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Table 3 Expertise in end-of-life care of post-graduate trainees in general practice

From: How to ensure basic competencies in end of life care – a mixed methods study with post-graduate trainees in primary care in Germany

 

Intervention group (I)

pa

T1n = 219

T2n = 153

Overall level of competencybM (SD)

2.9 (±0.8)

3.1 (±0.7)

<.01

Competencies acquired in, % (n)

 - hospital

84.5 (185)

15.7c (24)

 

 - general practice

26.9 (59)

40.5c (62)

 

 - personal environment

16 (35)

3.3c (5)

 

 - postgraduate training

14.6 (32)

6.5c (10)

 

 - medical school

31.1 (68)

5.2c (8)

 

 - self-study

16.4 (36)

15.7c (24)

 

 - other

11 (5)

  

 - intervention (two day seminar program)

 

22.9c (35)

 

Organisation ofbM (SD)

 - treatment in domestic environment

2.5 (±1.0)

3.0 (±0.9)

<.01

 - collaboration with other care providers

2.5 (±1.0)

3.0 (±0.9)

<.01

 - involvement of family members

3.2 (±1.0)

3.5 (±0.9)

<.01

 - integration of other ambulant health care providers

2.7 (± 1.1)

3.2 (±1.1)

<.01

 - hospitalisation of patients (to a palliative care unit or hospice)

2.8 (±1,1)

3.1 (±1.1)

<.01

Handling ofbM (SD)

 - pain

3.3 (±0.8)

3.6 (±0.8)

<.01

 - gastrointestinal symptoms

3.1 (±0.8)

3.5 (±0.8)

<.01

 - dyspnoea

3.3 (±0.9)

3.5(±0.8)

<.01

 - anxiety and agitation

3.2 (±0.9)

3.3 (±0.8)

<.05

 - delirium

2.8 (±1.0)

2.8 (±0.8)

.05

 - fatigue

2.2 (±0.8)

2.4 (±0.8)

<.01

 - fluid intake

3.2 (±0.9)

3.5 (±0.7)

<.01

 - nutrition

3.0 (±1.0)

3.3 (±0.8)

<.01

 - psychological problems

2.9 (±0.9)

3.1 (±0.9)

<.05

 - spiritual questions

2.7 (±1.1)

3.1 (±1.0)

<.01

 - ethical questions

3.1 (±1.0)

3.3 (±0.9)

<.01

 - family members and social environment

3.4 (±0.9)

3.6 (±0.7)

<.01

 - people in grief

3.3 (±0.9)

3.5 (±0.8)

<.01

  1. a dependent t-test, M mean, SD standard deviation, b Likert-Scale (min. 1 to 5 max.), c expertise acquired since the intervention (within 6–8 months)