{
  "abstract": "Background In September 2024, Central London Community Healthcare Wandsworth launched in-person end-of-life care reflective practice sessions to enhance staff wellbeing, improve patient care, and reduce clinical burnout. Community healthcare practitioners are increasingly involved in supporting and providing care for patients at the end of life. In England, deaths occurring at home have risen from 24.4% in 2019 to 28.4% in 2023 (Office for Health Improvement & Disparities. Palliative and end of life care profiles January 2025 update: statistical commentary. Gov.UK. 2025 [internet]). This has led to more community-based end-of-life care (Ferguson, Wiseman, Stratton, et al. Br J Community Nurs. 2023;28(11):542-548), potentially contributing to staff burnout and reduced job satisfaction, ultimately affecting patient care (Covington, Banerjee, Pereira, et al. J Palliat Care. 2023;38(2):225-238; Clayton, Marczak. Palliat Support Care. 2023;21(3):498-514).Aim To evaluate the impact of end-of-life care reflective practice sessions on clinical skills, staff emotional well-being, communication, and team dynamics.Methodology A mixed-method evaluation used thematic analysis for interviews and descriptive statistics from a Likert-scale survey. A total of 106 staff participated in the end-of-life care reflective practice sessions (80 nurses, 12 healthcare assistants, 14 therapists). Survey data was collected from 50 participants; seven staff were interviewed.Results Knowledge and skills enhancement:Interviewees reported improved peer learning and increased comfort with death.84% of survey participants reported a positive outcome, with 70% noting increased peer learning and 60% reporting improved communication.Emotional support and coping:Participants described sessions as a ‘therapeutic space’ encouraging emotional expression and mutual support.Emotional validation appeared in 80% of survey responses.Improved communication and team dynamics:Increased openness and empathy reported during team handovers.60% of survey participants reported improved communication.Staff expressed a need for increased session frequency and protected time.Implication Findings highlight the importance of maintaining an inclusive format, increasing session frequency, ensuring protected time, and embedding reflective practice formally into team structures.Conclusion End-of-life care reflective practice sessions are valued by staff, improving emotional well-being, patient care, peer support, professional growth, and team cohesion. Findings suggest reflective practice be integrated into end-of-life care delivery in community teams.",
  "authors": [
    {
      "affiliations": [
        "Central London Community Healthcare, London, UK"
      ],
      "name": "Sabeen Jabbar"
    },
    {
      "affiliations": [
        "Central London Community Healthcare, London, UK"
      ],
      "name": "Gemma Gilmore"
    },
    {
      "affiliations": [
        "Central London Community Healthcare, London, UK"
      ],
      "name": "Kim Smith"
    }
  ],
  "title": "P-222 Evaluating the impact of in-person end-of-life care reflective practice sessions on community staff well-being and clinical skills",
  "uid": "e44d9e03-008f-5a6e-95fe-ef3b469b99ed"
}