Training
Training, mentoring, and ongoing support proved to be the most critical
aspect of the replication process. The in-person training and ongoing
support efforts stand out as especially important among both home and
replication site staff. Members of both teams identify all training efforts
as critical to their learning processes. They also see the most useful and
meaningful training and support forums being interactive activities like
conference calls, face-to-face meetings and site visits.
Both replication teams report receiving both concrete/practical and
motivational/emotional support from the home site throughout the implementation
process. They also identify the home site’s provision of
ongoing mentorship and consistent and frequent validation regarding
ongoing successes and milestones as essential.
Neither the on-site staff nor the home site administrators anticipated
that more training time was needed to ensure that all care team members
fully grasped the myriad of issues involved in palliative care and to prepare
care team members to handle administrative issues such as cost
management, staffing decisions and administrative interactions. In addition,
the home site administrators did not anticipate the degree to
which both care teams wanted and needed face-to-face contact for training
and support. One home site administrator noted, “we overestimated
the level of comfort and training around palliative care provision among
the clinicians involved at both sites; we thought they had more clinical
Davis et al. 161
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Training
Training, mentoring, and ongoing support proved to be the most critical
aspect of the replication process. The in-person training and ongoing
support efforts stand out as especially important among both home and
replication site staff. Members of both teams identify all training efforts
as critical to their learning processes. They also see the most useful and
meaningful training and support forums being interactive activities like
conference calls, face-to-face meetings and site visits.
Both replication teams report receiving both concrete/practical and
motivational/emotional support from the home site throughout the implementation
process. They also identify the home site’s provision of
ongoing mentorship and consistent and frequent validation regarding
ongoing successes and milestones as essential.
Neither the on-site staff nor the home site administrators anticipated
that more training time was needed to ensure that all care team members
fully grasped the myriad of issues involved in palliative care and to prepare
care team members to handle administrative issues such as cost
management, staffing decisions and administrative interactions. In addition,
the home site administrators did not anticipate the degree to
which both care teams wanted and needed face-to-face contact for training
and support. One home site administrator noted, “we overestimated
the level of comfort and training around palliative care provision among
the clinicians involved at both sites; we thought they had more clinical
Davis et al. 161
Downloaded by
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