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Use of the Palliative Performance Scale version 2 in obtaining palliative care consults
Patrice Fedel1, Laura L Joosse, Lee Jeske
1Wheaton Franciscan Healthcare, St. Francis, Milwaukee, WI, USA.
Journal of Clinical Nursing
|December 31, 2013
Summary
Nursing education on palliative care and the Palliative Performance Scale version 2 significantly improved nurses’ knowledge and comfort in identifying patients for palliative care and requesting consults.
Area of Science:
- Nursing Education
- Palliative Care
- Clinical Practice
Background:
- Chronic illness negatively impacts patient quality of life.
- Palliative care services can alleviate suffering but are underutilized due to prognostication challenges.
- The Palliative Performance Scale version 2 (PPSv2) aids prognostication, potentially increasing palliative care access.
Purpose of the Study:
- To evaluate if an educational intervention and the PPSv2 improve nurses' palliative care knowledge.
- To assess if the intervention enhances nurses' comfort in identifying patients for palliative care and requesting consultations.
Main Methods:
- A pretest/post-test design was employed on an acute care medical unit.
- Nurses completed surveys assessing palliative care knowledge and consultation comfort before and after the intervention.
- The intervention included education on palliative care and PPSv2 use, followed by a month of mentoring.
Main Results:
- Post-intervention surveys showed significant increases in nurses' overall knowledge of palliative care.
- Nurses reported greater comfort in identifying appropriate patients for palliative care.
- Comfort levels in requesting palliative care consults also significantly improved.
Conclusions:
- Nursing education incorporating the PPSv2 enhances knowledge and comfort regarding palliative care.
- Improved nurse confidence in prognostication and consultation requests can reduce barriers to accessing palliative care.
- Nurses are pivotal in advocating for palliative care, necessitating enhanced education and support.
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