Post-Session Evaluation: Palliative Care ECHO Series - Palliative Discharge Planning to Rural Communities (November 16)

Post Palliative Care ECHO Series Session Survey

Please complete this survey as part of participating in the Palliative Care ECHO Series.

Your responses will help us describe our participants' professional practice and measure the outcomes of our program (the “O” in “ECHO”).

The aggregated data collected will be used as part of an evaluation of this ECHO program funded by Health Canada. No personally identifying information will ever be used when disseminating results. Completing this questionnaire is voluntary and your choice will not affect your affiliation with ECHO. By completing this questionnaire, you consent to participate in this evaluation.

Because the Palliative Care ECHO Series is a collaborative project, data will be shared with Pallium Canada. Data will not be shared with any other external institution. If you have any questions (e.g., regarding your rights as a participant) please contact the Palliative Care ECHO Coordinator Stephanie Hendrickson (shendric@lakeheadu.ca).

Thank you for your time and support.

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* 1. Your name (first and last):

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* 2. Do you consent to Pallium Canada’s Research Policy? http://pallium.ca/infoware/Consent_For_Research_Data_Collection_v2.pdf

Yes

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* 3. The session effectively met the stated overall learning objectives.

	1. Yes	2. No
a) Describe the key to providing palliative discharge planning in rural communities	a) Describe the key to providing palliative discharge planning in rural communities 1. Yes	a) Describe the key to providing palliative discharge planning in rural communities 2. No
b) Describe what integration is	b) Describe what integration is 1. Yes	b) Describe what integration is 2. No
c) Identify advantages and challenges to providing palliative discharge planning in rural communities	c) Identify advantages and challenges to providing palliative discharge planning in rural communities 1. Yes	c) Identify advantages and challenges to providing palliative discharge planning in rural communities 2. No

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* 4. Did you perceive any degree of bias in any part of the session?

Yes

If yes, please describe any bias you perceived:

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* 5. To what extent do you agree with the following statements:

	1. Strongly Disagree	2. Somewhat Disagree	3. Neutral	4. Somewhat Agree	5. Strongly Agree
This session was relevant to my practice.	This session was relevant to my practice. 1. Strongly Disagree	This session was relevant to my practice. 2. Somewhat Disagree	This session was relevant to my practice. 3. Neutral	This session was relevant to my practice. 4. Somewhat Agree	This session was relevant to my practice. 5. Strongly Agree
There was ample opportunity for discussions.	There was ample opportunity for discussions. 1. Strongly Disagree	There was ample opportunity for discussions. 2. Somewhat Disagree	There was ample opportunity for discussions. 3. Neutral	There was ample opportunity for discussions. 4. Somewhat Agree	There was ample opportunity for discussions. 5. Strongly Agree
This session met my learning needs.	This session met my learning needs. 1. Strongly Disagree	This session met my learning needs. 2. Somewhat Disagree	This session met my learning needs. 3. Neutral	This session met my learning needs. 4. Somewhat Agree	This session met my learning needs. 5. Strongly Agree
The overall format of the session was useful.	The overall format of the session was useful. 1. Strongly Disagree	The overall format of the session was useful. 2. Somewhat Disagree	The overall format of the session was useful. 3. Neutral	The overall format of the session was useful. 4. Somewhat Agree	The overall format of the session was useful. 5. Strongly Agree
The presenters were knowledgeable.	The presenters were knowledgeable. 1. Strongly Disagree	The presenters were knowledgeable. 2. Somewhat Disagree	The presenters were knowledgeable. 3. Neutral	The presenters were knowledgeable. 4. Somewhat Agree	The presenters were knowledgeable. 5. Strongly Agree
Overall, this ECHO session was a good learning experience.	Overall, this ECHO session was a good learning experience. 1. Strongly Disagree	Overall, this ECHO session was a good learning experience. 2. Somewhat Disagree	Overall, this ECHO session was a good learning experience. 3. Neutral	Overall, this ECHO session was a good learning experience. 4. Somewhat Agree	Overall, this ECHO session was a good learning experience. 5. Strongly Agree
I would recommend this session to colleagues.	I would recommend this session to colleagues. 1. Strongly Disagree	I would recommend this session to colleagues. 2. Somewhat Disagree	I would recommend this session to colleagues. 3. Neutral	I would recommend this session to colleagues. 4. Somewhat Agree	I would recommend this session to colleagues. 5. Strongly Agree

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* 6. During this session, I (select all that apply)

Learned new things that I can apply (in my practice or elsewhere)

Confirmed things that I'm doing in my practice

Learned nothing new that is applicable to my practice

Post-Session Evaluation: Palliative Care ECHO Series - Palliative Discharge Planning to Rural Communities (November 16)

Post Palliative Care ECHO Series Session Survey

Question Title

* 1. Your name (first and last):

Question Title

* 2. Do you consent to Pallium Canada’s Research Policy? http://pallium.ca/infoware/Consent_For_Research_Data_Collection_v2.pdf

Question Title

* 3. The session effectively met the stated overall learning objectives.

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* 4. Did you perceive any degree of bias in any part of the session?

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* 5. To what extent do you agree with the following statements:

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* 6. During this session, I (select all that apply)

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* 7. If applicable, list up to 2 things you will be doing differently as a result of participating in this session (please be specific).

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* 8. If applicable, please describe up to 2 things that you were doing already that were confirmed in this session.

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* 9. What other topics would you like to learn about through our ECHO programming?

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* 10. Please share any additional comments.