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. 2021 Oct 10;12:1189–1198. doi: 10.2147/AMEP.S334872

Table 1.

The Questions Included on the QuoCCA Outcome Survey

Question Number Question Response Type/Categories
1 What is your name? Free text
2 What is your occupation group? Medical, Nursing, Allied health (please specify discipline below), Administration, Other (please specify).
3 What type of organization did you work for when you undertook the QuoCCA pediatric palliative care education? Public health facility/service, Private health service, General practice, Other (please specify)
4 What was the name of that organization? Free text
5 What was the location (town/city) where you attended the QuoCCA education session? Free text
6 Approximately what month and year did this education session take place? Free text
7 Was the education session related to the care of a specific patient (pop up education) or planned professional development (scheduled education)? Pop up education, Scheduled education, Other (please specify).
8 How valuable did you find the QuoCCA education in caring for children/young people and families with pediatric palliative care needs? No value, Minimal value, Neutral, Valuable, Extremely valuable
9 What were the most valuable aspects of the QuoCCA education session? Open text
10 How helpful overall was the QuoCCA education in making a difference to your practice in caring for pediatric palliative patients? Not at all helpful, A little helpful, Moderately helpful, Very helpful, Extremely helpful
11 If QuoCCA education has made a difference to your practice and care of patients and families, describe this. Open text
12 Please describe any barriers to you applying the QuoCCA education to your practice? Open text
13 Please rate how helpful the QuoCCA education was in improving your knowledge, skills or confidence specifically in the following areas: Not at all helpful, A little helpful, Moderately helpful, Very helpful, Extremely helpful, N/A for me, Not covered in this session
13a Benefits of the palliative approach As above
13b Benefits of early referral and support by a pediatric palliative care service As above
13c Advance care planning As above
13d Palliative assessment and intervention As above
13e Palliative care resources As above
13f Responding to physical symptoms As above
13g Responding to psychosocial needs As above
13h Supporting the patient’s and family’s spiritual needs As above
13i Communication skills As above
13j Providing bereavement care As above
13k Supporting health professionals and self care As above
13l Death reviews and methods to evaluate and improve services As above
25 Are there any other topics which you would like to see covered in sessions in the future? Open text
26 Any other comments? Open text