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Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
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Death notification training for prehospital providers: a pilot study.

Alex Ponce1, Robert Swor, Tammie E Quest

  • 1University of Michigan, Ann Arbor, MI, USA.

Prehospital Emergency Care
|September 3, 2010
PubMed
Summary

A short educational intervention improved prehospital providers' comfort and skills in managing family-witnessed resuscitations (FWR) and delivering death notifications. This training is crucial for effective communication during difficult end-of-life events.

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Area of Science:

  • Emergency medicine
  • Prehospital care
  • Medical education

Background:

  • Family members often witness cardiac arrest resuscitations at home.
  • Prehospital providers receive limited training in managing family-witnessed resuscitations (FWR) and delivering death notifications.
  • Effective communication during these critical events is essential.

Purpose of the Study:

  • To assess the feasibility and utility of an educational intervention.
  • To improve prehospital provider comfort and skills in FWR and death notification.
  • To address a gap in specialized training for emergency medical personnel.

Main Methods:

  • A pilot study involving 45 prehospital providers.
  • Participants attended an educational lecture on FWR and death notification.
  • A subset of 20 providers participated in a small-group, standardized death-notification encounter.
  • Pre- and post-intervention attitudes and knowledge were assessed using descriptive statistics.

Main Results:

  • A significant percentage of providers (71%) continued resuscitation efforts due to family presence.
  • Post-intervention, 61.2% of participants answered at least five knowledge questions correctly.
  • Small-group participants demonstrated improved death notification skills and expressed increased confidence in communicating with families during unsuccessful resuscitations.

Conclusions:

  • A brief educational intervention can enhance prehospital providers' comfort with death notification.
  • The study highlights the need for improved training in managing family-witnessed resuscitations.
  • Further research is required to evaluate skill retention and the impact on bereaved families.