Date of Conferral

1-1-2021

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Bridget Malscow, Eric Anderson

Abstract

Vulnerable populations with a terminal illness, who reside in a nursing home setting, continue to experience psychological, physical, and emotional effects that lead to end-of- life (EOL) suffering and discomfort. Globally, millions of individuals receive care from a hospice provider. By 2030, this figure will triple due to the increased lifespan of the geriatric population. The literature review has revealed that the practical problem is the lack of hospice care education received by healthcare clinicians. It is, therefore, important to prepare and educate healthcare clinicians about a peaceful death through an individualized plan-of-care (POC) from a holistic approach. The purpose of this practical change initiative was to improve clinicians’ knowledge through an educational module on hospice care for healthcare clinicians by delivering a voice-over PowerPoint educational program based on evidence-based practices. Guided by the Henderson’s nursing need model and the ADDIES (analyze, design, develop, implement, evaluate, and summative) design to promote social behavioral change from a holistic approach, an evidence-based, staff-education project to manage hospice patients was developed. A pre-education competency questionnaire, adopting nursing quality indicators to enhance performance and competencies from National Hospice and Palliative Care Organization (NHPCO) professional standards, was used to obtain the healthcare clinicians’ prior knowledge of hospice care. An identical post education questionnaire was then used to measure the knowledge of information acquired with the t test paired data analysis to analyze results. This scholarly project will promote positive social change by providing clinicians with resources necessary to improve the delivery of EOLC (End-of-Life-Care).

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