinedTerm
201 N6ac94580e2a943d5be5c88d31df3d6e0 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
202 schema:name Health Knowledge, Attitudes, Practice
203 rdf:type schema:DefinedTerm
204 N74efc219f3c5465e8f58da2ecbf26f24 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
205 schema:name Dementia
206 rdf:type schema:DefinedTerm
207 N7fb24ca7c37c49bfbcf4d3869c004e99 rdf:first sg:person.013665651411.30
208 rdf:rest N493aead4ff46495dadcef8e06141cc9b
209 N8839724db7f446bea1ad4f7b19c5dc88 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
210 schema:name Education, Medical
211 rdf:type schema:DefinedTerm
212 N89a62914a8534f3d93a08b148f69dd62 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
213 schema:name Mentoring
214 rdf:type schema:DefinedTerm
215 N8e7e9332a9c8404887d103c531e9eb16 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
216 schema:name Education, Distance
217 rdf:type schema:DefinedTerm
218 Nb09b566b02ff4c92bcfc357e76ddee59 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
219 schema:name Pain
220 rdf:type schema:DefinedTerm
221 Nb0d1d26b7d0c4eedb9237498ddd6f348 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
222 schema:name Education, Nursing
223 rdf:type schema:DefinedTerm
224 Nb20d6d6c41f440b39f69d3a20b8d2399 rdf:first sg:person.0751705456.81
225 rdf:rest N1bf6be13db17456183f19a0ec95a7515
226 Nb5fb1fbfe485451a87b579f882d74e69 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
227 schema:name Male
228 rdf:type schema:DefinedTerm
229 Nb7295e468e854632961b85c1a6c8f0ae rdf:first sg:person.015260612411.85
230 rdf:rest Nfd056240b6784c459716a926ff9b917f
231 Nc6e79b0afc9d4c67bfa5ba6d50b9569f schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
232 schema:name Terminal Care
233 rdf:type schema:DefinedTerm
234 Nc73d4b52557b422eba7b374211730995 rdf:first sg:person.01333364461.55
235 rdf:rest rdf:nil
236 Nc9a65e09c2024a0b85e12661b20095a2 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
237 schema:name Self Efficacy
238 rdf:type schema:DefinedTerm
239 Nd9180f30ae06435fb336436b399336b4 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
240 schema:name Self Report
241 rdf:type schema:DefinedTerm
242 Ndabb3ab028af4cb3bd6b4feaf9069009 schema:name pubmed_id
243 schema:value 29606132
244 rdf:type schema:PropertyValue
245 Ne76db635165e40bb88bc92e9959ec90f schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
246 schema:name Ambulatory Care
247 rdf:type schema:DefinedTerm
248 Nf1624a1c2b5142df83cccd594039e839 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
249 schema:name Delivery of Health Care
250 rdf:type schema:DefinedTerm
251 Nf7105aa0cffe41399eef8483e332783e schema:name doi
252 schema:value 10.1186/s12913-018-3032-y
253 rdf:type schema:PropertyValue
254 Nfc4fdab3dde741748dafa4e5ebfb9e68 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
255 schema:name Humans
256 rdf:type schema:DefinedTerm
257 Nfd056240b6784c459716a926ff9b917f rdf:first sg:person.01214227636.32
258 rdf:rest Nc73d4b52557b422eba7b374211730995
259 Nfef8c2e808134e329aa7bc75724ed838 schema:volumeNumber 18
260 rdf:type schema:PublicationVolume
261 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
262 schema:name Medical and Health Sciences
263 rdf:type schema:DefinedTerm
264 anzsrc-for:1110 schema:inDefinedTermSet anzsrc-for:
265 schema:name Nursing
266 rdf:type schema:DefinedTerm
267 anzsrc-for:1117 schema:inDefinedTermSet anzsrc-for:
268 schema:name Public Health and Health Services
269 rdf:type schema:DefinedTerm
270 sg:journal.1327417 schema:issn 1472-6963
271 schema:name BMC Health Services Research
272 schema:publisher Springer Nature
273 rdf:type schema:Periodical
274 sg:person.01017442751.11 schema:affiliation grid-institutes:grid.499597.f
275 schema:familyName McIlfatrick
276 schema:givenName Sonja J.
277 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01017442751.11
278 rdf:type schema:Person
279 sg:person.01151022661.41 schema:affiliation grid-institutes:grid.4777.3
280 schema:familyName De Witt Jansen
281 schema:givenName Bannin
282 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01151022661.41
283 rdf:type schema:Person
284 sg:person.01214227636.32 schema:affiliation grid-institutes:grid.470409.e
285 schema:familyName Watson
286 schema:givenName Max
287 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01214227636.32
288 rdf:type schema:Person
289 sg:person.013070271011.18 schema:affiliation grid-institutes:None
290 schema:familyName Buchanan
291 schema:givenName Hilary
292 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.013070271011.18
293 rdf:type schema:Person
294 sg:person.01333364461.55 schema:affiliation grid-institutes:grid.4777.3
295 schema:familyName Parsons
296 schema:givenName Carole
297 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01333364461.55
298 rdf:type schema:Person
299 sg:person.01365220215.28 schema:affiliation grid-institutes:grid.4777.3
300 schema:familyName Brazil
301 schema:givenName Kevin
302 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01365220215.28
303 rdf:type schema:Person
304 sg:person.013665651411.30 schema:affiliation grid-institutes:None
305 schema:familyName Maxwell
306 schema:givenName Doreen
307 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.013665651411.30
308 rdf:type schema:Person
309 sg:person.015260612411.85 schema:affiliation grid-institutes:grid.470550.3
310 schema:familyName Morgan
311 schema:givenName Sharon M.
312 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.015260612411.85
313 rdf:type schema:Person
314 sg:person.0751705456.81 schema:affiliation grid-institutes:grid.4777.3
315 schema:familyName Passmore
316 schema:givenName Peter
317 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0751705456.81
318 rdf:type schema:Person
319 sg:pub.10.1186/1471-2296-11-65 schema:sameAs https://app.dimensions.ai/details/publication/pub.1005124139
320 https://doi.org/10.1186/1471-2296-11-65
321 rdf:type schema:CreativeWork
322 sg:pub.10.1186/s12904-017-0184-1 schema:sameAs https://app.dimensions.ai/details/publication/pub.1053897692
323 https://doi.org/10.1186/s12904-017-0184-1
324 rdf:type schema:CreativeWork
325 grid-institutes:None schema:alternateName Kerrsland Surgery, Belfast, UK
326 Patient and Public Involvement Representative, Carer for a person living with dementia, Belfast, UK
327 schema:name Kerrsland Surgery, Belfast, UK
328 Patient and Public Involvement Representative, Carer for a person living with dementia, Belfast, UK
329 rdf:type schema:Organization
330 grid-institutes:grid.470409.e schema:alternateName Northern Ireland Hospice, Belfast, UK
331 schema:name Northern Ireland Hospice, Belfast, UK
332 rdf:type schema:Organization
333 grid-institutes:grid.470550.3 schema:alternateName Marie Curie Hospice, Belfast, UK
334 schema:name Marie Curie Hospice, Belfast, UK
335 rdf:type schema:Organization
336 grid-institutes:grid.4777.3 schema:alternateName Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen’s University Belfast, Belfast, UK
337 School of Nursing and Midwifery, Queen’s University Belfast, Belfast, UK
338 School of Pharmacy, Queen’s University Belfast, 97 Lisburn Road, Belfast, BT9 7BL UK
339 schema:name Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen’s University Belfast, Belfast, UK
340 School of Nursing and Midwifery, Queen’s University Belfast, Belfast, UK
341 School of Pharmacy, Queen’s University Belfast, 97 Lisburn Road, Belfast, BT9 7BL UK
342 rdf:type schema:Organization
343 grid-institutes:grid.499597.f schema:alternateName All Ireland Institute of Hospice and Palliative Care, Our Lady’s Hospice and Care Services, Dublin, Ireland
344 schema:name All Ireland Institute of Hospice and Palliative Care, Our Lady’s Hospice and Care Services, Dublin, Ireland
345 Institute of Nursing and Health Research, Ulster University, Coleraine, UK
346 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...