Introducing the Palliative Approach Toolkit for RACFs
Workshop Evaluation
Date, Venue
1. Which of the following best describes your main work role? (please tick one box only)
q RACF Manager q Registered Nurse q Enrolled Nurse
q Other (please specify) ______
2. Which of the following best describes your main work setting? (please tick one box only)
q RACF q Specialist Palliative Care Service
q Other (please specify) ______
3. How long have you worked in residential aged care? (please tick one box only)
q Not applicable q Less than 12 months q 1 year to less than 5 years q 5 years to less than 10 years q More than 10 years
Questions 4 to 13
Please tick the box that corresponds to your extent of agreement with each of the following statements:
/ Strongly disagree / Disagree / Neither disagree nor agree / Agree / Strongly agree /4. The workshop increased my understanding of the benefits of implementing the PA Toolkit at my RACF / q / q / q / q / q
5. The workshop increased my understanding about how to implement the PA Toolkit at my RACF / q / q / q / q / q
6. The workshop increased my awareness of my specific role in implementing the PA Toolkit at my RACF / q / q / q / q / q
7. The workshop increased my awareness of how the resources in the PA Toolkit support the implementation of a palliative approach in RACFs / q / q / q / q / q
8. The workshop increased my knowledge about the three key processes highlighted in the PA Toolkit / q / q / q / q / q
9. I feel confident that one or more of the key processes discussed at the workshop can be implemented at my RACF / q / q / q / q / q
Please turn over
10. The PowerPoint slides, handouts and other resources used during the workshop assisted my learning / q / q / q / q / q
11. The topics covered at the workshop were relevant to my work role / q / q / q / q / q
12. The workshop content was delivered at an appropriate level to support my learning / q / q / q / q / q
13. The workshop content and associated resources will contribute to sustained use of the PA Toolkit in my RACF / q / q / q / q / q
14. Was the overall length of the workshop (please tick one box only)
q Too long
q Just right
q Too short
15. What were the most useful topics covered at the workshop? (please tick as many boxes as applicable)
q Advance care planning q Trajectories and prognostication
q Palliative care case conferences q 10 steps to implement a palliative approach
q End of life care pathway q PA Toolkit resources
16. We will be providing follow-up information in newsletters and online webinars. Which of these topics would you like further information on? (please tick as many boxes as applicable)
q Advance care planning
q Palliative care case conferences
q End of life care pathway
q Trajectories and prognostication
q Implementing a palliative approach
q Pain
q Nutrition and hydration
q Dyspnoea
q Oral care
q Delirium
q Other (please specify) ______
Other Comments:
Thank you