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Performance-based palliative care in the nursing home: closing the gap between "knowing" and "practicing"
Corinne Kay Kyriacou1, Allison Nidetz
1Metropolitan Jewish Health System, Brooklyn, New York 11220, USA. ckay@mjhs.org
Journal of Palliative Medicine
|February 8, 2003
Summary
This study shows that an experiential education model improved nursing home staff knowledge and attitudes toward palliative care. This approach moved palliative care delivery "upstream" in patient treatment trajectories.
Area of Science:
- Gerontology
- Nursing Education
- Palliative Care
Background:
- Palliative care delivery is often initiated late in a patient's disease trajectory.
- Nursing home staff require effective training to improve palliative care knowledge and practices.
- Experiential learning models may enhance healthcare professional education.
Purpose of the Study:
- To evaluate an experiential educational model's impact on nursing home staff.
- To assess changes in staff attitudes and knowledge regarding palliative care.
- To determine if the model shifts palliative care delivery earlier in patient care.
Main Methods:
- An educational model combining didactic and performance-based methods was implemented.
- The study involved staff from two nursing home facilities.
- Changes in staff attitudes, knowledge, and practice outcomes were measured.
Main Results:
- The experiential model positively impacted staff attitudes toward palliative care.
- Staff knowledge regarding palliative care significantly improved.
- Evidence suggests a shift towards earlier integration of palliative care.
Conclusions:
- Experiential education is effective in enhancing palliative care training for nursing home staff.
- This educational approach can facilitate earlier implementation of palliative care.
- Further research should explore broader adoption of such models.