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Professional learning and development of the palliative care workforce is essential to deliver evidence based care and improve patient outcomes.

The recruitment and retention of the rural health workforce is a challenge across Australia. The Grampians region is no different. One of the reasons cited for poor retention in rural/regional areas is limited access to education, training, mentoring and professional networking.

The Grampians Regional Palliative Care Team have utilised video conferencing for education and training of health care professionals over the past seven years. During this time participation in this education format has grown. The data presented represents the last two years.

IT

Authors: Regina Kendall, Nurse Practitioner, Grampians Regional Palliative Care Team. Jade Odgers, Manager, Grampians Regional Palliative Care Team

GRHANet coverage in the Grampians Region

Rainbow

Jeparit Beulah

Hopetoun Woomelang

Birchip

Wycheproof Charlton Minyip

Murtoa St Arnaud

Bendigo

Horsham Natimuk

Goroke

Edenhope

Harrow

Hamilton

Willaura

Lake Bolac Skipton Beaufort

Ararat

Stawell Elmhurst Clunes

Daylesford

Trentham

Ballan

Ballarat

Bacchus Marsh Geelong

Melton Kaniva

Nhill Dimboola

Warracknabeal

Creswick Rupanyup

Donald

Video conferencing has been utilised for:

∙ Mentoring capabilities

∙ Access to advanced practitioners and leaders in palliative care

∙ Structured training programs and professional development

∙ Rapid and enthusiastic uptake across the nursing profession

∙ Cost effective education

∙ Access to expert speakers from across Australia

Challenges:

∙ Unpredictable connectivity

∙ Poor uptake by medical staff for education purposes

∙ Managing the expectations of the participants around technology limitations

∙ Inability to record through the IT system which impacts on our ability to produce podcasts and DVDs

∙ Limiting the number of video link sites to ensure workability and financial implications

∙ Our data suggests that health care professionals are more likely to attend topics that include symptom management

issues than topics relating to holistic care and personal reflection

∙ To be innovative in developing new education topics that will attract and meet the educational needs of participants

for the Grampians Region

Grampians Regional Palliative Care Team

102 Ascot Street South, Ballarat, Victoria, Australia Em: [email protected]

Web: www.grpct.com.au Ph: (03) 5320 3553

Fx: (03) 5320 6493 Post: PO Box 199 Ballarat 3353

Outcomes:

Video conferencing of twilight sessions is

increasing access to palliative care education.

General attendees have increased by 23% over the past two years with an increase in video

link participation of 37%.

Other areas across Victoria are now

videoconferencing into our education sessions.

Shifting thinking and acceptance by health professionals as a viable means of ongoing education has led to more people accessing our training.

Supporting staff to explore the possibilities of innovative delivery of education and training, clinical support and mentoring across other speciality areas.

We are aware of the impact

of distance, time

and access to quality palliative care education in the Grampians region. The use of video conferencing

may not address all needs however it is one option to educate the workforce. The use of video

conferencing technology plays an important role in achieving the goal of a workforce that is highly

trained in the delivery of palliative care across a

large area, and improving patient access to palliative care specialists.

Despite the increase in standard space video

conferencing programs, we still do not believe the uptake of our education is reaching its fullest

potential. The biggest challenges remain in

unpredictable connectivity across rural areas and staff skills and confidence in the technology.

Conclusion:

AUGUST 2013

Aim:

The aim of videoconferencing our

education and training was to increase access for health professionals who

have an interest in or are working in palliative care who otherwise would need to travel long distances for

ongoing education, professional networking and support.

Our initial concept was to explore the

value of an education plan that reduced travel time for participants across the region and also reduced travel time for presenters. In 2006 we began

videoconferencing twilight education sessions monthly across the region

with two sites linking in (Horsham and Bacchus Marsh). The number of video link sites each session varied between three and eight sites within the

Grampians region and multiple sites across Victoria were also linked in.

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