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Palliative approach education for rural nurses and health-care workers: a mixed-method study
Barbara Pesut1, Gail Potter, Kelli Stajduhar
1Associate Professor of Nursing, Canada Research Chair in Health, Ethics and Diversity, University of British Columbia.
Background:
The aim of this mixed-method study was to evaluate the outcomes of an educational intervention in a palliative approach for rural nurses and health-care workers (HCWs) using a team-based method.
Methods:
Pre- and post-test measures using the Palliative Care Nursing Self-Competence (PCSNC) scale and the Self-Perceived Palliative Care Knowledge instrument were used to evaluate learning outcomes. Participant post-test scores were also compared to normative provincial data.
Findings:
At post-test, HCWs showed statistically significant improvements across 7 of 10 domains in self-perceived competence and 6 of 12 domains in self-perceived knowledge; all scores were equivalent to or better than provincial normative data. Nurses' self-perceived knowledge showed statistically significant improvements in 3 of 12 domains; all post-test scores were equivalent to provincial normative data. Qualitative data indicated improvements in familiarity with the resources available for palliative care and in communication among the nursing team.
Conclusion:
An educational intervention can improve the competence and knowledge of rural HCWs and nurses in a palliative approach.
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