215-1292 / Regional Training Program for professionals in Palliative Care

GOP Information
Organisation sharing the GOP
Related practices from PaSQ database
Regional Coordination of Palliative Care


Professional learning program on quality and safety
Quality improvement project

GOP Description
Implementation level
Clinical settings
Primary and Secondary care. Public and independent inpatient units. Pre-hospital emergency services. Nursing homes have been included at a later stage.
To offer and encourage quality training for all professionals that usually get involved in the attention to palliative care patients and their families. To develop education programs for patients and carers in order to enable them to develop self care abilities.
Doctors, Nurses, Nursing Assistants, Social Workers, Psychologists, Physiotherapists, Occupational therapists, Pharmacologists
Education and training is an integral part of the development of Palliative Care and must include a wide range of professionals from different professions and at different training levels.
In order to answer to this need a Training and Education Network was created in 2010 with the aim to encourage professionals to get trained and also to become trainers.
This network is formed by a multidisciplinary group of professionals that have developed a centralized training program based on several steps or levels that need to be reached gradually until the expert level.
-There are different carers training initiatives.
-Basic level (4 editions of 20h each, per year): for all of Madrid 80.000 health professionals. Mainly orientated to the detection of patient and family needs. Referral criteria.
-Intermediate level (2 editions of 40 h each, per year): mainly orientated to communication issues with patients, with their families and with other professionals.
-Advanced Level (5 training days of 8h each, per year): aimed to get a deeper knowledge of the management of symptom control treatments.
-Expert level (4 training days of 8h each, per year): aimed at professionals working in palliative care full time in order to qualify them as specialist.
Timeframe implementation
From 2010 to 2016
Implementation tools available
Teaching methodology
Active and participative methodology in theoretical and practical classes. Methodology based on the case. Theoretical – practical classes with special emphasis in the managing and resolution of clinical practical cases.
students and teachers Interaction
They will analyze and discuss actual cases presented by the teachers and the participants, promoting the maximum participation of these in the discussion.
Methods of evaluation
Attendance: (Signing the attendance list at the beginning and end of each session): A certificate will be delivered if it has attended 100% sessions.
EVALUATION OF THE PARTICIPANTS SATISFACTION (A questionnaire that evaluates aspects such as: contents, aims, duration, methodology and professorship with punctuations from 1 to 10, gathering also comments and suggestions).
Implementation cost
The total budget for the Centralized Education and Training Program in Palliative Care has been 27.945 € in 2014 and 23.000€ Euros in 2015.
Method used to measure the results
Annual activity log
-Several carer training initiatives at the moment in different hospitals
-560 professionals trained per year in the Basic level
-60 professionals trained per year in the Intermediate level of which 15 complete also a consolidation level
-450 places offered in the Advanced and Expert levels.
-Generally speaking the percentage of trained professionals in each course to try to maintain the multidisciplinary philosophy of the courses are:
-Doctors 30 %
-Nurses 30 %
-Nursing assistants 15 %
-Psychologists 15 %
-Social Workers 5 %
-Pharmacists, Physical therapists, Occupational therapist 5 %.
Analysis of the results
This initiative has been developed through a fully consolidated Training and Education Network that incorporates professionals from several disciplines with the aim of forming fully competent professionals in Palliative Care.
Training in Palliative Care has also been extended through the Network to professionals working at Nursing Homes as well as carers and self-care skills are promoted.
Implementation barriers
Did you find implementation barriers?
Please describe implementation barriers
Nursing assistants have been accredited for the Basic level, but not for the Intermediate level. Accreditation has been requested for the courses of Intermediate level but it has been declined. For this reason a specific course of Palliative Care for this professional category has been organized.
On the other hand, our courses are mainly aimed at professionals working in the Madrid Health Service (SERMAS) so professionals that are employed at Nursing Homes even when they are public as they belong to Social Services it is not possible to give them CPD credits. Same happens with professionals at commissioned SPC teams.
Describe the strategies used to overcome the barriers (If needed)
There is no specified text here
Other information
Other information about the GOP that you would like to add (Link or attached document)
-As a result of the work done by all the professionals that form part of the Education and Teaching network, a consolidated structure has been developed that allows professionals involved in palliative care to get up to date education and training. End of life is an interdisciplinary work and the Regional Coordination of Palliative Care has to provide answers for all the training needs of all and every one of those professionals.
-In addition to the training acquired, courses become also a meeting point for all the professionals that have the possibility of sharing experiences and discuss every day practice cases.
-Results from surveys show that level of satisfaction from professionals taking part in the courses is high, both in the theoretical content taught, usefulness perceived for its usual work as well as having met their expectations.
-Regional Coordination of Palliative Care is planning to design a study to evaluate the impact that these training courses have had on the attention to palliative care patients in the Community of Madrid.