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Palliative Care Conversations for Heart Failure Nurses: A Pilot Education Intervention.
Stephanie Turrise1, Caroline A Jenkins2, Tamatha Arms1
1School of Nursing University of North Carolina Wilmington, Wilmington, NC, USA.
SAGE Open Nursing
|October 25, 2021
Summary
Nurses caring for heart failure patients need better palliative care training. An online education module improved nurses' perceived skills and knowledge in discussing palliative care, enhancing patient quality of life.
Area of Science:
- Nursing Education
- Palliative Care
- Heart Failure Management
Background:
- Heart failure affects millions, necessitating palliative and supportive care for symptom management and quality of life.
- A significant gap exists, with 91% of nurses lacking confidence in conducting palliative care conversations.
- Nurses require enhanced training to effectively integrate palliative care into heart failure management.
Purpose of the Study:
- To evaluate an educational intervention aimed at improving nurses' knowledge and skills in palliative care conversations for heart failure patients.
- To assess the impact of online education on the timing and content of palliative care discussions.
- To determine the feasibility and effectiveness of asynchronous online learning for palliative care education.
Main Methods:
- A pilot study utilized an online, asynchronous educational intervention.
- Data were collected from 13 nurses using validated questionnaires (End-of-Life Professional Caregiver Survey - EPCS) administered electronically before and after the module.
- Statistical analysis included independent samples t-tests to compare pre- and post-intervention scores.
Main Results:
- Post-intervention scores showed improvement across all measures.
- Statistically significant increases were observed in the Effective Care Delivery (ECD) scale scores (p=.05).
- Total EPCS scale scores also demonstrated a significant improvement from pre- to post-intervention (p=.03).
Conclusions:
- The online education module effectively improved nurses' perceived knowledge and skills regarding palliative care conversations.
- Asynchronous online education is a feasible and effective method for enhancing nurses' palliative care competencies in heart failure.
- This intervention supports better integration of palliative care, improving quality of life for heart failure patients.
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