Impact on Self-Efficacy on End of Life Care Discussions: Before and after Structured Educational Training on Licensed Nurses

2020 ◽  
Author(s):  
Anna Lagahit
Keyword(s):  
End Of Life ◽  
Self Efficacy ◽  
End Of Life Care ◽  
Life Care ◽  
Educational Training ◽  
Before And After

Self-Efficacy Approaches to Improving End-of-Life Care for the Critically Ill

2011 ◽  
Vol 183 (3) ◽  
pp. 288-290 ◽  
Author(s):  
Élie Azoulay ◽  
Mark D. Siegel
Keyword(s):  
End Of Life ◽  
Critically Ill ◽  
Self Efficacy ◽  
End Of Life Care ◽  
Life Care

scholarly journals 3478 Knowledge, Attitudes and Practices on End-of-Life Care among Healthcare Professionals in a Community Hospital in Puerto Rico

2019 ◽  
Vol 3 (s1) ◽  
pp. 148-149
Author(s):  
Deana Hallman ◽  
Ivonne Jimenez
Keyword(s):  
Puerto Rico ◽  
End Of Life ◽  
End Of Life Care ◽  
Community Hospital ◽  
Acute Hospital ◽  
Life Care ◽  
Educational Training ◽  
Attitudes And Practices ◽  
Knowledge Attitudes And Practices ◽  
Doctors And Nurses

OBJECTIVES/SPECIFIC AIMS: The study aims to determine the baseline knowledge, attitudes and practices of the professionals (i.e., doctors and nurses) that provide the end-of-life care at an acute community hospital. By obtaining information on what is known, what is believed and what is done by doctors and nurses in end-of-life care, we can identify needs, problems, barriers and possible solutions. METHODS/STUDY POPULATION:. Develop a questionnaire in Spanish addressing knowledge, attitudes and practices about end-of-life care in an acute hospital, define the survey objectives, and develop the survey protocol. o To validate the pertinence and usefulness of each questionnaire item, a panel of experts in palliative and end-of-life care will be consulted. o To finalize the questionnaire, it will be pre-tested with a small number of healthcare providers randomly selected from the survey’s intended population. Implement the questionnaire to doctors/nurses providing direct end-of-life care by purposeful sampling at an acute community hospital. o Beforehand, survey interviewers will be recruited and trained. Perform quantitate and qualitative analyses o Answers to closed-end questions and quantitative data will be tallied using Microsoft Excel and analyzed using STATA statistical software. o Relationship between the participant’s characteristics and their knowledge, attitudes and practices will be assessed using chi-square test. o Answers to open-ended questions in the questionnaire will be collected, analyzed based on their content, and placed in more comprehensive categories by NVivo software. RESULTS/ANTICIPATED RESULTS: It is expected to capture variations and/or consistencies in the amount of knowledge, the type of attitudes and the actual practices among and within physicians and nurses on end-of-life care in a community acute hospital. DISCUSSION/SIGNIFICANCE OF IMPACT: The proposed research is expected to contribute key information from the perspectives of physicians and nurses who deliver end-of-life care in an acute community hospital in Puerto Rico. This contribution is significant because it will serve as the platform to develop culturally-appropriate educational/training materials and, subsequently, implement culturally-responsive guidelines for the care of seriously ill Hispanics, with the expectation of improving their quality of life, and perhaps reducing their medical care costs.

Aggressiveness of end-of-life care before and after the utilization of a palliative care service.

2011 ◽  
Vol 29 (15_suppl) ◽  
pp. 9135-9135
Author(s):  
W. Gonsalves ◽  
T. Tashi ◽  
T. Davies ◽  
S. Ortman ◽  
R. Thota ◽  
...  
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
End Of Life Care ◽  
Care Service ◽  
Palliative Care Service ◽  
Life Care ◽  
Before And After

Self-Efficacy in End-of-Life Care Survey--Unregulated Care Providers Version

2016 ◽  
Author(s):  
Katherine Kortes-Miller ◽  
Kristen Jones-Bonofiglio ◽  
Stephanie Hendrickson ◽  
Mary Lou Kelley
Keyword(s):  
End Of Life ◽  
Self Efficacy ◽  
End Of Life Care ◽  
Life Care ◽  
Care Providers ◽  
Care Survey

Impact of a palliative care initiative on end-of-life care in the general wards: A before-and-after study

2013 ◽  
Vol 28 (1) ◽  
pp. 34-41 ◽  
Author(s):  
Adeline Tan ◽  
Angeline Seah ◽  
Gerald Chua ◽  
Tow Keang Lim ◽  
Jason Phua
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
End Of Life Care ◽  
Life Care ◽  
Before And After ◽  
General Wards ◽  
Before And After Study

scholarly journals COMPARISON OF DOCUMENTED PATIENT CARE BEFORE AND AFTER IMPLEMENTATION OF END OF LIFE CARE PATHWAY FOR TERMINALLY ILL PATIENTS AT SHAUKAT KHANUM MEMORIAL CANCER HOSPITAL AND RESEARCH CENTRE

2018 ◽  
Vol 4 (3) ◽  
Author(s):  
Irum Ghafoor ◽  
Haroon Hafeez ◽  
Farhat Naz ◽  
Muhammad Abu Baker
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Care Pathway ◽  
Symptom Control ◽  
Terminally Ill ◽  
Research Centre ◽  
Life Care ◽  
Terminally Ill Patients ◽  
Cancer Hospital ◽  
Before And After

Purpose: Shaukat Khanum Memorial Cancer Hospital and Research Cancer primarily deals with cancer patients and has various departments which provide best-integrated lifesaving care. However, when patients who have been given all possible medical and oncological treatment still progress their disease, they are then referred for best supportive care to palliative care department. The aim of this paper was to audit documented care for palliative patients before and after implementation of end of life care (ELC) pathway.Materials and Methods: We used a retrospective method to audit 45 terminally ill patients over a period of 3 months. Then, a re-audit was done over a period of 3 months and data were collected for patients who were started on SKM-ELC pathway.Results: Results show that the implementation of ELC pathway, 67% of the patients were not prescribed PRN medications for symptom control, 20% of the patients were not reviewed for the need of assisted nutrition and for 20% of the patient’s primary team were not even notified that the patient is dying. After the ELC pathway implementation, it was found that 100% of patients were reviewed for PRN medications and assisted nutrition. Oncologists were timely notified that the patient is dying.Conclusion: In summary, we can say that implantation of ELC pathway has significantly improved documented patients care in all aspects.Key words: Cancer, care for dying, end of life care, goals of care pathway

Providing End-of-Life Care: Increased Empathy and Self-efficacy Among Student Caregivers in Residential Homes for the Dying

2018 ◽  
Vol 36 (6) ◽  
pp. 538-545 ◽  
Author(s):  
Carol S. Weisse ◽  
Kelly Melekis ◽  
Bailey Hutchins
Keyword(s):  
End Of Life ◽  
Self Efficacy ◽  
End Of Life Care ◽  
Skills Training ◽  
Community Action ◽  
Life Care ◽  
Care Providers ◽  
Residential Homes ◽  
Reflective Journals ◽  
Hospice Patients

Background: Health-care providers report a lack of training in end-of-life care and limited opportunities exist to learn about the dying process in home settings where most prefer to die. Aim: To evaluate the effectiveness of a Community Action, Research, and Education (CARE) program designed to promote empathy and self-efficacy communicating with and caring for terminally ill patients. Methods: This mixed-methods study collected pre–post data from 18 undergraduates (7 men≤ 11 women) in a 8-week immersive program where they served as primary caregivers in residential homes for the dying providing 200 hours of bedside care to hospice patients during their final days. Quantitative measures assessed empathy using the Jefferson Scale of Empathy-Health Professions (JSE-HPS) version and self-efficacy using a 20-question palliative care skill assessment. Qualitative analyses were conducted on reflective journals to further assess knowledge, skill, and value development. Results: Paired t tests revealed significant increases in empathy ( P < .05) and self-efficacy ( P < .001) to provide end-of-life care. Thematic analysis of reflective journals further demonstrated specific instances of empathy and self-efficacy. Conclusions: Community-run residential homes for the dying offer a unique opportunity for skills training in end-of-life care. The opportunity to serve as a caregiver for the dying improved students’ confidence and ability to provide empathic patient- and family-centered end-of-life care to hospice patients in their final days.

scholarly journals End-of-Life Care Mobile App for Intensive-Care Unit Nurses: A Quasi-Experimental Study

2021 ◽  
Vol 18 (3) ◽  
pp. 1253
Author(s):  
Jin Hee Yang ◽  
Gisoo Shin
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
End Of Life ◽  
Self Efficacy ◽  
End Of Life Care ◽  
Mobile App ◽  
Life Care ◽  
Quasi Experimental ◽  
Intensive Care Unit Nurses ◽  
Experimental Group

Intensive-care unit nurses may experience difficulties in end-of-life care because of frustration or lethargy. The purpose of this study was to develop a mobile end-of-life care program for intensive-care unit nurses and evaluate the effects on competence factors such as knowledge, self-efficacy, and compassion. A quasi-experimental design was used. The participants included 44 nurses who had less than three years of experience in the intensive-care unit, divided into the experimental group and control group. After the intervention, the experimental group showed a significant improvement in self-efficacy in end-of-life care and compassion in end-of-life care. Based on the results of this study, the end-of-life care mobile app was an effective educational method for nurses with experience of less than 3 years in an intensive-care unit. To improve the quality of end-of-life care, it is necessary to develop various educational programs considering the greater role of the fourth industrial revolution in the future.

scholarly journals Cultural Adaptation, Validation, and Analysis of the Self-Efficacy in Palliative Care Scale for Use with Spanish Nurses

2019 ◽  
Vol 16 (23) ◽  
pp. 4840
Author(s):  
Raquel Herrero-Hahn ◽  
Rafael Montoya-Juárez ◽  
César Hueso-Montoro ◽  
Celia Martí-García ◽  
Diego Alejandro Salazar-Blandón ◽  
...  
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
Self Efficacy ◽  
End Of Life Care ◽  
The Self ◽  
Spanish Version ◽  
Life Care ◽  
Cross Sectional ◽  
Nursing Professionals ◽  
Previous Training

The aim of the present study is to validate the Self-Efficacy in Palliative Care Scale (SEPC) in Spanish nursing professionals and students, to describe their levels of self-efficacy, and to determine the influencing factors. A validation study and a cross-sectional descriptive study were carried out, with the data analysed using contrast tests and multiple linear regression; 552 nurses and 440 nursing students participated. The Spanish version consists of 23 items and has a high degree of reliability (α = 0.944). Confirmatory factor analysis revealed one additional factor (i.e., management of psychosocial and spiritual aspects) in comparison to the original scale. Contrast tests revealed that the mean SEPC score was higher in professionals than in students (p < 0.001) and that the professionals who had higher levels of self-efficacy were older (p < 0.001), had more previous training (p < 0.001), and had more experience in end-of-life care (p = 0.001). The linear analysis results confirm a significant association between age and previous training in end-of-life care. The Spanish version of the SEPC is a reliable tool for both nursing professionals and students. The level of self-efficacy of both groups is moderate and is influenced by age, experience, and training in end-of-life care.

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