Media Watch 527

Attached is the current edition of Media Watch (#527).

Of special interest in the current issue of the weekly report:
 

Developing design principles for a virtual hospice: Improving access to care

BMJ SUPPORTIVE & PALLIATIVE CARE | Online – 23 August 2017 – Providing access to hospice services will become increasingly difficult due to the pressures of an ageing population and limited resources. To help address this challenge, a small number of services called virtual hospice have been established. This paper presents early-stage design work on a virtual hospice to improve access to services provided by a hospice (Highland Hospice) serving a largely remote and rural population in Scotland. A number of themes and barriers to accessing Highland Hospice services were identified. In response, an initial set of seven design principles was developed. Design principles are high-level guidelines that are used to improve prioritisation and decision making during the design process by ensuring alignment with research insights. The design principles were piloted with a group of stakeholders and gained positive feedback. These principles, encompassing digital and non-digital guidelines, or the design approach could be applied by other hospices in the U.K. or overseas. 

 

Development and validation of a family meeting assessment tool

JOURNAL OF PAIN & SYMPTOM MANAGEMENT | Online – 23 August 2017 – There is limited evidence on how to assess best practice behaviors during end of life family meetings. Building on evidence from published studies and accrediting agency guidelines, an expert panel ... developed the Family Meeting Assessment Tool (FMAT). All fourth-year medical students and eight geriatric and palliative medicine fellows were invited to participate in a Family Meeting Objective Structured Clinical Exam, where each trainee assumed the physician role leading a complex family meeting. Two evaluators observed and rated randomly chosen students’ performances using the FMAT during the exam. Expert-based content, high inter-rater reliability, good internal consistency and ability to predict educational level provided initial evidence for construct validity for this novel assessment tool.