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Palliative Care Professional Development for Critical Care Nurses: A Multicenter Program
Wendy G Anderson1, Kathleen Puntillo2, Jenica Cimino2
1Wendy G. Anderson is an associate professor, Jenica Cimino is a clinical research coordinator, David L. O'Riordan is a senior research specialist, and Steven Z. Pantilat is a professor in the Division of Hospital Medicine and Palliative Care Program, University of California, San Francisco, California. Anderson is an associate professor and Kathleen Puntillo is a professor emerita in the Department of Physiological Nursing, University of California San Francisco School of Nursing, San Francisco, California. Janice Noort is a palliative care nurse practitioner, Diana Pearson is a critical care nurse educator, Eric Moore is a palliative care and medical surgical nurse manager, Nathan Fairman is a psychiatry and palliative care physician, John MacMillan is a physician and palliative care medical director, Monica Miller is a critical care nurse, and Laura Nakagawa is a social worker at University of California, Davis Medical Center, Sacramento, California. Deborah Boyle is an oncology clinical nurse specialist, Michelle Grywalski is a critical care nurse educator, and Solomon Liao is a palliative care physician and service director at University of California, Irvine Health, Orange, California. Jeannette Meyer and Edith O'Neil-Page are palliative care clinical nurse specialists and Christopher Pietras is director of palliative care at University of California, Los Angeles Medical Center, Los Angeles, California. Pietras is an assistant professor in the Division of General Internal Medicine, Hospitalist Section/Palliative Care, University of California, Los Angeles, California. Bruce Ferrell is a palliative care physician and medical director at Vitas Hospice, Encino, California. Julia Cain and Heather Herman are palliative care nurse practitioners, William Mitchell is a palliative care physician and service director, Kyle Edmonds is a a palliative care physician, and Kathryn Thornberry is a palliative care social worker at University of California, San Diego Health, San Diego, California. Susan Barbour is a palliative care clinical nurse specialist, Kathleen Turner is a critical care bedside nurse, and Denah Joseph is a chaplain and palliative care service associate director at University of California, San Francisco Medical Center, San Francisco, California. Michelle M. Milic is an associate professor in the Division of Pulmonary, Critical Care, and Sleep Medicine, MedStar Georgetown University Hospital, Washington, DC. wendy.anderson@ucsf.edu.
A professional development program improved intensive care unit (ICU) nurses' palliative care communication skills and their ability to identify and address patient needs during structured coaching rounds.
Area of Science:
- Nursing Education
- Palliative Care
- Intensive Care Medicine
Background:
- Bedside nurses in intensive care units (ICUs) are crucial for palliative care integration.
- Nurses report insufficient palliative care education, hindering effective integration.
- Professional development is needed to equip ICU nurses with essential palliative care skills.
Purpose of the Study:
- To implement and evaluate a palliative care professional development program tailored for ICU bedside nurses.
- To enhance nurses' palliative care communication competencies and practical application.
- To assess the impact of structured coaching on identifying and addressing patient palliative care needs.
Main Methods:
- A train-the-trainer program was delivered to palliative care advanced practice nurses and educators across 5 academic medical centers.
- Mentoring supported the implementation of communication workshops and structured coaching rounds in ICUs over 2 years.
- Nurses' self-reported communication skills and identification of palliative care needs during coaching were primary outcome measures.
Main Results:
- 428 bedside nurses were trained across 5 centers, with each center conducting at least 6 workshops.
- Post-workshop surveys showed significant improvement in nurses' self-rated palliative care communication skills for 15 tasks.
- In 82% of 1110 discussed patients, nurses identified palliative care needs and developed action plans during monthly coaching rounds.
Conclusions:
- Palliative care communication skills training workshops effectively enhanced nurses' perceived abilities.
- Structured coaching rounds facilitated nurses in identifying and addressing critical palliative care needs for ICU patients.
- The program demonstrated a positive impact on nursing practice in integrating palliative care within the ICU setting.
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