Bringing the Background to the Foreground in Nursing Education: Appreciating Nursing Students’ Backgrounds in an End-Of-Life Care Simulation

Objective: It is imperative that nurses are proficient and comfortable providing care to patients at the end of life. Recent studies show that nurses’ knowledge of end-of-life care is less than optimal. Effective, evidence-based methods to infuse palliative and end-of-life care education into the undergraduate nursing curriculum are needed. Methods: A descriptive pre- and postassessment evaluating senior nursing students’ acquisition of knowledge on end-of-life care after attending the End-of-Life Nursing Education Consortium (ELNEC) core course was conducted. The course evaluation included qualitative statements. Results: Before the ELNEC course, one-third of the students had cared for a dying patient during clinical rotations, yet 85% reported they had not received adequate training in end-of-life care. Posttest questions related to palliative care, symptom management, communication, and grief indicated that students acquired significant knowledge after participating in the ELNEC course ( P < .05). Conclusion: The ELNEC core course is an effective way to improve nursing students’ knowledge of palliative and end-of-life care.

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Caring for Dying Patient and Their Families

Journal of Palliative Care ◽

10.1177/0825859717745169 ◽

2017 ◽

Vol 32 (3-4) ◽

pp. 127-133 ◽

Cited By ~ 5

Author(s):

Lorenza Garrino ◽

Claudia Contratto ◽

Patrizia Massariello ◽

Valerio Dimonte

Keyword(s):

Nursing Education ◽

Nursing Students ◽

Lived Experience ◽

End Of Life ◽

Undergraduate Students ◽

End Of Life Care ◽

Student Nurses ◽

Life Care ◽

School Of Nursing ◽

Qualitative Phenomenological

Background: The literature from recent decades persistently suggests that nurses are not adequately trained in caring for the dying. Numerous studies call for enhanced education in end-of-life care. Objective: To explore student nurses’ experience of caring for dying persons and their families and how this experience was influenced by their undergraduate education, with a view to improving end-of-life training. Methods: Narrative interviews were administered to a purposive sample of 18 undergraduate students at Turin University’s School of Nursing and analyzed following Giorgi’s qualitative phenomenological methodology. Results: The students’ accounts featured 4 main themes: emotions and feelings, reactions and coping strategies, growth in personal and professional awareness, and the professional nursing model. Students reporting positive experience of end-of-life care in clinical settings displayed the expected learning outcomes for undergraduate nursing education. Conclusion: This study’s strength lies in the fact that it draws on student nurses’ lived experience to assess training in end-of-life care. It confirms the need to invest in targeted end-of-life education and support for nursing students.

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The Impact of End-of-life Care Simulation on Resilience for Nursing Students: A Study by Randomized Controlled Trial

Palliative Care Research ◽

10.2512/jspm.15.153 ◽

2020 ◽

Vol 15 (2) ◽

pp. 153-160

Author(s):

Yumie Yokoi ◽

Tomoko Tamaki ◽

Anri Inumaru ◽

Makoto Fujii ◽

Mayumi Tsujikawa

Keyword(s):

Randomized Controlled Trial ◽

Nursing Students ◽

End Of Life ◽

End Of Life Care ◽

Controlled Trial ◽

Life Care ◽

Randomized Controlled ◽

The Impact

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Two prelicensure nursing programs assess readiness to standardize palliative and end of life care curriculum

Journal of Nursing Education and Practice ◽

10.5430/jnep.v8n2p29 ◽

2017 ◽

Vol 8 (2) ◽

pp. 29 ◽

Cited By ~ 1

Author(s):

Andra L. Davis ◽

Megan E. Lippe

Keyword(s):

Nursing Education ◽

End Of Life ◽

End Of Life Care ◽

Ad Hoc ◽

Life Care ◽

Student Preparation ◽

Needs Assessments ◽

Care Integration ◽

Dying Patients ◽

Prelicensure Nursing

There is a growing imperative for nurses to be adequately trained to care for patients with serious, life-limiting illness. However, the current nursing education system requires vast content areas be taught, resulting in minimal emphasize on palliative and end-of-life care and inadequate preparation of nurses to care for dying patients upon entering practice. To address the need for enhanced palliative and end-of-life care integration within their respective programs, two universities conducted needs assessments to determine the best next steps in enhancing student preparation to care for patients with serious, life-limiting illness. One university engaged in a three-part needs assessment resulting in the formation of an ad hoc committee to guide discussions for content integration. The second university engaged in a faculty-led survey to identify areas for improvement within the program. The purpose of this paper is to describe the processes and challenges encountered by both schools to aid other programs that may be considering or preparing for a similar endeavor.

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Frommelt Attitudes Toward Care of the Dying Scale Form B

OMEGA - Journal of Death and Dying ◽

10.1177/0030222815568944 ◽

2015 ◽

Vol 70 (3) ◽

pp. 227-250 ◽

Cited By ~ 13

Author(s):

Chiara Mastroianni ◽

Michela Piredda ◽

Chiara Taboga ◽

Fiorino Mirabella ◽

Elisabetta Marfoli ◽

...

Keyword(s):

Nursing Students ◽

End Of Life ◽

Internal Consistency ◽

End Of Life Care ◽

Intraclass Correlation ◽

Italian Population ◽

Life Care ◽

Validity And Reliability ◽

Convenience Sample ◽

Care Of The Dying

Nurses' attitudes toward caring for dying patients have an impact on the quality of the care provided. Education can improve knowledge and attitudes toward end-of-life care. No validated tool that measures such attitudes is available for Italian nursing students. The aim of this study was to translate the Frommelt Attitudes Toward Care of the Dying Scale (FATCOD) Form B from English into Italian and to establish its validity and reliability within an Italian population of students. A two-stage design was used. Stage 1 adapted the original version of the tool and tested it for content validity through a multistep process. Stage 2 tested its psychometric properties by analyzing internal consistency, test–retest reliability, and construct validity. The convenience sample consisted of 465 nursing students from all the universities of one Italian region. Measures of stability showed a very good overall (0.87) intraclass correlation coefficient (ICC). The discriminating capacity of the scale was adequate with good values of asymmetry and kurtosis for most of the items. Good internal consistency was found. The six factors derived from the factor analysis are the following: Fear/Malaise, Communication, Relationship, Care of the family, Family as Caring, and Active Care. FATCOD Form B-I is a valid, reliable, and acceptable tool for evaluation of attitudes toward end-of-life care in Italian students. It measures six specific dimensions that should be highlighted during health care student education and training.

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Undergraduate final year nursing students’ attitudes toward caring for dying patients: Bahrain’s experience

Clinical Nursing Studies ◽

10.5430/cns.v6n4p53 ◽

2018 ◽

Vol 6 (4) ◽

pp. 53

Author(s):

Maryam Yaqoob ◽

Husain Nasaif ◽

Hana Kadhom

Keyword(s):

Nursing Students ◽

End Of Life ◽

Curriculum Reform ◽

End Of Life Care ◽

Life Care ◽

Gulf Region ◽

Cross Sectional ◽

Convenience Sample ◽

Dying Patients ◽

Students Attitudes

Background: Nursing students are frequently exposed to dying patients during their clinical placement. Research studies that examined nursing students’ attitudes toward caring for dying patients were limited in the Gulf Region, including Bahrain.Objective: The purpose of this study is to examine the attitudes of fourth-year baccalaureate nursing students regarding caring for dying patients.Methods: A descriptive cross-sectional design was utilized to recruit a convenience sample of fifty-four nursing students. Frommelt’s Attitudes towards Caring of the Dying (FATCOD) five Likert scale was used.Results: The overall findings revealed that participants had a neutral attitude toward caring for dying patients. The overall attitudes mean score was 3.4 ± 0.3. The majority of participants were female (83%, n = 45). The difference in the mean score in relation to gender was statistically significant (p = .049). Although the majority of all participants (80%) reported having dealt with the terminally ill people in the past, the association between previous experience and reported attitudes was not statistically significant (p = .31).Conclusions and recommendations: Literature revealed that students who received end of life education where found to have positive attitudes. Therefore, it’s crucial to introduce a standalone educational module regarding end of life care early on in the undergraduate curriculum. It is recommended that future studies recruit nursing students from other baccalaureate year levels to reassess the attitudes and level of preparedness following a curriculum reform and implementation of end of life care education. Additionally, a qualitative research method is recommended to explore the lived experience of the nursing students when they are caring for dying patients.

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Experiences of a Group of Senior Nursing Students with End of Life Care and Death in Turkey

OMEGA - Journal of Death and Dying ◽

10.1177/0030222820961232 ◽

2020 ◽

pp. 003022282096123

Author(s):

Deniz Sanli ◽

Fatma Iltus

Keyword(s):

Nursing Students ◽

End Of Life ◽

End Of Life Care ◽

Quality Care ◽

Death And Dying ◽

Life Care ◽

Death Attitudes ◽

Positive Attitudes ◽

Dying Patients ◽

And Behaviors

Nursing students may feel unprepared to manage the care of dying individuals and may experience anxiety and fear related to death and dying. Preparing nursing students for this situation can help them provide quality care to dying patients. This study aimed to examine the end-of-life care values and behaviors and death attitudes of senior nursing students. In examining these variables, the Values and Behaviors of Intensive Care Nurses for End-of-Life Instrument and the Death Attitude Profile-Revised Scale were used. It was found that the students developed positive attitudes and behavior towards end-of-life care, and that they believed death to be a natural part of life and there is life after death. Students who felt that the information they received during their education was partially sufficient were more likely to have negative death attitudes. It can be recommended that teaching strategies in the education of the nursing students be developed.

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