FAQ’s Caru Workshops
What is Caru? Caru is a free ʻve-year, multi-stranded, evidence-based continuous learning programme. It is available to all disciplines of nursing home sta˔ and those working in Older Person Services. What is the vision for Caru in your organisation? An organisation that is supportive and empowering of all nursing home sta˔ in their delivery of palliative, end-of-life and bereavement care to residents and families. Caru supports the ethos of person-centered, compassionate and empathic palliative, end-of-life and bereavement care.
What are the Caru Workshops? Workshop One: Supporting Sta˔ Health and Wellbeing
This Workshop covers the impact of working with residents and families at end of life, basic communication skills, the impact of bereavement in a personal and professional setting, self-care strategies and the importance of reʼection and resilience. Workshop Two: Culture and Communication at End of Life This Workshop looks more in depth at communication competencies and how to manage them. It also covers organisational culture and its impact on care provided, person- centred care and advanced care planning. Workshop Three: Caru Review Process This Workshop trains Caru Leads to complete the Caru Review Process. They will learn how to facilitate a Caru Death Reʼection as well as the steps in forwarding a Bereaved Relatives and Friends Questionnaire. They will also gain an understanding of setting up a Caru Group and its function. This Workshop has practical exercises within it to ensure Caru Leads feel conʻdent with the process. Workshop Four: The Caru Review Process and its Role in Change In the ʻnal Workshop, we reʼect on how the Caru Review Process has been operating to date in the Caru Leads’ nursing home. They have an opportunity to discuss their experience with introducing and embedding the process. This Workshop looks at change, how to overcome the barriers in implementing change and how to run a successful quality improvement initiative. We also recognise and celebrate all attendees’ participation, commitment and successes.
All Workshops have NMBI accreditation and certiʻcates will be provided. On completion of all four Workshops the nursing home will receive a certiʻcate of achievement award.
Who can attend? Caru Workshops are open to all nursing home sta˔ who care directly for residents. Sta˔ are nominated by their managers and should attend all four of the scheduled Workshops. When choosing Caru Leads for the Workshops, it is recommended that one participant at a minimum, has the experience to lead the group. What is the role of senior management in supporting Caru? The role of senior management in the support of the Caru Process is essential. It is crucial that the Caru Group is supported in its functions and that sta˔ are encouraged and facilitated to attend Caru Reʼections. Additionally, providing protected time for the group to meet quarterly, complete the reʼections and forward the Bereavement Questionnaire are key to the success of the Caru Process. Senior management has a key role in supporting quality improvement initiatives identiʻed by the Caru Group.
What is the Caru Review Process? The Caru Review Process has three components:
The Caru Group is established Caru Reʼections are facilitated by trained sta˔ The Caru Bereaved Relatives and Friends Questionnaire is sent with consent
Undertaking all three components of this process can result in potential quality improvement initiatives for your organisation.
What is the Caru Group and its functions? Consists of the Caru Leads who attended all four Workshops (Caru Leads) and other sta˔ with an interest in palliative, end-of-life, and bereavement care. The Caru Group meets a minimum of four times a year. They review the feedback from the Caru Reʼections and Bereaved Relatives and Friends Questionnaire and determine possible quality improvement initiatives that can build on existing good practice. They promote the Caru vision and ethos within your organisation.
What are Caru Reʼections and why should we do them? The purpose of a Caru Reʼection is to o˔er sta˔ the opportunity to remember the resident who has died and to reʼect on the palliative, end-of-life, and bereavement care provided to them. Reʼection on the residents’ care will help to identify practices that are done well and areas for improvement. Caru Reʼections take place 1-4 weeks following the death of a resident. A Caru Lead will identify a time and place where the meeting can be held. All sta˔ that cared for that resident will be invited to attend. Reʼections require 45 minutes to complete. Time to prepare for and debrief following the event will also be required. The reʼection uses the 9 Domains of Care to explore all aspects of palliative, end-of- life, and bereavement care. Caru Leads are encouraged to discuss what went well and what suggestions they would make around improvements. Information collected at the Reʼection will be reviewed at Cau Group Meetings to assist in identifying areas of change with the possibility of developing quality improvement initiatives. What is the Bereaved Relatives and Friends Questionnaire? The Questionnaire has been designed to invite structured feedback from families and friends of residents. It provides an opportunity for the family to reflect on the care their loved one received during their stay in the nursing home and the support provided to family and friends also. Quarterly Caru Review Process Feedback Form The form is an quarterly Caru Review Process Feedback Questionnaire that will provide us with feedback on how the Caru Review Process is working in your nursing home. The type of feedback required will be the number of residents that died, number of Caru Reflections undertaken, number of family members contacted regarding the Bereaved Relative’s Questionnaire, the number of questionnaires sent, and number returned. This feedback will help us in the ongoing development of the programme and will also be provided to our funders, the HSE.
caru.ie Irish Hospice Foundation, Morrison Chambers, 32 Nassau Street, Dublin 2, D02 YE06 | Tel: (01) 679 3188 | Registered Charity 20013554
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