Table 1 Themes arising from learner perception immediate post-course time point (T0)

Increase/improvement in specific KSC from course experience and individual learner needs, specifically:

 • Silence

 • Dealing with difficult questions

 • Breaking bad news

 • Listening

 • Use of cues/information gathering

Elicit information and use my empathy to build trust (Nurse)

I’m more aware of that gathering of information, listening for that cue, since the workshop. It’s unlocked a few things I had in my artillery, helped me move to the next level (ANP)

Reflections, using or avoiding certain phrases (Consultant)

My objective was to explore silence – it’s a powerful tool to develop relationships with patients and to see how it can transform relationships was powerful for me. By using silence, we allow the patient to consider in their own time, it’s no longer my agenda (GP)

Immediate and planned improvements in professional practice

Not focus on practical outcomes but focus on feelings (NPOP)

Will always make plan before any situation, (course) will enable me to be adequately equipped for EoLC discussions (DN)

The course reminded me of the importance of decisions based on good communication – it’s been a way for me to highlight and improve the care in the organisation where I work as I can facilitate these discussions (GP)

(Course) will definitely help guide how I engage with patients, carers, and other professionals (CNS)

Reflexivity

Role play has allowed me to re-assess how I deliver information, now more confident in tackling sensitive subjects (Nurse)

Use of silence, blocking behaviours and the Calman Gap made me assess patients differently, this will enhance my practice. To be less fearful of exploring patient emotions and feelings (CNS)

It was a safe space to practice and make mistakes, to learn from others, get advice, tips, and support (GP)