Education in End-of-Life Care When it comes to end-of-life care, nurses working with terminally ill patients frequently lack confidence in tending to the emotional and existential needs of their patients. This is derived from a lack of knowledge surrounding end-of-life care and results in a decrease in nurses’ communication skills and job satisfaction (Abu-El-Nor, 2016). A study researching nurses’ perceptions of readiness and ability to care for dying patients found this to be true. They discovered that 84% of critical care nurses felt as though they did not receive adequate end-of-life care content in school (Todaro-Franceschi, 2013). The articles discussed below address the relationship between end-of-life education and nursing care delivered to terminal …show more content…
Combined results reported a significant increase in the amount of confidence nurses’ exhibited when communicating with terminally-ill patients. The before-after trial implemented educational lectures and later measured perceptions of delivering end-of-life nursing care. Outcomes reported an increase in the ability of nurses to apply end-of-life care and declared positive attitudes as a confounding factor of the results (Morita et al., 2014; Henoch et al., 2013; Yoshioka, Moriyama, & Ohno, 2014). The literature review focused on nurses’ experience with end-of-life care within an acute-care setting. Results suggested end-of-life education could act as a solution to the barriers nurses face when caring for terminal patients (McCourt, Power, & Glackin, 2013). The remaining qualitative studies implemented educational modules that resulted in enhanced knowledge and confidence amongst full-time RNs. (Montagnini, Smith, & Balistrieri, 2012; Wheeler, Antsey, Lewis, Jeynes, & Way, 2014; Usher, DiNella, Zhan, & Tuite, 2015; Crump, Schaffer, & Schutle, 2010).
This author’s personal perceptions concerning patients facing a lingering terminal illness, have been shaped by over 20 years of critical care nursing experience. Facing death and illness on a daily basis requires self-examination and a high degree of comfort with one’s own mortality, limits and values. Constant exposure to the fragility of life forces respect for the whole person and the people who love them. A general approach to patients who are actively dying is to allow them to define what they want and need during this time. The nurse’s role
On reading this article and identifying the study, there was a clear insight on how death and dying, and even improved health, impacted those nurses (Conte, 2014). Nurses, who worked closely with their patients, through the perils and suffering, culminating of death and losses, had grief not readily explored to enable that comfort zone (Conte, 2014).
Comparatively, Bailey et al. (2014) studied the effects of implementing interventions to improve end of life care for inpatient veterans. The problem statement was determined to be that end of life care in the inpatient setting was lacking, which drove the aim of the study to improve EOLC and to minimize suffering of the patients (Bailey et al., 2014). The researchers theorized that this could be accomplished if recognition of end of life was increased and if home-based palliative interventions were implemented. Therefore, the team sought to study the effectiveness of implementing staff education of three items: evaluating patients who are actively dying, communicating end of life interventions with patients and families, and implementing home-based best practices for end of life care (Bailey et al., 2014). The purpose here was to improve inpatient end of life care.
Sometimes the transition from critical care to end-of-life care is instantaneous, and the urgency associated with end-of life decisions for these children creates challenges for the nurses providing this care. Therefore nurses whose day-to-day practice focuses on saving lives, a sudden or even gradual change in a child's situation to end-of-life care can cause a disconnect between what nurses routinely do in the ICU setting and what they are now expected to do. Fewer studies could be located that has examined the effects of educational program on nurses provide end of life
Death is inevitable at some point everyone must face it. Whether it is the death of a family member, friend, or a family pet, people are forced to deal with the death. Nurses however have more frequent encounters with death than the average person does. When a patient dies in a healthcare setting his or her nurse is obligated to deal with that as well. They must find ways to cope with the increased amount of death that
I t is important that end of life care is delivered in respect of patients Autonomy, Beneficence, and in a Truthful way. In what follows I argue that we as nurses need to fulfill obligation to support and assist the dying patient and his family’s right to self-determination as it relates to end of life care. I believe that we have made headway but still have much to achieve. Education and research in these areas by and for health care workers and the general population would do much to improve the quality of end of life care.
Quality of Life and Functioning for End of Life Care. HAT2 Community Health Nursing. Western Governors University.
Training in palliative and end of life care has been shown to decrease moral distress in nurses who provide care. This training and education needs to be provided by experts in the field in order to help nurses gain confidence in the provision of palliative care as part of the neonatal healthcare team. Targeted education helps build confidence through building communication skills, therapeutic practice with role playing, as well with increased knowledge through information on current research and community resources (Wool, 2013).
In summary, Peaceful End-of-Life (EOL) theory is simple and easy to understand. Although, this theory focuses on specific clinical setting and clients, this theory is adaptable to any culture. It also guide nurses in rendering compassionate care until the end of quality of life to our clients. Lastly, the Peaceful End-of Life (EOL) interventions helps nurses to widen their capabilities and strengths in implementing care that gives peaceful death to a dying client also abides the standards of practice such as being an advocate, respectful and culturally
Communication between the patient, family, clinicians, and nurses is important in inquiring the needs and wants of the patient and family. Noome et al. (2016) recognized that ICU nurses described their role during end-of-life care as a professional who communicates information to patients and family on treatments, procedures, and prognosis while providing comfort. Effective communication about advanced directives and disputes over end-of-life care decisions may lead to acceptable compromise and solution between all parties involved (Blackler, 2016). Clear communication and understanding is needed in order to provide high quality care.
In relation to the purpose of this study, the driving force behind the research are three questions. What are nurses experience following patient’s death? What are their actions and coping strategies following patient death? Would better learning opportunities and supportive practice environments be provided once there is an understanding of nurses’ grief and coping process, if yes, was it beneficial. The researchers proceeded with a broad question which allowed the focus to be sharpened and delineated later in the
Many nursing schools today, as well as in the past, do not have comprehensive courses dedicated to hospice and palliative care. Therefore, nurses today are not adequately prepared to deliver this type of specialized care. The population of individuals in need of hospice and/or palliative care continue to grow. Consequently, there is a need for dedicated hospice and palliative care facilities within the communities. This community partnering project will describe the need for further end of life education for nurses, as well as the need to support end of life hospice and palliative care services within the community.
Everybody faces death at some point in their life. Some people die instantly from unplanned accidents, some die slowly from terminal illness. End of life care is a method used by nurses to care for palliative patients who are suffering from terminal illness. The way patients, and their family are treated during this time depend primarily on the nurses on duty. In acute care settings, it is the nurses’ responsibility to aim in achieving optimal care which assists with providing autonomy, comfort, beneficence, and quality of life for both the patient and family. Unfortunately, this is not always provided. End of life is based on identifying and understanding the stages of dying. Care requirements for terminal patients involve managing pain and
You are right, education continues to be the key. We need to make sure our patients and their love ones understand the end of life process, the expected outcomes and their options. At our facility we have an extremely active palliative care team lead by an ARNP. We provide music and pet therapy. The hospital chaplain is also very involved, depending on the patient and family preferences. Patient condition, wishes and available choices are usually discussed in multidisciplinary meetings with patients (when possible) and family members. In the final stages of many terminal illnesses, care priorities tend to shift. Instead of ongoing curative measures, the focus often changes to palliative care for the relief of pain, symptoms, and emotional stress.
The purpose of the study was to test and determine the effectiveness of an observed structured clinical examination (OSCE) with the focus on improving palliative care skills for advance practice nurses (APNs) and medical fellows. The outcome of this pilot test is endless for the use of training other disciplines in health care that deal with issues of palliative care. The effectiveness of this pilot showed with the use of three stations testing instruments learners and faculty gain valuable resources. These instruments tested one’s skills, their ability of breaking bad news to patients and family, setting effective and practical goals of care with the patient, and assessing a patient’s mental status. Focus groups were also used to gain learner perspective on the training and provide feedback on what could be improved in the training sessions.