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Case-Based PowerPoint to Improve Knowledge and Comfort of Having Code Status Discussions by Physician Assistant and
Kimberly Schoonover1, Andrew Herber2, Sally Heusinkvelt2
1Center for Palliative Medicine, Mayo Clinic, Rochester, MN, USA.
Journal of Palliative Care
|November 2, 2018
Summary
A brief educational intervention significantly improved physician assistant (PA) and nurse practitioner (NP) students' knowledge of survival likelihood after cardiac arrest and comfort in discussing patient code status.
Area of Science:
- Medical Education
- Palliative Care
- Clinical Ethics
Background:
- Limited understanding exists regarding educational strategies to enhance code status discussions.
- Physician assistant (PA) and nurse practitioner (NP) students require improved training in end-of-life care communication.
Purpose of the Study:
- To evaluate the effectiveness of a case-based educational intervention on PA and NP students' knowledge and comfort with code status discussions.
Main Methods:
- A prospective pilot study was conducted at a single academic center.
- Participants included PA and adult gerontology acute care nurse practitioner (AGACNP) students.
- A case-based PowerPoint presentation was used as the educational intervention.
Main Results:
- The intervention significantly increased knowledge regarding the likelihood of survival to hospital discharge after cardiac arrest (P = .01).
- Student comfort levels in conducting informed code status discussions significantly improved (P = .02).
- No significant difference was observed in the identification of correct code status before and after the training.
Conclusions:
- A concise, case-based PowerPoint intervention effectively enhanced PA and AGACNP students' understanding of resuscitation outcomes.
- The educational module improved students' confidence in facilitating critical patient code status conversations.
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