The Effect of Palliative Care Nursing Education to Improve...

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. Sample Convenience sample of 73 hospital-based nurses working in oncology (n=26); geriatric (n=24); and medical-surgical (n=23) units. Setting Suburban hospital in Northeastern region of U.S. Research Design Cross-sectional quantitative pre-posttest design 40-minute palliative care nursing education program served as intervention Pretest and posttest comparison for improvement Palliative Care Quiz for Nursing (PCQN) knowledge assessment in palliative care nursing Contents of a brief palliative care nursing education were adapted from a well-known textbook in palliative nursing and national consensus curriculum in palliative care nursing. Data Analysis Plan Percentage was used to describe the demographics (age, gender, religion, highest nursing education, years of nursing work experience, previous palliative care experience, and palliative care education) Descriptive statistics was used to tabulate the pretest and posttest correct answers for each 20- item PCQN questions Level of significance for each question was tabulated using McNemar’s test. Paired t-test was used to analyze the overall differences between a pretest and posttest. Out of 73 nurses selected, 61 (83.5%) were able to participate in a brief palliative care nursing education. Paired t-test compared pretest and posttest scores (t-value of -12.044, P=<0.001, df = 60) with highly significant finding that a brief palliative care nursing education was effective in improving nurses’ knowledge in palliative care. The overall mean of correct answers on pretest was 10.75, standard deviation of 2.67. The overall mean of correct answers on the posttest was 14.15 with a standard deviation of 2.23. Palliative care nursing provides care for the relief of pain and suffering throughout the course of a patient’s chronic, serious illness. Hospital-based nurses need to be equipped with palliative care nursing knowledge to provide optimal care for these patients and their families to improve the quality of life. The lack of education in pain and symptom management and communication about goals of care can result in suboptimal and high cost of care. Nurses’ knowledge in palliative care improved after a brief palliative care nursing education. This finding can be instrumental to improve nursing practice and to improve the quality of life of patients with chronic serious illness. It was recommended that palliative care nursing education should be included as part of a continuing education for nurses. Special acknowledgement to Beverly Lunsford, Ph.D., RN, FAAN, and Ellen Reilley Farrell, DNP, FNP-BC, GNP-BC, ACHPN for their contribution in the completion of this project. Special thanks to K. Reilley, Ph.D., RN and Dorothy Graham-Hannah, DNP, RN, VP Nursing who helped facilitate the project in this institution. Email: [email protected] T: (917) 855 7992 Madelyn Rose Balicas, DNP, ANP-BC The Effect of Palliative Care Nursing Education to Improve Knowledge in Palliative Care of Hospital-Based Nurses Caring for Patients with Chronic, Serious Illness To determine if a brief palliative care nursing education can improve the knowledge of hospital-based nurses about palliative care nursing. Hypothesis A brief palliative care nursing education will improve nurses’ knowledge related to care of patients with chronic, serious illness receiving palliative care in the hospital setting. Objective Background Methods Results Conclusions Acknowledgments 0.00% 20.00% 40.00% 60.00% 80.00% 100.00% 120.00% Q1 Q2 Q3 Q4 Q5 Q6 Q7 Q8 Q9 Q10 Q11 Q12 Q13 Q14 Q15 Q16 Q17 Q18 Q19 Q20 Pre-Post Correct Answers on a 20-item PCQN Questions Pretest Correct Answers (%) Posttest Correct Answers (%) 0% 10% 20% 30% 40% 50% 23-32 33-42 43-52 53-62 >62 Demographics (Age) 0 2 4 6 8 10 12 14 16 Overall mean Standard Deviation Paired Sample Statistics (p = <0.001, t value -12.044). Overall mean of correct answers Pre-Posttest Posttest Pretest

Transcript of The Effect of Palliative Care Nursing Education to Improve...

Page 1: The Effect of Palliative Care Nursing Education to Improve …dnpconferenceaudio.s3.amazonaws.com/2018/BalicasM_2018... · 2018-09-20 · care nursing knowledge to provide optimal

. SampleConvenience sample of 73 hospital-based nurses working in oncology (n=26); geriatric (n=24); and medical-surgical (n=23) units. SettingSuburban hospital in Northeastern region of U.S.

Research Design•  Cross-sectional quantitative pre-posttest design•  40-minute palliative care nursing education program

served as intervention•  Pretest and posttest comparison for improvement•  Palliative Care Quiz for Nursing (PCQN) knowledge

assessment in palliative care nursing•  Contents of a brief palliative care nursing education

were adapted from a well-known textbook in palliative nursing and national consensus curriculum in palliative care nursing.

Data Analysis Plan•  Percentage was used to describe the demographics

(age, gender, religion, highest nursing education, years of nursing work experience, previous palliative care experience, and palliative care education)

•  Descriptive statistics was used to tabulate the pretest and posttest correct answers for each 20-item PCQN questions

•  Level of significance for each question was tabulated using McNemar’s test.

•  Paired t-test was used to analyze the overall differences between a pretest and posttest.

Out of 73 nurses selected, 61 (83.5%) were able to participate in a brief palliative care nursing education. •  Paired t-test compared pretest and posttest scores

(t-value of -12.044, P=<0.001, df = 60) with highly significant finding that a brief palliative care nursing education was effective in improving nurses’ knowledge in palliative care.

•  The overall mean of correct answers on pretest was 10.75, standard deviation of 2.67.

•  The overall mean of correct answers on the posttest was 14.15 with a standard deviation of 2.23.

Palliative care nursing provides care for the relief of pain and suffering throughout the course of a patient’s chronic, serious illness.

Hospital-based nurses need to be equipped with palliative care nursing knowledge to provide optimal care for these patients and their families to improve the quality of life.

The lack of education in pain and symptom management and communication about goals of care can result in suboptimal and high cost of care.

Nurses’ knowledge in palliative care improved after a brief palliative care nursing education. This finding can be instrumental to improve nursing practice and to improve the quality of life of patients with chronic serious illness. It was recommended that palliative care nursing education should be included as part of a continuing education for nurses.

Special acknowledgement to Beverly Lunsford, Ph.D., RN, FAAN, and Ellen Reilley Farrell, DNP, FNP-BC, GNP-BC, ACHPN for their contribution in the completion of this project. Special thanks to K. Reilley, Ph.D., RN and Dorothy Graham-Hannah, DNP, RN, VP Nursing who helped facilitate the project in this institution.

Email: [email protected]: (917) 855 7992

Madelyn Rose Balicas, DNP, ANP-BC

The Effect of Palliative Care Nursing Education to Improve Knowledge in Palliative Care of Hospital-Based Nurses Caring for Patients with Chronic, Serious Illness

To determine if a brief palliative care nursing education can improve the knowledge of hospital-based nurses about palliative care nursing.

Hypothesis A brief palliative care nursing education will improve nurses’ knowledge related to care of patients with chronic, serious illness receiving palliative care in the hospital setting.

Objective

Background Methods Results Conclusions

Acknowledgments

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Pre-Post Correct Answers on a 20-item PCQN Questions

Pretest Correct Answers (%)Posttest Correct Answers (%)

0% 10% 20% 30% 40% 50%

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>62Demographics (Age)

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Standard Deviation

Paired Sample Statistics (p = <0.001, t value -12.044). Overall mean of correct

answers Pre-Posttest

Posttest Pretest