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Supportive Care in Cancer

Erschienen in:

01.02.2018 | Original Article

Crossing the death threshold: experiencing multi-disciplinary end-of-life integrative oncology training

verfasst von: Eran Ben-Arye, Yael Keshet, Maria Livas, Thomas Breitkreuz

Erschienen in: Supportive Care in Cancer | Ausgabe 7/2018

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Abstract

Objective

Complementary and integrative medicine (CIM) is acknowledged in more and more oncology-care centers as part of supportive and palliative cancer care. However, only limited research is available on medical training of CIM practitioners regarding end-of-life (EOL) care. In this study, we assess the impact of multi-disciplinary EOL training on cultural-diverse groups of CIM-trained healthcare practitioners (HCPs) working in integrative oncology care settings in Germany and Israel.

Methods

The authors co-designed an evidence-based patient-centered EOL-training curriculum incorporating palliative and CIM concepts of care. Afterwards, a 3-day course was designed for 25 HCPs working in three anthroposophic-medicine-oriented medical centers in Germany and 14 CIM-trained HCPs from one oncology center in Israel. Qualitative assessment of the EOL-training impact on trainees was assessed 4-month post-intervention. Narratives were analyzed using ATLAS.ti software for systematic coding.

Results

Post-training narrative assessment was reported by 18 German and 14 Israeli HCPs comprising 10 physicians, 12 nurses and paramedical practitioners, and 10 CIM therapists and spiritual care-providers. Content analysis of post-training outcomes suggested participants’ attitude-change regarding their professional role in EOL care as individuals and as members of a team. Participants acquired practical clinical tools to enhance EOL care and to better communicate with patients about death, implementing a patient-centered, cultural-sensitive approach.

Conclusions

EOL training of CIM-trained HCPs enhances communication and palliative clinical skills. Multidisciplinary and international training settings emphasize a cross-cultural perspective and enrich the bio-psycho-social-spiritual model of palliative care.

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Titel: Crossing the death threshold: experiencing multi-disciplinary end-of-life integrative oncology training
verfasst von: Eran Ben-Arye
Yael Keshet
Maria Livas
Thomas Breitkreuz
Publikationsdatum: 01.02.2018
Verlag: Springer Berlin Heidelberg
Erschienen in: Supportive Care in Cancer / Ausgabe 7/2018
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-018-4068-6

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Springer Medizin

Crossing the death threshold: experiencing multi-disciplinary end-of-life integrative oncology training

Abstract

Objective

Methods

Results

Conclusions

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Springer Medizin

Abstract

Objective

Methods

Results

Conclusions

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