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Developing competencies for multidisciplinary hospice and palliative care professionals in Korea

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Abstract

Purpose

Competency-based assessment helps to improve performance and to standardize education programs for hospice and palliative care professionals. This paper aims to report the process and results of developing the hospice and palliative care competencies by multidisciplinary experts in Korea.

Methods

The competency development task force team of Korean hospice and palliative care professionals was comprised of seven physicians, four nurses, two social workers, and two clergy. To build consensus regarding competencies, the team performed a two-round Delphi survey. The importance of competency domains was assessed by using a 5-point Likert scale. After the completion of the Delphi survey, final competency domains were decided in a consensus meeting.

Results

The competencies were composed of knowledge, skills, and attitudes. The competency domains were identified as the following: 11 domains and 16 subdomains for physicians, 11 domains for nurses, 5 domains and 15 subdomains for social workers, as well as 3 domains and 5 subdomains for spiritual care providers. The high importance domains were different by specialties. Physical care and treatment for physicians, symptom management for nurses, bereavement care for social workers, and communication for spiritual care providers were ranked as highly important. For nurses and spiritual care providers, attitude-related domains were ranked the highest in importance.

Conclusion

The competencies developed by multidisciplinary professionals are useful to identify the appropriate roles of each hospice and palliative care specialist involved in a team approach to patient care.

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References

  1. World Health Organization (2002) Competency-based curriculum development in medical education: an introduction. World Health Organization, Geneva

    Google Scholar 

  2. Royal College of Nursing (2002) A Frame for Nurses Working in Specialist Palliative Care: competencies project. RCN Publication, London

    Google Scholar 

  3. Becker R (2007) The use of competencies in palliative care education. In: Foyle L, Hostad J (eds) Innovations in Cancer and Palliative Care Education. Radcliffe Publishing, NewYork, pp 13–23

    Google Scholar 

  4. Morrison LJ, Scott JO, Block SD (2007) Developing initial competency-based outcomes for hospice and palliative medicine subspecialist: phase 1 of the hospice and palliative medicine competencies project. J Palliat Med 10(2):313–330

    Article  PubMed  Google Scholar 

  5. EAPC (2009) Recommendations of the European Association for Palliative Care For the Development of postgraduate curricula leading to certification in palliative medicine. The European Association for Palliative Care (EAPC), Milano

  6. Bosma H, Johnston M, Cadell S et al (2010) Creating social work competencies for practice in hospice palliative care. Palliat Med 24(1):79–87

    Article  PubMed  Google Scholar 

  7. MCCC (2003) Spiritual and Religious Care Competencies for Specialist Palliative Care. Marie Curie Cancer Care, London

    Google Scholar 

  8. Ministry of Health and Welfare (2003) Cancer Control 2015: Second term 10 year action plan for cancer control in Korea. Seoul

  9. Kang J, Koh SJ, Yoo YS et al (2009) Development of the standard hospice and palliative care education program in Korea: results from the demonstration project. J Palliat Med 13(6):703–710

    Article  Google Scholar 

  10. Kang J, Kim DY, Shin DW et al (2010) A Survey on the certification and curriculum development for hospice and palliative care professionals. Korean J Hosp Palliat Care 13(1):32–40

    Google Scholar 

  11. Shin DW, Choi JY, Kim JH et al. (2010) Development of standard service model and quality evaluation system for palliative care organizations. National R & D Program for Cancer Control, No.920350, National Cancer Center in Korea. Goyang

  12. Winterton J, Delamare-Le Deist F, Stringfellow E (2005) Typology of knowledge, skills and competences: clarification of the concept and prototype. Office for Official Publication of the European. Communities, Luxembourg

    Google Scholar 

  13. Staggers N, Gassert CA, Curran C (2002) A Delphi study to determine informatics competencies for nurses at four levels of practice. Nurs Res 51(6):383–390

    Article  PubMed  Google Scholar 

  14. Okura M (2004) A study by the Delphi technique of expected competencies of public health nurses working in government organizations. Nippon Koshu Eisei Zasshi 51(12):1018–1028

    PubMed  Google Scholar 

  15. Polivka BJ, Stanley SA, Gordon D et al (2008) Public health nursing competencies for public health surge events. Public Health Nurs 25(2):159–165

    Article  PubMed  Google Scholar 

  16. Gebbie K, Merrill J, Hwang I et al (2002) Identifying individual competency in emerging areas of practice: an applied approach. Qual Health Res 12:990–999

    Article  PubMed  Google Scholar 

  17. Kennedy HP (2004) Enhancing Delphi research: methods and results. J Adv Nurs 45(5):504–511

    Article  PubMed  Google Scholar 

  18. Allen T, Brailovsky C, Rainsberry P et al (2011) Defining competency-based evaluation objectives in family medicine: dimensions of competence and priority topics for assessment. Can Fam Physician 57(9):331–340

    Google Scholar 

  19. Paes P, Wee B (2008) A Delphi study to develop the Association for Palliative Medicine consensus syllabus for undergraduate palliative medicine in Great Britain and Ireland. Palliat Med 22(4):360–364

    Article  CAS  PubMed  Google Scholar 

  20. Reetoo KN, Harrington JM, Macdonald EB (2005) Required competencies of occupational physicians: a Delphi survey of UK customers. Occup Environ Med 62:406–413

    Article  CAS  PubMed  Google Scholar 

  21. Almoallim H (2011) Determining and prioritizing competencies in the undergraduate internal medicine curriculum in Saudi Arabia. East Mediterr Health J 17(8):656–662

    CAS  PubMed  Google Scholar 

  22. Wang EE, Dyne PL, Du H (2011) Systems-based practice: Summary of the 2010 Council of Emergency Medicine Residency Directors Academic Assembly Consensus Workgroup—teaching and evaluating the difficult-to-teach competencies. Acad Emerg Med 18(2):110–120

    Article  CAS  Google Scholar 

  23. Calzone KA, Jenkins J, Masny A (2002) Core competencies in cancer genetics for advanced practice oncology nurses. Oncol Nurs Forum 29(9):1327–1333

    Article  PubMed  Google Scholar 

  24. Moaveni A, Gallinaro A, Conn LG et al (2010) A Delphi approach to developing a core competency framework for family practice registered nurses in Ontario. Nurs Leadersh 23(4):45–60

    Google Scholar 

  25. Hsu C, Sandford BA (2007) The Delphi technique: making sense of consensus. Practical Assessment, Research & Evaluation 12(10):1–822

    Google Scholar 

  26. Cooper D, Aherne M, Pallium PJ, Spiritual Care Providers, DACUM Group (2010) The competencies required by professional hospice palliative care spiritual care providers. J Palliat Med 13(7):869–875

    Article  PubMed  Google Scholar 

  27. Lawrie I, Lloyd-Williams M (2006) Training in the interdisciplinary environment. In: Speck P (ed) Teamwork in palliative care: fulfilling or frustrating? 1st edn. Oxford University Press, New York, pp 153–165

    Chapter  Google Scholar 

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Acknowledgements

The authors would like to thank all members of Delphi panel and many multidisciplinary members of the Korean Society of Hospice & Palliative Care who help to develop the competencies. This work was supported by a grant from the National Cancer Center of Korea.

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Correspondence to Yeol Kim.

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Kang, J., Kim, Y., Yoo, Y.S. et al. Developing competencies for multidisciplinary hospice and palliative care professionals in Korea. Support Care Cancer 21, 2707–2717 (2013). https://doi.org/10.1007/s00520-013-1850-3

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