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Evaluation of an Innovative Curriculum Enhancement: The Conversation Project
Michael Pagano1, Diana R Mager, Eileen R O'Shea
1About the Authors Michael Pagano, PhD, PA-C Emeritus, is an associate professor, Department of Communication, Fairfield University, Fairfield, Connecticut. Diana R. Mager, DNP, RN-BC, is an associate professor, Egan School of Nursing and Health Studies, Fairfield University. Eileen R. O'Shea, DNP, APRN, PCNS-BC, CHPPN, is a professor, Egan School of Nursing and Health Studies, Fairfield University. Cynthia O'Sullivan, PhD, APRN, FNP-BC, is an associate professor, Department of Nursing, Southern Connecticut State University, New Haven, Connecticut. This project was supported by funding from the Connecticut Cancer Partnership and the Connecticut Coalition to Improve End-of-Life Care awarded to Dr. O'Shea and Dr. O'Sullivan. For more information, contact Dr. Pagano at mpagano@fairfield.edu.
Graduate nursing students improved end-of-life communication skills after a curriculum on The Conversation Project (TCP). The training enhanced their abilities and reduced anxiety regarding advance care planning discussions.
Area of Science:
- Nursing Education
- Medical Communication
- Gerontology
Background:
- Effective communication is crucial for end-of-life care.
- Advance care planning conversations are often challenging for healthcare professionals.
- The Conversation Project (TCP) offers a framework for these sensitive discussions.
Purpose of the Study:
- To pilot an innovative curriculum teaching The Conversation Project (TCP) to graduate nursing students.
- To enhance students' skills in initiating and conducting end-of-life and advance care planning conversations.
- To assess the impact of the curriculum on student communication abilities and anxiety levels.
Main Methods:
- A pilot curriculum focused on The Conversation Project (TCP) was implemented in two nursing schools.
- Twenty-six graduate nursing students participated in the program.
- Assignments centered on communicating newly acquired TCP information, followed by post-reflections.
Main Results:
- Participants reported enhanced communication skills.
- Students experienced reduced anxiety related to end-of-life discussions.
- The curriculum demonstrably increased students' abilities to engage in end-of-life conversations.
Conclusions:
- An innovative curriculum effectively prepared graduate nursing students for end-of-life and advance care planning conversations.
- TCP training can improve nurses' communication competence and confidence in discussing sensitive topics.
- Integrating such curricula is vital for the future of palliative and end-of-life care nursing.
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