White Rose University Consortium logo
University of Leeds logo University of Sheffield logo York University logo

Evaluation of An Educational Intervention in Palliative Care for Family Doctors in Vietnam

To, Nghi (2013) Evaluation of An Educational Intervention in Palliative Care for Family Doctors in Vietnam. PhD thesis, University of Sheffield.

[img] Text
Nghi's Thesis_Final Version.docx
Available under License Creative Commons Attribution-Noncommercial-No Derivative Works 2.0 UK: England & Wales.

Download (2238Kb)
[img]
Preview
Image
image13.png
Available under License Creative Commons Attribution-Noncommercial-No Derivative Works 2.0 UK: England & Wales.

Download (54Kb) | Preview
[img]
Preview
Image
image10.png
Available under License Creative Commons Attribution-Noncommercial-No Derivative Works 2.0 UK: England & Wales.

Download (142Kb) | Preview
[img]
Preview
Image
image3.png
Available under License Creative Commons Attribution-Noncommercial-No Derivative Works 2.0 UK: England & Wales.

Download (331Kb) | Preview
[img]
Preview
Image
image1.png
Available under License Creative Commons Attribution-Noncommercial-No Derivative Works 2.0 UK: England & Wales.

Download (68Kb) | Preview
[img]
Preview
Image
image16.png
Available under License Creative Commons Attribution-Noncommercial-No Derivative Works 2.0 UK: England & Wales.

Download (117Kb) | Preview
[img]
Preview
Image
image9.png
Available under License Creative Commons Attribution-Noncommercial-No Derivative Works 2.0 UK: England & Wales.

Download (98Kb) | Preview
[img]
Preview
Image
image8.png
Available under License Creative Commons Attribution-Noncommercial-No Derivative Works 2.0 UK: England & Wales.

Download (34Kb) | Preview
[img]
Preview
Image
image12.png
Available under License Creative Commons Attribution-Noncommercial-No Derivative Works 2.0 UK: England & Wales.

Download (28Kb) | Preview
[img]
Preview
Image
image7.png
Available under License Creative Commons Attribution-Noncommercial-No Derivative Works 2.0 UK: England & Wales.

Download (43Kb) | Preview
[img]
Preview
Image
image2.jpg
Available under License Creative Commons Attribution-Noncommercial-No Derivative Works 2.0 UK: England & Wales.

Download (45Kb) | Preview
[img]
Preview
Image
image6.png
Available under License Creative Commons Attribution-Noncommercial-No Derivative Works 2.0 UK: England & Wales.

Download (43Kb) | Preview
[img]
Preview
Image
image14.png
Available under License Creative Commons Attribution-Noncommercial-No Derivative Works 2.0 UK: England & Wales.

Download (82Kb) | Preview
[img]
Preview
Image
image15.png
Available under License Creative Commons Attribution-Noncommercial-No Derivative Works 2.0 UK: England & Wales.

Download (106Kb) | Preview
[img]
Preview
Image
image4.png
Available under License Creative Commons Attribution-Noncommercial-No Derivative Works 2.0 UK: England & Wales.

Download (36Kb) | Preview
[img]
Preview
Image
image5.png
Available under License Creative Commons Attribution-Noncommercial-No Derivative Works 2.0 UK: England & Wales.

Download (25Kb) | Preview
[img]
Preview
Image
image11.png
Available under License Creative Commons Attribution-Noncommercial-No Derivative Works 2.0 UK: England & Wales.

Download (57Kb) | Preview
[img] Text
Nghi's Thesis_Final Version.docx
Available under License Creative Commons Attribution-Noncommercial-No Derivative Works 2.0 UK: England & Wales.

Download (2238Kb)

Abstract

Background The national strategy for palliative care in Vietnam is to integrate palliative care to cancer care and primary care. In Camau province, 70% of rural family doctors are involved in palliative care provision for cancer patients in rural areas. However, 85% have no palliative care training before or after graduation. Objectives • To evaluate the outcomes of an educational intervention in palliative care for rural family doctors in terms of perceived knowledge, confidence and practice behaviour. • To explore and compare views and experiences of hospitalised patients with those receiving palliative care in the community. Methodology A mixed methods approach was conducted using a pre- and post-workshop design. Doctors completed pre- and post-workshop questionnaires, and patients in two settings (hospital and home) participated in semi-structured interviews. Doctor data was analysed using an independent sample t-test to compare scores of knowledge and confidence before and after the workshop. Thematic analysis was used to analyse patient interviews. Findings The overall response rate from doctors was 67%. Pain management, fatigue and communication were the most requested topics for the education workshop (85%, 50%, 45%). As a result of the workshop, one-third indicated an increase in morphine prescribing and caseloads in their workplace. There was a statistically significant increase in scores of knowledge (p = 0.004) and confidence (p <0.001) after workshop. Patients’ choice of place of care was based on their satisfaction with the care, relationship with staff, the severity of symptoms and convenient access. Hospitalised patients claimed that local family doctors lacked expertise and enthusiasm in palliative care provision. The local palliative care service was perceived as acceptable by patients interviewed at home. Conclusions The multi-faceted intervention improved the knowledge, confidence and behaviour of family doctors. Satisfaction with generalist palliative care from the trained doctors was indicated by patients interviewed in the community.

Item Type: Thesis (PhD)
Keywords: palliative care, primary care, education, family doctor
Academic Units: The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > Medicine (Sheffield)
Identification Number/EthosID: uk.bl.ethos.581708
Depositing User: Dr Nghi To
Date Deposited: 05 Nov 2013 15:27
Last Modified: 03 Oct 2016 10:46
URI: http://etheses.whiterose.ac.uk/id/eprint/4587

You do not need to contact us to get a copy of this thesis. Please use the 'Download' link(s) above to get a copy.
You can contact us about this thesis. If you need to make a general enquiry, please see the Contact us page.

Actions (repository staff only: login required)