scholarly journals ASSESSMENT OF PALLIATIVE CARE TRAINING NEEDS FOR CERTIFIED NURSING ASSISTANTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S296-S296
Author(s):  
Jinsook Kim ◽  
Jennifer A Gray
Keyword(s):  
Palliative Care ◽  
Advance Directives ◽  
Online Survey ◽  
Training Needs ◽  
Nursing Assistants ◽  
Certified Nursing Assistants ◽  
Training Experience ◽  
Complex Needs ◽  
Dying Patients ◽  
Care Training

Abstract It is unknown whether certified nursing assistants (CNAs) receive up-to-date palliative care training through continuing education. Also unclear is whether existing trainings cover the issues that CNAs encounter at work or are tailored to CNAs’ learning styles and preferences. This study aimed to assess the palliative care training needs of CNAs working at skilled nursing facilities (SNFs) in northern Illinois. CNAs (n=127) from 6 SNFs completed an online survey regarding palliative care training experience, perceived needs for palliative care training, and demographic and work-related information. The majority of the participants were female (88%) and White (58%) or African American (20%). On average, participants were 34 years old and worked for 8 years in the field. Four out of five preferred a training 90 minutes or shorter. Approximately one half preferred in-person training, and the rest preferred a hybrid (32%) or online delivery (19%). Discussions and videos were most preferred in training, while quizzes and mobile apps were least preferred. CNAs who worked longer in the field were less likely to have received training than their counterparts. The least-trained areas included utilizing advance directives and discussing death with patients. The most needed training areas were talking to a patient who wants to hasten death and addressing the complex needs of dying patients. The results indicate a relative deficiency of palliative care training among CNAs who have worked longer in the field. Training areas needing more attention include advance directives, discussing death with patients, and the complex needs of dying patients.

scholarly journals Evaluation of Online Palliative Care Training for Certified Nursing Assistants

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 521-521
Author(s):  
Jinsook Kim ◽  
Jennifer Gray
Keyword(s):  
Palliative Care ◽  
Self Efficacy ◽  
Nursing Assistants ◽  
Control Group ◽  
Certified Nursing Assistants ◽  
Comfort Care ◽  
Significant Difference ◽  
Care Training ◽  
Experimental Group

Abstract Palliative care for older adults is increasingly needed due to a burgeoning older adult population. Certified nursing assistants (CNAs) in skilled nursing facilities (SNFs) provide assistance with activities of daily living and comfort care. There, however, is a significant gap in evaluated palliative care trainings for CNAs. We used a waitlisted control group design to evaluate the effectiveness of an 8-module online palliative care training. CNAs (n=102) from 6 SNFs were randomly assigned to an experimental (n=51) and a control group (n=51) and completed a baseline evaluation. The experimental group took a posttest about palliative care knowledge upon training completion and a 1-month follow-up assessment about palliative care self-efficacy. The control group completed the assessments at the same time as the experimental group prior to receiving the training. The majority of the participants were female (92%). On average, participants were 31 years old, with 6.5 years tenure in the field. The retention rate was 90% at the posttest (n=92) and 82% at the 1-month follow-up (n=84). Palliative care knowledge (scored 0–100) significantly increased in the experimental group (mean 4.1, p < 05), with no significant change in the control group. Palliative care self-efficacy (scored 20-100) significantly improved from the baseline to follow-up in both groups (mean 4.3 and 5.8 respectively, p < 05) with no significant difference between study groups. The results indicate the effectiveness of an online palliative care training to improve CNA knowledge. Improvement in palliative care self-efficacy regardless of training participation warrants further exploration.

scholarly journals Needs of Patients in the Triage Category “Expectant” in Prehospital Disaster Settings: A Survey Among German Medical Incident Commanders and Palliative Care Physicians

2019 ◽  
Vol 34 (s1) ◽  
pp. s151-s152
Author(s):  
Gerald Ripberger ◽  
Michael Oppert ◽  
Jens Werner Bickelmayer
Keyword(s):  
Palliative Care ◽  
Online Survey ◽  
Disaster Medicine ◽  
Care Physician ◽  
List Type ◽  
Bill Of Rights ◽  
Human Right ◽  
Dying Patients ◽  
Triage Category ◽  
Life Saving

Introduction:The treatment of patients in the triage category “expectant” is not in the focus of the prehospital disaster medicine. The aim is to save as many lives as possible in situations with very limited resources. It is necessary to allocate the life-saving interventions to those who have the chance to survive, but there is a human right of best assistance even for those who are expected to die.Aim:In Germany, it is possible to use the triage category “expectant” in overwhelming disasters, so there should be preparedness for those patients, who receive this categorization. A survey was conducted to find out what the needs are of those patients.Methods:An online-survey was submitted to German medical incident commanders and palliative care physician in function of expert groups via their national associations.Results:219 physicians participated. The majority confirmed a necessity to treat those patients and to be prepared. Currently, in most of the areas, there is no preparation. The main needs are the treatment of pain, dyspnoea, fear, and loneliness. Following the “Dying person’s bill of rights” (1), the most relevant rights are: To be treated as living human being until I dieTo be free from painTo express the feelings and emotionsTo die in peace and dignityDiscussion:Palliative care should be part of disaster medicine planning. It is not too difficult to prepare a special group of helper for the care of dying patients. Medical incident commanders and palliative care physicians agree in the majority about the necessity, so SOPs can be implemented to teach non-medics. The medics will be needed for the first aim of disaster medicine.

Pain therapy, pediatric palliative care and end-of-life care: training, experience, and reactions of pediatric residents in Italy

2014 ◽  
Vol 173 (9) ◽  
pp. 1201-1207 ◽  
Author(s):  
Francesca Rusalen ◽  
Anna Ferrante ◽  
Chiara Pò ◽  
Michele Salata ◽  
Caterina Agosto ◽  
...  
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
End Of Life Care ◽  
Pain Therapy ◽  
Pediatric Palliative Care ◽  
Life Care ◽  
Training Experience ◽  
Pediatric Residents ◽  
Care Training

Professional characteristics and the prevalence of advance directives among palliative care professionals: A cross-sectional study

2020 ◽  
pp. 1-6
Author(s):  
Ana Cláudia Mesquita Garcia ◽  
Luciana Dadalto ◽  
Isabelle Cristinne Pinto Costa ◽  
Denismar Alves Nogueira ◽  
Silvia Caldeira ◽  
...  
Keyword(s):  
Palliative Care ◽  
Advance Directives ◽  
Online Survey ◽  
Healthcare Professionals ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Post Graduate ◽  
Palliative Care Education ◽  
Professional Characteristics

Abstract Objective This study aimed to investigate the association between professional characteristics and the prevalence of advance directives among palliative care professionals. Methods This is a descriptive cross-sectional study. A diverse sample of 327 healthcare professionals completed an online survey investigating demographic variables, length of time working in palliative care, post-graduate qualifications in palliative care, and development of their own advance directives. Results The prevalence of advance directives among professionals working in palliative care was associated with factors such as higher academic qualifications, holding a post-graduate qualification in palliative care, and working in palliative care for a longer time. Furthermore, psychologists were most likely to have registered their own advance directives, compared with other healthcare professionals. Significance of results Post-graduate palliative care education and professional experience in this area appear to be important factors associated with palliative care professionals writing of their own advance directives. However, our study suggests that just being involved in or familiar with the context of palliative and end-of-life care does not guarantee that health professionals register their advance directives.

scholarly journals Palliative Care Training for Work in an Austere Environment After a Natural Disaster

2019 ◽  
Vol 34 (s1) ◽  
pp. s54-s54
Author(s):  
Annekathryn Goodman ◽  
Lynn Black
Keyword(s):  
Palliative Care ◽  
Moral Distress ◽  
Peer Group ◽  
Self Care ◽  
Mass Casualty ◽  
List Type ◽  
Disaster Victims ◽  
Dying Patients ◽  
Mass Casualty Event ◽  
Care Training

Introduction:Healthcare professionals working in a disaster face destroyed physical infrastructures, scarce supplies, and a limited-in-training peer group. During a mass casualty event, disaster victims are triaged to the “expectant” category of care because either their injuries are not survivable or the resources needed to care for them are not available.Aim:To examine the challenges that disaster responders face in caring for dying patients in the field, and advocate for basic palliative care training prior to deploying to a disaster.Methods:The world’s literature was reviewed to identify challenges for disaster teams in providing compassionate end-of-life care and to find training exercises for pre-deployment competency building.Results:Training Topics in Palliative Care Prior to Disaster Deployment include the following: 1.Symptom Management Protocols: PainAnxietyRespiratory distressDeliriumNausea and Vomiting2.Spiritual Management GriefIdentify meaning3.Cultural Training specific to the location of the disaster The meaning of death in the cultureWho are the decision makers in the family4.Training for difficult conversations Delivering Bad NewsManaging a grieving family5.Self-Care Training Develop a system for debriefingDevelop a buddy systemSelf-care exercises: deep breathing, prayer, meditation, yogaDiscussion:Challenges to the care of the dying during a disaster include a loss of medical infrastructure and scarce medical or physical resources. Palliative care training for non-palliative care specialists can be instructive for the development of palliative care training for medical care responders after disasters. Applying standards, identifying goals of care for the expectant patient, communication to the patient and family members, if available, can help reduce suffering of this group of devastatingly vulnerable patients. In addition, peer support, on-site discussions and debriefing, and problem-solving when resources are limited will help alleviate moral distress among the providers.

scholarly journals Incorporating reflective writing & art therapy in my palliative care practice

2021 ◽  
Vol 31 (2) ◽  
pp. 205-212
Author(s):  
Kalliopi Stilos ◽  
Katherine Burgoyne
Keyword(s):  
Palliative Care ◽  
Emotional Health ◽  
Psychosocial Care ◽  
Family Satisfaction ◽  
Care Practice ◽  
Continuous Exposure ◽  
Spiritual Support ◽  
Advanced Illness ◽  
Complex Needs ◽  
Dying Patients

The specialty of palliative care routinely focuses on the complex needs of patients living with incurable illness and their families’ emotional and psychosocial concerns. Healthcare professionals who work with patients with advanced illness sometimes suffer from frustration and anxiety when they return home from caring for dying patients. The psychosocial care that increases patient and family satisfaction is sometimes lost when nurses are suffering (Pendry, 2007; Freeman, 2013). Continuous exposure to such difficult situations and the accumulation of unrecognized feelings and attitudes can lead to physical and psychological challenges (Pereira et al., 2011). As such, nurses have a duty to maintain their health to the best of their ability. To encourage nurses in promoting emotional health, Freeman’s (2013) CARES tool (Comfort, Airway management, Restlessness and delirium, Emotional and spiritual support, and Self-care) was integrated into our organization’s Comfort Measures Order Set for imminently dying patients (prognosis <72 hours) (Stilos, Wynntchuk et al., 2016).

scholarly journals Nurses’ knowledge and attitudes towards palliative care and death: a learning intervention

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Yanping Hao ◽  
Lixuan Zhan ◽  
Meiling Huang ◽  
Xianying Cui ◽  
Ying Zhou ◽  
...  
Keyword(s):  
Palliative Care ◽  
Mixed Method ◽  
Mobile Terminal ◽  
Training System ◽  
Training Methods ◽  
Post Intervention ◽  
Knowledge And Attitudes ◽  
Learning Intervention ◽  
Dying Patients ◽  
Care Training

Abstract Background In many countries, nurses are ill-prepared to provide care to patients with terminal illnesses. Limited education and training affect their ability to deliver proper palliative care. Only a few studies have explored appropriate and effective training methods of palliative care in China. Therefore, we aimed to provide evidence for a palliative care training system by appraising the effects of a mixed-method intervention on participants’ knowledge of palliative care and attitudes towards dying patients and death. Methods An e-learning intervention approach was adopted for 97 nurses from oncology departments across five hospitals, using a mobile terminal combined with a virtual forum and face-to-face interactions. We conducted a pre- and post-training evaluation through the Palliative Care Quiz of Nursing (PCQN), Frommelt Attitude Toward Care of the Dying Scale Form B (FATCOD-B), and Death Attitude Profile-Revised (DAP-R). Results After a three-week intervention, there was a significant increase in the PCQN and FATCOD-B scores as compared to the baseline. For PCQN, the total score increased from 10.3 ± 1.9 to 11.1 ± 2.2 (p = .011) and the score for management of pain and other symptoms increased from 7.7 ± 1.7 to 8.4 ± 1.7 (p = .003). FATCOD-B scores increased noticeably from 100.6 ± 7.9 to 102.9 ± 8.9 (p = .019). The DAP-R scores showed no obvious difference between pre- and post-intervention results. Conclusions The mixed-method intervention was effective in improving participants’ knowledge and attitudes about palliative care. The implementation of training for nurses at appropriate intervals during both education and professional life is required, especially regarding the improvement in participants’ attitudes towards death. Therefore, palliative care training in China should receive more attention.

Developing the Future End-of-Life Health Care Workforce: Lessons Learned From a Survey of Advanced Health Professions Students

2021 ◽  
pp. 104990912110357
Author(s):  
Nathan A. Boucher ◽  
Emma Dries ◽  
Anita Franzione ◽  
Allison M. Burton-Chase ◽  
Deborah Morris ◽  
...  
Keyword(s):  
Public Health ◽  
Palliative Care ◽  
End Of Life ◽  
Online Survey ◽  
Physician Assistant ◽  
Health Professions ◽  
Lessons Learned ◽  
Sufficient Knowledge ◽  
Dying Patients ◽  
Eol Care

Objective: To examine health professions trainees’ end-of-life (EOL) care knowledge, attitudes, and intentions. Methods: IRB-approved online survey of 346 students/5 universities in final training years—public health, pharmacy, physician, physician assistant, occupational therapy, and physical therapy (April-May 2016). Queried knowledge, attitudes, and intentions toward EOL care. Results: Sufficient knowledge of palliative care was reported by 25% while sufficient knowledge of advance care planning (ACP) was 17%. Ninety-six percent thought it important to discuss EOL issues in training; 92% believed their professions played important roles in EOL care. Managing pain was chosen as the best example of palliative care by 93.6% and designating healthcare proxies was reported as the best example of ACP (5.8%). Pharmacy, public health, and rehabilitation therapy students were less likely than physician and physician assistant trainees to report intent to work in EOL care. Among those who want to work in EOL care, 65% reported having clinical experience with seriously ill or dying patients/clients. We discuss other findings related to perceptions of didactic preparation in palliative care, palliative care knowledge access/function, death/dying attitudes, and intentions toward seriously illness care. Discussion: There is interest in and knowledge of palliative care, including EOL care, among multiple health professions. Provides guidance for how we train health professionals to improve population health by optimizing EOL care.

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