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Improving End-of-Life Communications Using Technology-Assisted Continuing Education With Interprofessional Teams
Mary Magee Gullatte1, C Suzanne Allen, Elizabeth Botheroyd
1Mary Magee Gullatte, PhD, RN, ANP-BC, AOCN, FAAN, is Corporate Director for Nursing Innovation, EBP, and Research, Emory Healthcare, Inc., Atlanta, Georgia. C. Suzanne Allen MSN, APRN, AGCNS-BC, AOCNS, OCN, is Oncology Clinical Nurse Specialist, Winship Cancer Institute of Emory University, Atlanta, Georgia. Elizabeth Botheroyd, BSN, MHA, RN-BC, is Manager, Nursing Education Department, Emory Healthcare, Atlanta, Georgia. Robert G. Hess Jr., PhD, RN, FAAN, is Executive Vice President, Chief Clinical Executive, OnCourse Learning, Healthcare, Brookfield, Wisconsin. Melinda Higgins, PhD, is Statistician, Emory Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia. Julia Meneghetti BSN, RN, CCRN, is Nurse Clinician, Emory University Hospital Medical Intensive Care Unit, Atlanta, Georgia. Sandra Mullings, LCSW, ACM-SW, CPC, is Director, Care Coordination, Emory University Hospital Midtown, Atlanta, Georgia. Jennifer Mensik, PhD, RN, NEA-BC, FAAN, is Division Director for Care Management, Oregon Health & Science University, Portland. Joy A. Okonye, BSN, RN, CCRN, is Critical Care Nurse, Emory University Hospital Midtown, Atlanta, Georgia. Nadine Salmon, MSN, BSN, RN-BC, IBCLC, is Clinical Director of CE Programs, Healthcare for OnCourse Learning, Savannah, Georgia.
Registered nurses and social workers can improve end-of-life communication skills through technology-assisted continuing education (TACE). This pilot study showed TACE significantly increased caregiver comfort and capability in discussing end-of-life care.
Area of Science:
- Healthcare Education
- Interprofessional Communication
- Palliative Care
Background:
- Registered nurses and social workers often lack experience in conducting end-of-life discussions.
- Effective communication is crucial for quality palliative and end-of-life care.
- Existing training methods may not adequately prepare healthcare professionals for these sensitive conversations.
Purpose of the Study:
- To evaluate the impact of technology-assisted continuing education (TACE) on the capability and comfort of healthcare professionals in end-of-life communication.
- To assess the effectiveness of a novel TACE methodology in an interprofessional context.
- To provide a foundation for future research on technology-enhanced healthcare training.
Main Methods:
- A pilot study was conducted across two sites involving registered nurses and social workers.
- Participants engaged in a technology-assisted continuing education (TACE) program focused on end-of-life communication.
- Pre- and post-intervention assessments measured changes in participants' self-reported comfort and capability levels.
Main Results:
- Participants demonstrated significant increases in both comfort and capability scores related to end-of-life communication following the TACE intervention.
- The TACE methodology proved feasible and effective in a dual-site, interprofessional setting.
- This study represents the first exploration of this specific TACE approach for end-of-life communication training.
Conclusions:
- Technology-assisted continuing education (TACE) is an effective method for enhancing healthcare professionals' skills and confidence in end-of-life discussions.
- The findings support the broader application of TACE for improving interprofessional communication in sensitive healthcare areas.
- Further research is warranted to validate these findings in larger, diverse populations and settings.
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