Analysis of current initial programs of palliative and hospice care in medical education of Ukraine
PDF (Українська)

Keywords

teaching issues
specialty doctor for palliative medicine
typical curriculum

How to Cite

Nesterenko, V. (2024). Analysis of current initial programs of palliative and hospice care in medical education of Ukraine. Medicine Today and Tomorrow, 93(2), 40-52. https://doi.org/10.35339/msz.2024.93.2.nes

Abstract

The system of Palliative and Hospice Care (PHC) of Ukraine is in a state of active development in connection with the new system of financing under the program of medical guarantees, the legalization of medical cannabis. The intersection of the problems of PHC development with aspects of the reform of the primary link of medical care in Ukraine and the ability to ensure the safety of the vulnerable category of palliative patients in conditions of war are debatable. The PHC system does not yet have signs of full integration into the general health care system, there is no doctor for palliative medicine in the list of medical specialties, but in many medical education institutions of Ukraine curricula on palliative medicine have already been developed and implemented in the educational process. Based on the results of bibliosemantic search and systematic analysis of information, the work provides an assessment of existing programs based on the form of teaching and content. The analysis of literature data on the development of educational programs of palliative medicine made it possible to compile a list of questions that was accepted as a standard. The educational programs on palliative medicine, developed by medical education institutions of Ukraine, whose content is compared with the established standard, were analyzed. It was concluded that there are significant differences in the content of palliative medicine educational programs developed by various medical education institutions of Ukraine, which can be minimized in the case of developing a standard educational program. It has been established those practical skills of medical students in the treatment and care of immobile bedridden acquired during training in other clinical specialties have a positive effect on the results of training in the practical component of palliative medicine. It was also found that the unresolved issues of PHC organization in Ukraine are reflected in the content of educational programs in palliative medicine.

Keywords: teaching issues, specialty doctor for palliative medicine, typical curriculum.

https://doi.org/10.35339/msz.2024.93.2.nes
PDF (Українська)

References

Holovanova IA, Shevchenko AS. Evaluation of packaged funding programs for palliative and hospice care by the National Health Service of Ukraine. Experimental and Clinical Medicine. 2021;90(4):45-52. DOI: 10.35339/ekm.2021.90.4.hos.

Nesterenko VG, Shevchenko AS. Ways to improve palliative and hospice care in Ukraine in the conditions of long-term reform of the health care system. Materials of the 5th scientific and practical conference with international participation in memory of M.G. Gurevich (1891–1937), founder and head of the first social hygiene department in Ukraine at the Kharkiv Medical Institute "Healthcare in Ukraine: problems and ways to solve them" (KhNMU, Kharkiv, Ukraine, 28 Oct 2022). P. 127-9. DOI: 10.5281/zenodo.7327855. [In Ukrainian].

Nesterenko VG, Krasnikova SO, Shevchenko AS. Media discussions about hospice and palliative care in Ukraine since the beginning of the war. Proceedings of the VI-th scientific and practical conference with international participation "Public health in Ukraine: problems and ways to solve them", dedicated to the 100-th anniversary of the department of public health and health care management of the Kharkiv National Medical University (Tomilin's readings), 2 Nov 2023. 4 p. DOI: 10.5281/zenodo.10053065.

Order of the Ministry of Health of Ukraine No.1308 on 4 Jun 2020 "On improving the organization of palliative care in Ukraine", in force on 20 Jun 2024. Legislation of Ukraine. Verkhovna Rada (Parliament) of Ukraine. Available at: https://zakon.rada.gov.ua/laws/show/z0609-20 [accessed 20 Jun 2024]. [In Ukrainian].

Savka HV. Palliative and hospice care in practice of family physicians. Nursing. 2019;(3):27-31. DOI: 10.11603/2411-1597.2019.3.10678. [In Ukrainian].

The need for palliative care: an assessment based on 2018 data. Ukrainian Center for Public Data. [Internet]. Available at: https://socialdata.org.ua/palliative/ [accessed 20 Jun 2024].

Nesterenko VG. Content and forms of teaching issues of palliative and hospice care in the system of higher medical education of Ukraine. Abstracts' collection of the All-Ukrainian scientific and practical conference with international participation "Current issues of pedagogy of higher medical education" (Ukraine, Kharkiv, KhNMU, 28 May 2024). P. 198-9. DOI: 10.5281/zenodo.13729501. [In Ukrainian].

Forman KR, Thompson-Branch A. Educational Perspectives: Palliative Care Education in Neonatal-Perinatal Medicine Fellowship. Neoreviews. 2020;21(2):e72-9. DOI: 10.1542/neo.21-2-e72. PMID: 32005717.

Alomari D, Abu-Snieneh HM. Student nurses' knowledge of and attitudes toward palliative care in the Middle East: an integrative review. Int J Palliat Nurs. 2023;29(3):109-17. DOI: 10.12968/ijpn.2023.29.3.109. PMID: 36952355.

Dimoula M, Kotronoulas G, Katsaragakis S, Christou M, Sgourou S, Patiraki E. Undergraduate nursing students' knowledge about palliative care and attitudes towards end-of-life care: A three-cohort, cross-sectional survey. Nurse Educ Today. 2019;74:7-14. DOI: 10.1016/j.nedt.2018.11.025. PMID: 30554033.

Gupta M, Pruthi G, Gupta P, Singh K, Kanwat J, Tiwari A. Impact of End-of-Life Nursing Education Consortium on Palliative Care Knowledge and Attitudes Towards Care of Dying of Nurses in India: A Quasi-Experimental Pre-post Study. Am J Hosp Palliat Care. 2023;40(5):529-38. DOI: 10.1177/10499091221108342. PMID: 35703389.

Tian J, Liang XL, Wang HY, Peng SH, Cao J, Liu S, et al. Nurses' and nursing students' knowledge and attitudes to pressure injury prevention: A meta-analysis based on APUP and PUKAT. Nurse Educ Today. 2023;128:105885. DOI: 10.1016/j.nedt.2023.105885. PMID: 37354659.

Alshammari F, Sim J, Lapkin S, Stephens M. Registered nurses' knowledge, attitudes and beliefs about end-of-life care in non-specialist palliative care settings: A mixed studies review. Nurse Educ Pract. 2022;59:103294. DOI: 10.1016/j.nepr.2022.103294. PMID: 35078071.

Xue B, Cheng Q, Yue SW, Zhao ZH, Wang R, Redding SR, Ouyang YQ. Attitudes and knowledge of palliative care of Chinese undergraduate nursing students: A multicenter cross-sectional study. Nurse Educ Today. 2023;122:105720. DOI: 10.1016/j.nedt.2023.105720. PMID: 36724591.

Durojaiye A, Ryan R, Doody O. Student nurse education and preparation for palliative care: A scoping review. PLoS One. 2023;18(7):e0286678. DOI: 10.1371/journal.pone.0286678. PMID: 37399170.

Murnane S, Purcell G, Reidy M. Death, dying and caring: exploring the student nurse experience of palliative and end-of-life education. Br J Nurs. 2023;32(11):526-31. DOI: 10.12968/bjon.2023.32.11.526. PMID: 37289708.

Alwawi AA, Abu-Odah H, Bayuo J. Palliative Care Knowledge and Attitudes towards End-of-Life Care among Undergraduate Nursing Students at Al-Quds University: Implications for Palestinian Education. Int J Environ Res Public Health. 2022;19(15):9563. DOI: 10.3390/ijerph19159563. PMID: 35954917.

Zhou Y, Li Q, Zhang W. Undergraduate nursing students' knowledge, attitudes and self-efficacy regarding palliative care in China: A descriptive correlational study. Nurs Open. 2020;8(1):343-53. DOI: 10.1002/nop2.635. PMID: 33318842.

Waring NA, Yang ES, Berlin A, Shim JK. Palliative care in a rural surgery residency program: an educational needs assessment. Ann Palliat Med. 2023;12(4):686-96. DOI: 10.21037/apm-22-1369. PMID: 37038061.

Riha OO, Penkov AIu (compilers). Pediatric palliative care training program. Kharkiv: Water Spectrum-GMP LLC; 2017. 36 p. Available at: https://repo.knmu.edu.ua/handle/123456789/17745 [in Ukrainian].

Ryndina NH, Zhelezniakova NM, Hryhorov YuB, Myroshnychenko MS, Boichenko AD, Sorokina IV, et al. Educational and professional program "Medicine" of the second (Master's) level of higher education, specialty 222 – Medicine, fields of knowledge 22 – Health care, educational qualification - master of medicine, professional qualification – medical doctor. Kharkiv: Kharkiv National Medical University; 2022. 78 p. Available at: https://knmu.edu.ua/wp-content/uploads/2022/08/op_med2022.pdf [in Ukrainian].

Hryshchenko GV; Department of Therapeutic and Surgical Disciplines of the Medical Institute of the Petro Mohyla Black Sea National University (Mykolayiv, Ukraine). Educational Program on discipline "Palliative and hospice care" for Masters Medical Doctors in the specialty 222 – Medicine. 2021. 16 p. Available at: https://chmnu.edu.ua/wp-content/uploads/RP-Paliativna-ta-hospisna-meditsina-1.pdf [in Ukrainian].

Vainola RKh, Neizhpapa LS, Bovanenko OO; Department of Social Pedagogy of the [Dragomanov Ukrainian State University]. Educational and professional program "Social and educational work with children and youth" ... for Bachelors in specialty 011 – Educational, Pedagogical Sciences. Available at: http://surl.li/tdstqm [In Ukrainian].

Disciplines of the branch direction (2024–2025). Oles Honchar Dnipro National University [Internet]. Available at: https://www.dnu.dp.ua/view/fmtdr_24-25 [accessed 20 Jun 2024]. [In Ukrainian].

Holovanova IA, Shevchenko AS. Determination of the main needs of palliative patients and ways of their provision in the health care system of Ukraine. Experimental and Clinical Medicine. 2021;90(3):88-94. DOI: 10.35339/ekm.2021.90.3.hos.

Detsyk OZ, Bratsyun OP. Study of patients’ needs in the process of palliative care at the outpatient basis. Bulletin of Social Hygiene and Health Protection Organization of Ukraine. 2020;(1):42-7. DOI: 10.11603/1681-2786.2020.1.11203. [In Ukrainian].

Nesterenko V, Shevchenko A, Zhuravel Ya. Prevention of neurodegenerative diseases’ complications in palliative patients at home hospice: organizational principles. Proceedings of the International scientific conference "The greatest humankind achievements in healthcare and veterinary medicine" (Latvia, Riga, 7–8 Feb 2024). P. 96-9. DOI: 10.30525/978-9934-26-401-6-26. [In Ukrainian].

Nesterenko VG, Shevchenko AS. Ways to improve palliative and hospice care in Ukraine in the conditions of long-term reform of the health care system. Materials of the 5th scientific and practical conference with international participation in memory of M.G. Gurevich (1891–1937), founder and head of the first social hygiene department in Ukraine at the Kharkiv Medical Institute "Healthcare in Ukraine: problems and ways to solve them" (KhNMU, Kharkiv, Ukraine, October 28, 2022). P. 127-9. DOI: 10.5281/zenodo.7327855. [In Ukrainian].

Velychko VI, Lahoda DO, Venher YaI. Introduction of evidence-based medicine in the education of medical students. Medical Education. 2021;(2):11-6. DOI: 10.11603/me.2414-5998.2021.2.11944. [In Ukrainian].

Shevchenko AS, Brown GW. What evidence-based medicine can oppose to falsifications in science. Bull KhRIPHS. 2020;96(4):61-73. DOI: 10.5281/zenodo.5076629. [In Ukrainian].

Lytvynov RN, Shevchenko AS. On the possibility of using the techniques of "Swish pattern" and "Rapid treatment of phobias" in general clinical practice. Bull KhRIPHS. 2020;96(4):36-40. DOI: 10.5281/zenodo.3939711.

Mayeda DP, Ward KT. Methods for overcoming barriers in palliative care for ethnic/racial minorities: a systematic review. Palliat Support Care. 2019;17(6):697-706. DOI: 10.1017/S1478951519000403. PMID: 31347483.

Heera HS, Najar SSH, Lytvynenko OIu, Shevchenko АS. Reiki method in physical therapy and rehabilitation (researchs' review). Experimental and Clinical Medicine, 2022;91(1):9p. In press. DOI: 10.35339/ekm.2022.91.1.hnl.

Hesari E, Sabzi Z, Kolagari S. The effects of teaching methods of palliative care on life pattern of old women with chronic pain. Eur J Transl Myol. 2019;29(4):8472. DOI: 10.4081/ejtm.2019.8472. PMID: 31908745.

Nesterenko VG, Shevchenko AS, Zelenska KO, Hryhorov MM. Clinical and epidemiological characteristics of disabling neurological diseases (literature review). International Neurological Journal. 2024;20(4):176-84. DOI: 10.22141/2224-0713.20.4.2024.1079. [In Ukrainian].

Shevchenko AS, Shevchenko VV, Prus VV. Competencies in Higher Education Standards of Ukraine: Definition, Content and Requirements for the Formation Level. In: Auer ME, Cukierman UR, Vendrell Vidal E, Tovar Caro E. (eds). Towards a Hybrid, Flexible and Socially Engaged Higher Education. ICL 2023. Lecture Notes in Networks and Systems, vol. 911. P. 421-8. USA: Springer, Cham; 2024. DOI: 10.1007/978-3-031-53382-2_41.

Shtefan LV, Shevchenko AS. Measured health indicators in valeological disciplines curriculum. Materials of the Scientific and practical conference dedicated to the 150th anniversary of the Department of Hygiene and Ecology No.1 of the Kharkiv National Medical University "Preventive medicine of Ukraine: problems and ways to solve them" (Ukraine, Kharkiv, KhNMU, 16 Oct 2023). P. 96-7. DOI: 10.5281/zenodo.10020035.

Shevchenko A, Zhoga R. Individual educational trajectory in modern Ukrainian higher education as a tool for adaptability to its environment. Adaptive Management: Theory and Practice. Series Pedagogics. 2023;16(31):15p. DOI: 10.33296/2707-0255-16(31)-16.

Shevchenko A. Adaptation of the educational achievement evaluation system to the educational competency approach. Oleksandr Dovzhenko Hlukhiv National Pedagogical University Bulletin. Series: Pedagogical Sciences. 2022;3(50)Pt1:194-203. DOI: 10.31376/2410-0897-2022-3-50-194-203.

Nesterenko VG, Shevchenko VV. Calculation of the national need for palliative care by the refined method of trends in the conditions of a military crisis. Eastern Ukrainian Medical Journal. 2024;12(3):711-20. DOI: 10.21272/eumj.2024;12(3):711-720.

Shevchenko A. Qualimetric criteria for formation of valeological competence in the adaptive education system. Adaptive management: theory and practice. "Pedagogy" series. 2022;13(25):18p. DOI: 10.33296/2707-0255-13(25)-06.

Nesterenko VH, Peresypkina TV, Shevchenko OS, Sarkhadova II. Palliative and hospice care in the Kharkiv region in the first year of the war. Ukraine. Nation's Health. 2023;73(3):106-12. DOI: 10.32782/2077-6594/2023.3/18.

Department of Palliative and Hospice Medicine. Shupyk National Healthcare University of Ukraine. [Internet]. Available at: http://surl.li/jlryny [accessed 20 Jun 2024]. [In Ukrainian].

Video instructions for the care of bedridden patients. Educational and methodological work of the department of palliative and hospice medicine. Shupyk National Healthcare University of Ukraine. [Internet]. Available at: http://surl.li/epjuyb [accessed 20 Jun 2024]. [In Ukrainian].

Nesterenko VG, Shevchenko AS, Zelenska KO, Hryhorov MM. Clinical and epidemiological characteristics of disabling neurological diseases (literature review). International Neurological Journal. 2024;20(4):176-84. https://doi.org/10.22141/2224-0713.20.4.2024.1079 [In Ukrainian].

Nesterenko V, Shevchenko A, Zhuravel Ya. Prevention of neurodegenerative diseases’ complications in palliative patients at home hospice: organizational principles. Proceedings of the International scientific conference "The greatest humankind achievements in healthcare and veterinary medicine" (Latvia, Riga, 7–8 Feb 2024). P. 96-9. DOI: 10.30525/978-9934-26-401-6-26. [In Ukrainian].

Holovanova IA, Shevchenko AS. The issue of patient-oriented organization of palliative and hospice care in Ukraine. Experimental and Clinical Medicine. 2021;90(2):21-7. DOI: 10.35339/ekm.2021.90.2.hos.

Unified clinical protocol of palliative medical care for chronic pain syndrome. Approved by the Order of the Ministry of Health of Ukraine No.311 on 25 Apr 2012. Kyiv: State Expert Center of the Ministry of Health of Ukraine. 38 p. Available at: http://surl.li/ntrdtt [in Ukrainian].

Tsarenko AV, Chaikovska VV, Goyda NG, & Maksimova ZV. Geriatric aspects of the organization of medical-social, palliative and hospice care in the conditions of the war: combination of medical, psychological and social problems. Clinical and Preventive Medicine. 2024;(3):74-81. DOI: 10.31612/2616-4868.3.2024.09. [In Ukrainian].

Nesterenko VG, Redka IV, Sukhonosov RO, Grygorov SM, Shevchenko AS, Aliieva TD. Forecasting the need for palliative and hospice care using the creeping trend method with segment smoothing. Wiad Lek. 2024;77(5):980-4. DOI: 10.36740/WLek202405116 PMID: 39008586.

Denniston C, Molloy EK, Ting CY, Lin QF, Rees CE. Healthcare professionals' perceptions of learning communication in the healthcare workplace: an Australian interview study. BMJ Open. 2019;9(2):e025445. DOI: 10.1136/bmjopen-2018-025445. PMID: 30782935.

Shevchenko VV. The reform of the higher education of Ukraine in the conditions of the military-political crisis. International Journal of Educational Development 2018;(65):237-53. DOI: 10.1016/j.ijedudev.2018.08.009.

Borovyk IO, Korylchuk NI, Tvorko VM. Communication in the medical field: problems and approaches. Український медичний часопис. Ukrainian Medical Journal. 2023;155(3):119-21. DOI: 10.32471/umj.1680-3051.155.243480. [In Ukrainian].

Zalipska IY. "Professional medical communication between a doctor and a patient" as an elective course in higher educational establishments. Medical Education. 2024;(4):127-31. DOI: 10.11603/m.2414-5998.2023.4.14488.

Shevchenko VV, Shevchenko AS. On the question of success assessing in competencies formation during distance learning. Proceedings of International Scientific Conference "EPEE 2022" (Ukraine, Odesa, Odesa Military Academy, May 12, 2022). P. 90. DOI: 10.5281/zenodo.6557959. [In Ukrainian].

Vorona ІІ, Prokop ІA, Kitura HY. Peculiarities of mixed learning under wartime conditions. Medical Education. 2024;(1):71-7. DOI: 10.11603/m.2414-5998.2024.1.14584.

Shevchenko A, Kucherenko S, Komyshan А, Shevchenko V, Kucherenko N. Formation of valeological competence in conditions of classroom and distance learning. Scientific notes of the pedagogical department. 2022;50(1):137-47. DOI: 10.26565/2074-8167-2022-50-14.

Shevchenko AS. Methodology of developing valeological competence in non-medical students through cloud technology. Problems Eng Ped Educ. 2023;78:39-48. DOI: 10.32820/2074-8922-2023-78-39-48.

Shevchenko AS, Shevchenko VV. Learning in remote synchronous and asynchronous modes in Ukrainian higher education institutions from 2020 until now. International scientific and practical conference proceedings "Digital transformation and technologies for all areas sustainable development of modern education, science and practice" (International University of Applied Sciences in Lomza, Poland; State Biotechnological University, Kharkiv, Ukraine, 26 Jan 2023). Publishing house: MANS w Łomży, Lomza, Poland, 2023. Part 4. P. 98-102. DOI: 10.5281/zenodo.7598963. [In Ukrainian].

Tropea J, Johnson CE, Nestel D, Paul SK, Brand CA, Hutchinson AF, et al. A screen-based simulation training program to improve palliative care of people with advanced dementia living in residential aged care facilities and reduce hospital transfers: study protocol for the IMproving Palliative care Education and Training Using Simulation in Dementia (IMPETUS-D) cluster randomised controlled trial. BMC Palliat Care. 2019;18(1):86. DOI: 10.1186/s12904-019-0474-x. PMID: 31647010.

Law of Ukraine No.1556-VII on 1 Jul 2014 "On Higher Education", amended 28 Dec 2014–23 Apr 2024, in force on 20 Jun 2024. Information of the Verkhovna Rada. 2014;(37-8):art.2004. Verkhovna Rada (Parliament) of Ukraine. Legislation of Ukraine. Available at: https://zakon.rada.gov.ua/laws/show/1556-18

Wolf O. Teaching social aspects of palliative care. Public space, 04 Jun 2020. [Internet]. Available at: http://surl.li/bvjxfb [accessed 20 Jun 2024]. [In Ukrainian].

Biletskyy BO. Horizontal and Vertical Scalability of Machine Learning Methods. Problems of Programming. 2019;(2):69-80. DOI: 10.15407/pp2019.02.069. [In Ukrainian].

Kovalenko D, Shevchenko A, Koeberlein-Kerler J, Shtefan L, Kovalska V. Didactic Adaptation of Medical Information for the Formation of Valeological Competence in Engineering and Pedagogical Training. In: Auer ME, Pachatz W, Rüütmann T. (eds) Learning in the Age of Digital and Green Transition. ICL 2022;2. Lecture Notes in Networks and Systems. 2023;634:310-8. Springer, Cham. DOI: 10.1007/978-3-031-26190-9_32.

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.