ObjectivesTo deliver a Masterclass to eight dermatology nurses focusing on the bio–psychosocial aspects of care for people living with skin disease; utilise psychosocial assessment tools available for Holistic Needs Assessment (HNA); increase participant nurses’ understanding of levels of psycho–social intervention; evaluate course impact on participants’confidencein HNA; evaluate course impact on participants’competencein HNA and record changes in practice following course completion.MethodA pragmatic action research approach was undertaken, utilising standardised pre– and postconfidence and competence questionnaires and reflection (free–text and verbal feedback). A two–day interactive learning programme was delivered with a half–day feedback debrief session at three months.Results: Overall confidence levels increased with mean total confidence scores increasing from 43.1 to 58.3 (range 0 to 90). Greatest percentage increase was demonstrated for: use of screening tools and discussing suicidal ideation. Overall competence levels increased with mean total competence scores increasing from 43.1 to 85.1 (range 0 to 130). Greatest percentage increases in competence were demonstrated for: use of the Distress Thermometer (386 per cent); use of screening tools for anxiety and depression (139 per cent); educating the patient about mechanisms of anxiety (129 per cent); structure and organisation of psychological practice (85 per cent) and assessing for suicidal ideation (85 per cent).ConclusionsThis Masterclass improved participants’ confidence and competence levels in assessing psychosocial aspects of care. It met participants’ expectations and course objectives. Development of an additional mentorship programme for participants following course completion is recommended to sustain change in practice.
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