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Project on Death in America

Project on Death in America. Katherine Walsh-Burke, Ph.D, MSW Social Work Leadership Development Grant Recipient, 2000-2002 Cohort II. Sponsoring Organization. Collaborators.

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Project on Death in America

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  1. Project on Death in America Katherine Walsh-Burke, Ph.D, MSW Social Work Leadership Development Grant Recipient, 2000-2002 Cohort II

  2. Sponsoring Organization

  3. Collaborators • Katherine Walsh-Burke, Ph.D.,MSW , Springfield College School of Social Work- Springfield, MASS. • Cleora Roberts, Ph.D.,MSW University of Southern Florida School of Social Work- Tampa, Florida • Karlynn BrintzenhofeSzoc, Ph.D.,MSW Catholic University of America School of Social Work- Washington, D.C. • Susan Hedlund, MSW,. University of Oregon School of Health Sciences- Portland, Oregon

  4. Education in End of Life Care for Social Workers A Documented Need • Social Work Education for Practice in Health Care - Final Report A project of The New York Academy of Medicine. (Volland, 1999) • Advancing Social Work Practice in End of Life Care Christ, G. and Sormanti, M. Social Work in Health Care (2000) • A preliminary Investigation of a Course on Grief, Death and Loss Kramer, B. (1998) Journal of Social Work Education.

  5. Problematic Aspects of Existing Continuing Education Programs • Cost • Time away from work • Lack of SW content in courses • Limited time devoted to training in new skills • Content not sufficiently advanced Christ and Sormanti ( 2000)

  6. Advantages of Internet-based Continuing Education • Online education is Cost-effective • Online education is Time-effective • It is accessible to professionals in remote and rural locations • It allows maximum use of web resources • It affords privacy to the adult learner • It brings experts to learners at a distance

  7. What Online Courses Offer • Integration of reading and discussion at peak learning times for individual students • Ready access to relevant web based resources through links • Audio and visual stimulation • Immediate feedback on mastery of content • Capability for rapid updating and modfication

  8. Quality of Professional Training Key to Quality of EOL Care Policy re the end of life and the professional practice it guides should: 1. Respect the dignity of both patient and caregivers; 2. Be sensitive to and respectful of the patient's and family's wishes; 3. Use the most appropriate measures that are consistent with patient choices;

  9. Quality of Professional Training Key to Quality of EOL Care 4. Encompass alleviation of pain and other physical symptoms; 5. Assess and manage psychological, social, and spiritual/religious problems; 6. Offer continuity (the patient should be able to continue to be cared for, if so desired, by his/her primary care and specialist providers);

  10. Quality of Professional Training Key to Quality of EOL Care 7. Provide access to any therapy which may realistically be expected to improve the patient's quality of life, including alternative or nontraditional treatments; 8. Provide access to palliative care and hospice care 9. Respect the right to refuse treatment;

  11. End of Life Care 10. Respect the physician's professional responsibility to discontinue some treatments when appropriate, with consideration for both patient and family preferences 11. Promote clinical and evidence-based research on providing care at the end of life. Www.milbank.org/endoflife/index.html

  12. Year One: August- September • Reviewed existing curriculum in MSW and Continuing Education Programs for Social Workers in End of Life Care • Conducted web search of online courses & programs • Created file of web links

  13. September- October 2000 • Reviewed existing PDIA SW leader surveys • Designed AOSW survey • Conducted random sample survey of 250 AOSW members on continuing education content and format preferences

  14. Randomized Sample of 250 AOSW Members (n=140)

  15. Course Format Preferences Format % High Preference% Low Pref Self-Directed 77.7 22.3 Time-limited 49.5 50.5 Interactive 28.6 71.4 Facilitator Led 30.3 69.7 Audiovisual 67.3 32.7

  16. Content PreferencesRanked in Descending Order 1. End-of-Life Decisions 2. Family Counseling Techniques 3. Ethical Dilemmas 4. Management of Depression 5. Management of Anxiety 6. Techniques for Counseling Individuals 7. Bereavement- Adult 8. Spiritual Distress

  17. November - December • Online Courseware options identified • Blackboard.com • Ecollege • Intralearn • Web CT • Demonstration courses reviewed • Consultation with Other SW faculty • teaching online • AOSW SW faculty collaborators • identifiedand topics assigned

  18. January- February • Proposals solicited Ecollege, Blackboard.com, WEB CT Dynamic Learning (Costs range from @ $6,000 to $25,000) • Recommendations reviewed by AOSW Board • Contract negotiated with Dynamic Learning Online

  19. January - April • Six modules of the first course collaboratively constructed • CEUs secured from NASW • Presentations at CSWE, AOSW, APOSW

  20. First Course Content • Counseling Individuals at EOL • Counseling Families facing EOL • Assessing Anxiety and Depression • End of Life Decision making • Spirituality • Bereavement

  21. Course Demonstration Www.aol.com Www.dynamic-online.com

  22. Lesson 3 Topic 3 Family Screening and Assessment

  23. Lesson 3 Topic 3 Family Assessment Tools

  24. Lesson 4 Topic 4Psychiatric Consultation

  25. Promotion of Course to Social Workers • Newsletters AOSW, APOSW, ONS, NAHPC, • PDIA SW Leaders’ Organizations • Online Educational Listings • Related Web Sites About.com (Social Work Site)

  26. Year Two: July 2001-June 2002 • First Course content and format to be evaluated • First course to be updated and modified per evaluation findings

  27. Year Two Continued (2001-2002) • Review literature, curriculum and Internet Resources on designated special topics in End of Life Care • Expert Collaborators design continuing education course on Special Topic in End of Life Care for Social Workers per Survey results

  28. Year Two Continued (2001-2002) • Review existing continuing education curriculum for allied health care providers on psychosocial aspects of End of Life Care • Identify interdisciplinary continuing ed needs • Authors and topics determined for Interdisciplinary course

  29. Year Two Conclusion (2002) • Courses are evaluated • Decisions are made re future continuing education offerings online • Mentor other social workers in developing online courses

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