Transcript SHARING ABOUT CARING: The Roger’s House Interdisciplinary

SHARING ABOUT CARING:
The Roger’s House Interdisciplinary and Inter-Organizational Mentorship for Pediatric Palliative Care Initiative 2007
Lynn Grandmaison Dumond RN(EC), M.Sc.N., Lloyd Cowin, M.H.A., Marion Rattray, RN, William Splinter, B.Sc., MD, FRCP(C)
Participation and Satisfaction
•Project timeline:
5 mos.
•Organizations involved:
4
•Mentoring Sites:
4
•Mentoring Days:
12
•Participants:
171
•Mentors: 49
•Mentored: 118
•Participating professions: 12
•Participating partners:
2
ABSTRACT
INTRODUCTION: In May 2006 Roger’s House
opened its doors. It is one of the few pediatric hospices
in Canada and is an integral part of the Children’s
Hospital of Eastern Ontario’s Pediatric Palliative Care
Outreach Program. In its infancy, this “home away
from home” and its staff have much to learn about
caring for guests.
The Roger’s House Interdisciplinary and Interorganizational Mentorship for Pediatric Palliative Care
Initiative 2007, funded through the Inter-professional
Mentorship, Leadership and Coaching (IMPLC) Fund
sponsored by the Ontario Ministry of Health and Long
term Care, Nursing Secretariat, brought 4 palliative
care agencies together to share their knowledge and
skills about caring for children with life limiting illnesses
and their families.
PURPOSE: The goals of the initiative included:
enhancing clinical skills of professionals, clarifying
roles and responsibilities, enhancing collaborative
practice and communication between team members,
improving program processes, structure and
procedures and developing relationships among like
colleagues to enhance sharing of clinical experience
and research ideas.
METHODS: A short written survey evaluated the
achievement of goals immediately following each
seminar.
RESULTS: Participants from 4 organizations attended
a total of 12 days of mentoring. Forty-nine per cent of
surveys were completed. Results indicate an
overwhelming appreciation for the mentoring
opportunity and achievement of goals.
CONCLUSION: Participation in this multiorganizational, interdisciplinary mentoring initiative was
beneficial to all. Collaboration, collegiality, team
building and validation of shared practices were
experienced and set the stage for future partnerships.
Canuck Place Children’s Hospice provides
pediatric palliative care for children and their
families living with life limiting illness. Located
in Vancouver, it is North America’s first freestanding children’s hospice.
The Hospice at May Court (Ottawa) provides
support for adult patients and their families
facing a life threatening illness. Services are
offered in the Residence, Family Support, Day
Hospice, and Home Support programs.
Mentoring Content
•Clinical programs, processes, structures,
procedures, tools
•Partners and supports
•Professional roles and responsibilities
•Inter-disciplinary team model
•Pediatric palliative care
•Innovative delivery of care: Madison Clinic
Mentoring Content
•Adult hospice’s 4 programs
•Staff and volunteer: hospice experience
•Clinical exposure: In hospice care of adults
•Local/community and provincial supports
•Resources
Mentoring Activities
•Presentations, role playing, rounds, site visit
•Expert panel discussion
•Case presentation and review
•Canuck Place 3rd Annual Pediatric Palliative
Care Workshop
•Clinical documents and tools
Mentoring Activities
•Presentations
•Expert panel by Hospice volunteers
•Clinical immersion at the Hospice
•Home visits
•Discussion with staff
Key Points/Concepts to Integrate
•Bereavement support throughout the
illness trajectory
•Scrapbooking program, Child life
Roger’s House (Ottawa) A free-standing
•Acuity and work load measurement
pediatric hospice affiliated with the
•The 4 quadrants model
Children’s Hospital of Eastern Ontario
and the Ottawa Senators Foundation. It
•Intake and family meetings
provides services for children with life
•Definition of roles and responsibilities
limiting illnesses and their families.
•Outpatient Clinic
Key Points/Concepts to Integrate
•Further develop volunteer role in
hospice
•Expand community outreach
•Explore and develop hospice day
program
The IWK Pediatric Palliative Care Service
(Halifax) provides collaborative care in the
Maritimes to children and families within the
Health Centre and in their home
communities.
Participant Quotes
“We appreciated the opportunity to network and
learn from a similar organization” . IWK Mentor
Mentoring Content
•Outreach, inter-provincial considerations
•Community partnerships, team building
•Bereavement support and resources
•Professional boundaries, staff recognition
•Research
•Music Therapy
•Seamless continuum of care
“The presenters were exceptional… dynamic,
knowledgeable, interesting… and the information
conveyed was relevant”. Roger’s House staff
Mentoring Activities
•Grand Rounds: “Critical Communication
in Pediatric Care”
•Lunch and Learn - Music Therapy
•Team and clinical rounds
•Formal and informal presentations,role play
•Case presentation and review
•Profession specific break out sessions
“The good things being done at Roger’s House
(were) confirmed” by our IWK colleagues. Roger’s
Key Points/Concepts to Integrate
•Care provision at a distance
•Inter-provincial collaboration
•Comfort Cart
•Bereavement resources
•Perinatal hospice
•Expand Child Life: Music Therapy
•Staff recognition
“Learning was enhanced by sharing… excellent…
all very pertinent… a rewarding experience”. We
are enlightened and “energized” to “see where we
might be in the future”. Roger’s House staff
Spending time with the Roger’s House staff
“highlighted” for me “the exceptional care” I give
to my patients. Hospice at May Court Mentor
House staff
‘Learning was enhanced by sharing”. Roger’s
House staff
Outcomes
Collegiality
Collaboration
Team building
Partnership Establishment
Interdisciplinary Participation
Overwhelming Participant Satisfaction
Validation of Shared Practices, Beliefs
and Feelings
Acknowledgements: A sincere thank you to our mentors from the Canuck Place Children’s Hospice, the Hospice at May Court and the IWK Health Centre Pediatric Palliative Care Service for generously “Sharing about Caring”. Thank you also to
the Inter-professional Mentorship, Leadership and Coaching (IMPLC) Fund sponsored by the Ontario Ministry of Health and Long term Care, Nursing Secretariat and the Children’s Hospital of Eastern Ontario.