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Furthering Palliative Care Education through a Job Shadowing Programme - a Hospice Malta initiative
Start date: Sep 1, 2016, End date: Aug 31, 2018 PROJECT  FINISHED 

Hospice Malta is the sole Community Palliative Care service provider in Malta. Human resource development is at the heart of the organisation's vision as this is seen as the instrument towards achieving excellence in patient centred palliative care provision. Hospice Malta constantly strives to improve efficiency and effectiveness of the service delivery in order to fill the possible gaps that may exist. As educational and hands on tools, these job shadowing placements are seen as the necessary step to improve such efficiency and effectiveness. Objectives for these placements were set in a tangible manner to include shadowing of other professionals in their everyday duties targeting holistic palliative care directly with patients and through other indirect patient care, such as report writing, liaison with other staff members and other professionals. The number of participants is 11 and includes members of the professional multi-disiplinary team including nurses, doctor, complementary therapist, social worker, chaplain and physiotherapist. The placement will include job shadowing in the community, within palliative units and at the day care units. Exposure to data inputting, multidisciplinary team meetings, liaison with other professionals will also be part of their activities. Preparatory meetings for these placements to be successful were held with the partner organisations and a program was set up to target the aspects mentioned and to estimate an appropriate time frame. Participants will be chosen through a call for application followed by an interview with predetermined set criteria. Placements will then be organised with the partner organisations split over the 2 year timeframe so that local service provision is not disrupted. Staff will be asked to document the activities carried out and to point out the salient features and tangible points that could be implemented to improve the local scenario. Following the placement, information will be shared with the rest of the staff members via scheduled presentations. All the necessary documentation will be collated and filed to ensure that the project is on track, on time and within budget. It is envisaged that through this project, Hospice Malta will be able to contribute more effectively to the National Cancer Strategy formulation which is at the moment being drafted. Knowledge and skills gained will be shared internally through the annual in-house education program and also at a national level through placements, lectures and job shadowing of professionals and students that have become synonymous with Hospice Educational Programs, including a biennale conference at a national level. Key tangible patient related outcomes will be evaluated against set targets and present service delivery to note improvements in areas such as time management, efficiency in report writing, database management, assessments and follow up interventions. This will be recorded and measured against set Key Performance Indicators used by Hospice. Hospice Malta sees these job shadowing experiences as valuable tools to reach its ultimate goal in providing excellent community based palliative care services for patients at end of life, allowing them to remain till the very end within their home environment, living till the end with dignity and the best quality of life possible. In return, unnecessary hospitalization is avoided or minimized as much as possible with the added social and economical benefit for the country.
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