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Evaluation of the National Train-the-Trainer Program for Hospice and Palliative Care in Korea

  • Kang, Jina (Hospice and Palliative Care Branch, National Cancer Center) ;
  • Yang, Eunbae B. (Department of Medical Education, Yonsei University College of Medicine) ;
  • Chang, Yoon Jung (Hospice and Palliative Care Branch, National Cancer Center) ;
  • Choi, Jin Young (Hospice and Palliative Care Branch, National Cancer Center) ;
  • Jho, Hyun Jung (Hospice and Palliative Care Branch, National Cancer Center) ;
  • Koh, Su Jin (Department of Hematology and Oncology, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Kim, Won Chul (Medical Social Service Team, Korea University Guro Hospital) ;
  • Choi, Eun-Sook (Center for Lung Cancer, National Cancer Center) ;
  • Kim, Yeol (Division of Cancer Policy and Management, National Cancer Center) ;
  • Park, Sung-Min (Department of Korean Medicine, Kyung Hee University)
  • Published : 2015.02.25

Abstract

Background: To evaluate the effectiveness of the National Train-the-Trainers Program for Hospice and Palliative Care Experts (TTHPC) sponsored by the National Cancer Center of Korea between 2009 and 2012. This program was developed to improve the teaching skills of those in the field of hospice and palliative care (HPC). Materials and Methods: Training was offered in eight 1-day sessions between 2009 and 2012. The effect of the program was measured using Kirkpatrick's model of educational outcomes. First, levels 1 and 2 were evaluated immediately after the 1-day program (n=120). In 2012, the level-3 evaluation test was administered to trainers who offered at least one HPC training (n=78) as well as to their trainees (n=537). Results: The level-1 evaluation addressed participant reactions to and satisfaction with the program. Participants (n=120) were generally satisfied with the content, the method, and the overall course (mean range: 3.94-4.46 on a five-point Likert scale). The level-2 evaluation (learning) showed that participants gained knowledge and confidence related to teaching HPC (4.24 vs. 4.00). The level-3 evaluation (behavioral), which assessed trainers' application of teaching skills to HPC, showed that trainees rated the teaching methods of trainers (mean range: 4.03-4.08) more positively than did trainers (p<0.05). Female trainers were more likely than were male trainers to plan sessions in consideration of their trainees' characteristics (4.11 vs. 3.58; p<0.05), and nurse trainers were more likely than physician trainers to use a variety of instructional methods (4.05 vs. 3.36; p<0.05) Conclusions: We conducted systematic evaluations based on Kirkpatrick's model to assess the effectiveness of our train-the-trainers program. Our educational program was practical, effective, and followed by our HPC experts, who needed guidance to learn and improve their clinical teaching skills.

Keywords

References

  1. Choi ES, Ro YJ, Han SS, et al (1998). A study on the curriculum development for the professional hospice nurse in Korea. J Korean Academy Nursing, 28, 1027-35.
  2. Curran VR, Fleet L (2005). A review of evaluation outcomes of web-based continuing medical education. Med Educ, 39, 561-7. https://doi.org/10.1111/j.1365-2929.2005.02173.x
  3. Diesel HJ, Nsagha DS, Sab CM, et al (2011). A workshop report on promoting HIV/AIDS understanding through a capacity building train-the-trainer educational intervention. Pan Afr Med J, 10, 17.
  4. Fitzgerald MA, Chromy B, Philbrick CA, et al (2009). The North Dakota mental health and aging education project: curriculum design and training outcomes for a train-thetrainer model. Gerontol Geriatr Educ, 30, 114-29. https://doi.org/10.1080/02701960902911257
  5. Kang J, Kim Y, Yoo YS, et al (2013). Developing competencies for multidisciplinary hospice and palliative care professionals in Korea. Support Care Cancer, 21, 2707-17. https://doi.org/10.1007/s00520-013-1850-3
  6. Kang J, Koh SJ, Yoo YS, et al (2010). Development of the standard hospice and palliative care education program in Korea: results from the demonstration project. J Palliat Med, 13, 703-10. https://doi.org/10.1089/jpm.2009.0345
  7. Karadag M, Iseri O, Etikan I (2014). Determining nursing student knowledge, behavior and beliefs for breast cancer and breast self-examination receiving courses with two different approaches. Asian Pac J Cancer Prev, 15, 3885-90. https://doi.org/10.7314/APJCP.2014.15.9.3885
  8. Kelly K, Thrane S, Virani R, et al (2011). Expanding palliative care nursing education in california: the elnec geriatric project. Int J Palliat Nurs, 17, 188-94. https://doi.org/10.12968/ijpn.2011.17.4.188
  9. Kim HS, Kim BH, Yu SJ, et al (2011). The Effect of an endof-life nursing education consortium course on nurses' knowledge of hospice and palliative care in Korea. J Hosp Palliat Nurs, 13, 222-9. https://doi.org/10.1097/NJH.0b013e318210fdec
  10. Lacasse M, Ratnapalan S (2009). Teaching-skills training programs for family medicine residents: systematic review of formats, content, and effects of existing programs. Can Fam Physician, 55, 902-3.
  11. Lee KC, Ma JD, Hudmon KS, et al (2012). A train-the-trainer approach to a shared pharmacogenomics curriculum for US colleges and schools of pharmacy. Am J Pharm Educ, 76, 193. https://doi.org/10.5688/ajpe7610193
  12. Leslie K, Baker L, Egan-Lee E, et al (2013). Advancing faculty development in medical education: a systematic review. Acad Med, 88, 1038-45. https://doi.org/10.1097/ACM.0b013e318294fd29
  13. Pien LC, Taylor CA, Traboulsi E, et al (2011). A pilot study of a “resident educator and life-long learner” program: using a faculty train-the-trainer program. J Grad Med Educ, 3, 332-6. https://doi.org/10.4300/JGME-03-03-33
  14. Ro Y, Kim N, Lee S (1996). The present status and the proposals of hospice in Korea. J Korean Acad Adult Nurs, 8, 338-49.
  15. Robinson K, Sutton S, von Gunten CF, et al (2004). Assessment of the education for physicians on end-of-life care (epec) project. J Palliat Med, 7, 637-45. https://doi.org/10.1089/jpm.2004.7.637
  16. Stebbins MR, Cutler TW, Corelli RL, et al (2009). Medicare part D community outreach train-the-trainer program for pharmacy faculty. Am J Pharm Educ, 73, 53. https://doi.org/10.5688/aj730353
  17. Steinert Y, Mann K, Centeno A, et al (2006). A systematic review of faculty development initiatives designed to improve teaching effectiveness in medical education: BEME Guide No. 8. Med Teach, 28, 497-526. https://doi.org/10.1080/01421590600902976
  18. Stratos GA, Katz S, Bergen MR, et al (2006). Faculty development in end-of-life care: evaluation of a national train-the-trainer program. Acad Med, 81, 1000-7. https://doi.org/10.1097/01.ACM.0000242475.41549.66
  19. Sullivan AM, Lakoma MD, Billings JA, et al (2005). Teaching and learning end-of-life care: evaluation of a faculty development program in palliative care. Acad Med, 80, 657-68. https://doi.org/10.1097/00001888-200507000-00008

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