The Effects of an Educational Intervention on Emergency Nurses’ Attitude, Knowledge, and Care Behaviors toward Older Adults

Abstract Objective Lack of palliative care knowledge among caregivers may pose an access barrier for cognitively impaired older adults, who may benefit from the specialized care. Therefore, this study aims to examine the effectiveness of an educational intervention in improving palliative care knowledge among informal caregivers of cognitively impaired older adults. Method Using a one-group, pre- and post-test intervention design, this study implemented an individual, face-to-face educational intervention with an informational brochure for 43 informal caregivers of chronically or seriously ill older adults (50+) with cognitive impairment, recruited from communities in West Alabama. Their level of knowledge about palliative care was assessed by the Palliative Care Knowledge Scale (PaCKS). The pre- and post-test scores were compared by the Wilcoxon signed-ranks test, and the racial subgroup (Whites vs. Blacks) comparison was made by the Mann–Whitney U test. Results There was a statistically significant difference between the pre- and post-test scores (z = 5.38, p < 0.001), indicating a statistically significant effect of the educational intervention in improving palliative care knowledge among participants. There was a significant difference (U = 143, p < 0.05) between Whites and Blacks in the pre-test, which, however, disappeared in the post-test (U = 173.50, p > 0.05), suggesting that the amount of increased PaCKS scores were significantly greater for Blacks (Mdn = 9.50) than for Whites (Mdn = 4.00, U = 130.50, p < 0.05). Significance of results This study demonstrated that a one-time educational intervention can improve the level of palliative care knowledge among informal caregivers of chronically or seriously ill older adults with cognitive impairment, particularly among Black caregivers. Therefore, further educational efforts can be made to promote palliative care knowledge and reduce racial disparities in palliative care knowledge and its use.

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The Effects of an Educational Intervention on Oncology Nurses' Attitude, Perceived Knowledge, and Self-Reported Application of Complementary Therapies

Oncology Nursing Forum ◽

10.1188/04.onf.71-78 ◽

2004 ◽

Vol 31 (1) ◽

pp. 71-78 ◽

Cited By ~ 24

Author(s):

Rusti E. Hessig ◽

Lori L. Arcand ◽

Marlene H. Frost

Keyword(s):

Educational Intervention ◽

Complementary Therapies ◽

Oncology Nurses ◽

Perceived Knowledge ◽

Nurses Attitude

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Preparing students for intentional conversations with older adults

Narrative Inquiry ◽

10.1075/ni.19096.rya ◽

2020 ◽

pp. 1-19

Author(s):

Margaret McAllister ◽

Leanne Dodd ◽

Colleen Ryan ◽

Donna Lee Brien

Keyword(s):

Older Adults ◽

Clinical Practice ◽

Nursing Students ◽

Older People ◽

Educational Intervention ◽

Narrative Theory ◽

Life Stories ◽

Human Beings ◽

Study Approach ◽

Story Theory

Abstract This paper presents the findings from a study introducing nursing students to narrative production. The aim was to use Story Theory to inspire students to intentionally collaborate with older people and produce a mini-biography of those individuals. Narrative theory was utilised in four ways: designing an educational intervention; collecting and developing older peoples’ life stories; framing an understanding of the meaning of the stories collected; analysing the significance of the storytelling approach. The paper explains the study approach and findings and outlines the benefits as well as challenges that occurred during the process. Most particularly, the anthology produced has become a tangible reminder about a clinical practice that allowed students to meet frail aged residents and come to know them as vibrant human beings.

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An evaluation of psycho-educational intervention in older adults with mild intellectual impairment, using a combination of randomised controlled trial and n=1 methodology

http://isrctn.org/> ◽

10.1186/isrctn79696722 ◽

2013 ◽

Author(s):

Gordon K Wilcock

Keyword(s):

Older Adults ◽

Randomised Controlled Trial ◽

Educational Intervention ◽

Controlled Trial ◽

Intellectual Impairment ◽

Randomised Controlled

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An educational intervention to reduce the use of potentially inappropriate medications among older adults (EMPOWER study): protocol for a cluster randomized trial

Trials ◽

10.1186/1745-6215-14-80 ◽

2013 ◽

Vol 14 (1) ◽

pp. 80 ◽

Cited By ~ 23

Author(s):

Philippe Martin ◽

Robyn Tamblyn ◽

Sara Ahmed ◽

Cara Tannenbaum

Keyword(s):

Older Adults ◽

Randomized Trial ◽

Educational Intervention ◽

Study Protocol ◽

Cluster Randomized Trial ◽

Potentially Inappropriate Medications ◽

Cluster Randomized ◽

Inappropriate Medications

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Emergency nurses’ Evidence-Based Practice attitudes, self-efficacy, knowledge, skills and behaviors before an educational intervention – Baseline of a Randomized Controlled Trial

Collegian Journal of the Royal College of Nursing Australia ◽

10.1016/j.colegn.2019.11.002 ◽

2020 ◽

Vol 27 (4) ◽

pp. 361-369

Author(s):

Elina Koota ◽

Maria Kääriäinen ◽

Mitja Lääperi ◽

Hanna-Leena Melender

Keyword(s):

Randomized Controlled Trial ◽

Educational Intervention ◽

Self Efficacy ◽

Evidence Based Practice ◽

Controlled Trial ◽

Evidence Based ◽

Emergency Nurses ◽

Randomized Controlled ◽

And Behaviors

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THE IMPACT OF AN EDUCATION INTERVENTION: IMPROVING COMMUNICATION BETWEEN OLDER ADULTS AND HEALTH CARE PROVIDERS

Innovation in Aging ◽

10.1093/geroni/igz038.3316 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S909-S909

Author(s):

Janna Heyman ◽

Linda White-Ryan ◽

Peggy Kelly

Keyword(s):

Older Adults ◽

Health Care ◽

Health Care Providers ◽

Educational Intervention ◽

Prescription Drugs ◽

Medication Use ◽

Care Providers ◽

Over The Counter ◽

Medical Needs ◽

The Impact

Abstract As people age, ensuing physical and psychological problems can increase, which makes it paramount to be comfortable discussing medical needs with health care professionals, particularly in light of the danger associated with misunderstanding medication use and combining alcohol with prescriptions and/or over the counter medications (National Institute on Aging, 2018). National studies found that about 40 percent of adults ages 65 and older drink alcohol and often do not understand the dangers of combining alcohol with medications (National Institute for Alcohol and Alcohol Abuse, 2008). An educational intervention was developed with a team of expert physicians, nurses, pharmacists and social workers who work in gerontology to focus on improving communication and addressing alcohol and medication use for older adults. A randomized controlled trial was conducted to assess whether the educational intervention improved older adults’ comfort in communicating with their health care providers, as well as their knowledge of the concomitant use of alcohol and prescription and over-the-counter (OTC) medications. Results of a MANCOVA showed that those in the intervention group showed larger increases in scores on communication with their health providers and knowledge about the implications of combining alcohol with prescription drugs than those in the control group (Wilks’ Lamda=.808, F(3,76)=6.039, p=.001<.05). In addition, linear regression models showed that the intervention was significantly associated with participants’ knowledge of the implications of combining alcohol with prescription drugs. The coefficient across models was approximately 1.00, which represented a substantial increase given the average score of 6.5.

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