Evaluating strategies for changing acute care nurses' perceptions on end-of-life care

Providing quality care to the dying has become a primary concern in the United States. Eighty percent of deaths still occur in the hospital even though nurses report they do not think that good deaths are routinely possible within a hospital setting due to lack of appropriate education on end-of-lif...

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Bibliographic Details
Published inAmerican journal of hospice & palliative medicine Vol. 25; no. 5; p. 389
Main Authors Kruse, Barbara G, Melhado, Lolita W, Convertine, Linda, Stecher, Jo
Format Journal Article
LanguageEnglish
Published United States 01.10.2008
Subjects
Adult
Analysis of Variance
Attitude of Health Personnel
Attitude to Death
Clinical Competence
Curriculum
Education, Nursing, Continuing - organization & administration
Female
Health Knowledge, Attitudes, Practice
Hospice Care - organization & administration
Humans
Male
Middle Aged
Models, Educational
Models, Nursing
Needs Assessment
Nursing Education Research
Nursing Methodology Research
Nursing Staff, Hospital - education
Nursing Staff, Hospital - psychology
Pilot Projects
Program Evaluation
Statistics, Nonparametric
Surveys and Questionnaires
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Summary:Providing quality care to the dying has become a primary concern in the United States. Eighty percent of deaths still occur in the hospital even though nurses report they do not think that good deaths are routinely possible within a hospital setting due to lack of appropriate education on end-of-life care. The aim of this pilot study was to test the best method for changing acute nurse's perceptions about end-of-life care. A 3-group experimental design tested the efficacy of a nurse-led hospice collaborative. Hypotheses were: (1) nurses who receive classroom instruction will have greater change in perceptions than the control group and (2) nurses who receive a combination of classroom and hospice experiences will demonstrate greater changes than the classroom or control group. No significant differences were found among the 3 groups. However, the intervention group showed increased guilt about not having enough time to spend with the dying.
ISSN:1938-2715
DOI:10.1177/1049909108322368