scholarly journals Limitations in health professionals’ knowledge of end-of-life law: a cross-sectional survey

2021 ◽  
pp. bmjspcare-2021-003061
Author(s):  
Ben P White ◽  
Lindy Willmott ◽  
Rachel Feeney ◽  
Penny Neller ◽  
Shin-Ning Then ◽  
...  

BackgroundInsufficient knowledge about end-of-life law can impede the provision of safe and high-quality end-of-life care. Accurate legal knowledge across health professions is critical in palliative and end-of-life settings given the reliance on multidisciplinary care. Most research has focused on doctors, finding significant knowledge gaps. The limited evidence about other health professions also suggests legal knowledge deficits.ObjectiveTo determine and compare levels of knowledge about end-of-life law across a broad sample of Australian health professionals and medical students, and to identify predictors of legal knowledge.MethodsAn online pre-training survey was completed by participants enrolled in a national training programme on end-of-life law. The optional survey collected demographic data and measured baseline legal knowledge and attitudes towards end-of-life law.ResultsResponse rate was 67% (1653/2456). The final sample for analysis (n=1564, 95% of respondents), included doctors, medical students, nurses and a range of allied health professionals. Doctors and nurses had slightly higher levels of legal knowledge than did medical students and allied health professionals; all had critical knowledge gaps. Demographic and professional characteristics predicted knowledge levels, with experience of end-of-life law in practice, confidence applying law and recent continuing professional development being positively associated with legal knowledge.ConclusionsThis study provides new evidence about legal knowledge across a broad range of health professions. While knowledge levels varied somewhat across professions, knowledge gaps were observed in all professional groups. Education and training initiatives to enhance knowledge of end-of-life law should be tailored to meet the specific needs of each profession.

2001 ◽  
Vol 25 (3) ◽  
pp. 159-166 ◽  
Author(s):  
Paul E. Bigeleisen

Medical students, residents, and allied health professionals often have difficulty quantitating ventilation-perfusion mismatch in ill patients. This manuscript quantitates ventilation-perfusion mismatch using the underlying physiological concepts and equations that describe mismatch. In addition, clinical problems with diagrams and worked-out solutions are supplied to help students master these equations as well as their practical limitations.


2021 ◽  
pp. 131-150
Author(s):  
Susan Nancarrow ◽  
Alan Borthwick

This chapter draws on the examples of occupational therapy assistants (OTAs) and podiatry assistants to examine the development and growth of the support workforce in allied health, and the considerations for the allied health professions. Allied health professionals have successfully devolved several aspects of their work to a growing support workforce, such as allied health assistants. These roles are becoming increasingly standardised in terms of training, titles, recognition and regulation. These occupations are often seen as transitional roles rather than aspiring professions in their own right, and may occupy an interdisciplinary space; however, there is evidence of growth and extended scope within these disciplines, such as the expansion of OTA roles into assistant practitioners.


This chapter outlines the key work of allied health professionals within the palliative care team. Palliative care has been very successful at taking ideas, values, and techniques from other disciplines in healthcare. Such borrowing of ideas has nearly always included considerable adaptation from the parent discipline. However, the notion of cross-boundary, interdisciplinary working is now highly developed in palliative care. Some disciplines such as medicine and nursing have become core parts of the specialist team, whereas others have been accessed on an as-required basis. Increasingly, individual allied health professions have seen the need to evolve the palliative care specialism within the generic discipline. Allied health professionals include occupational therapists, physiotherapists, nutritional experts, speech and language therapists, clinical psychologists, social workers, chaplains, pharmacists, and art and music therapists.


2009 ◽  
Vol 91 (10) ◽  
pp. 341-341 ◽  
Author(s):  
Ciaran Hill

The Wellcome Museum of Anatomy and Pathology is a resource open to all doctors, nurses, allied health professionals, medical students and other technical professions, by prior appointment. It contains an excellent selection of specimens, covering the key surgical areas of head and neck, neurological, dental, orthopaedic, cardiac, respiratory, gastrointestinal, urological, gynaecological, endocrine, integumentary systems and embryology. Each area is subdivided into anatomical and pathological.


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