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END-OF-LIFE CONVERSATIONS: IMPROVING PROVIDERS’ COMPETENCE IN EOL CONVERSATIONS THROUGH AN EDUCATION MODULE
|Title:||END-OF-LIFE CONVERSATIONS: IMPROVING PROVIDERS’ COMPETENCE IN EOL CONVERSATIONS THROUGH AN EDUCATION MODULE|
|Contributors:||Van Hoose, Diane (instructor)|
Thompson Pagan, Joan (instructor)
|Date Issued:||27 May 2022|
|Abstract:||Death and dying is complex, individual in nature, and often an intimidating topic for many. It is
frequently a subject that is avoided or only discussed in private. However, it is essential for
patients and providers to understand the resources available at the end of one’s life to help
facilitate patient centered care and increased quality of life. Hospice is an end of life (EOL)
service that provides comfort care and support for individuals and their family members.
Comprehensive comfort care and psychosocial and emotional support for both the patient and
their family members are provided with EOL care services. One major barrier to receiving EOL
care services is inadequate communication between providers and patients. This is often due to a
lack of provider education on difficult conversations, which leads to a lack of confidence and
competence in one’s EOL discussion skills. The purpose of this Practice Inquiry Project (PIP)
was to provide education for providers on strategies to engage in difficult conversations. The
goal was to increase providers’ confidence and competence in initiating conversations about
EOL care through an educational module. A logic model was used to guide the designing and
planning of the project and the Knowles’ Theory of Andragogy theoretical framework helped
guide the implementation and evaluation of this project. Participants completed an online
education module. Pre- and post-surveys, pre- and post-Palliative Care Self Efficacy (PCSE)
scale and pre- and post-Thanatophobia Instrument (TI) results were compared to determine if the
education module was successful in increasing provider confidence and competence in EOL
discussions. After providers completed the education module, there was an improvement in both
PCSE and TI scores, which indicate an improvement in knowledge and confidence in EOL
strategies, skills, and application in practice.
|Appears in Collections:||
DNP Practice Inquiry Projects|
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