Post-Session Evaluation: Palliative Care ECHO Series - Palliative Care in Rural & Underserviced Communities (November 9)

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”).

Your responses are confidential. 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 with Pallium Canada, de-identified data may be shared. 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.

Question Title

* 1. Please describe your role:

Administrator/Manager

Occupational Therapist

Physiotherapist

Respiratory Therapist

Registered Dietitian

Licensed or Registered Practical Nurse (LPN/RPN)

Nurse Practitioner (NP)

Paramedic

Patient

Caregiver

Pharmacist

Physician - College of Family Physicians of Canada

Physician - Royal College of Physicians and Surgeons (please describe area of specialization)

Registered Nurse (RN)

Registered Psychiatric Nurse

Resident (please describe area of specialization)

Social Worker

Spiritual Care Provider

Student (please describe area of specialization)

Support Worker/Aide/Attendant

Other

Please specify role if not listed and/or area of specialization, if applicable.

Question Title

* 2. What gender do you identify with?

Male

Female

Gender diverse

Prefer not to answer

Question Title

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

	1. Yes	2. No
a) Describe palliative care and palliative approach to care	a) Describe palliative care and palliative approach to care 1. Yes	a) Describe palliative care and palliative approach to care 2. No
b) Explain the importance of early identification	b) Explain the importance of early identification 1. Yes	b) Explain the importance of early identification 2. No
c) Explain tools used for early identification and how this may benefit individuals living in rural and underserviced areas with palliative care needs	c) Explain tools used for early identification and how this may benefit individuals living in rural and underserviced areas with palliative care needs 1. Yes	c) Explain tools used for early identification and how this may benefit individuals living in rural and underserviced areas with palliative care needs 2. No

Question Title

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

Yes

If yes, please describe any bias you perceived:

Question Title

* 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

Question Title

* 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 Care in Rural & Underserviced Communities (November 9)

Post Palliative Care ECHO Series Session Survey

Question Title

* 1. Please describe your role:

Question Title

* 2. What gender do you identify with?

Question Title

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

Question Title

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

Question Title

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

Question Title

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

Question Title

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

Question Title

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

Question Title

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

Question Title

* 10. Please share any additional comments.