End-of-Life Care

Abstract

This quality improvement initiative originated in the cardiac intensive care unit (CICU) at a 637-bed licensed Magnet teaching hospital with the rating of level 1 trauma center. The CICU has 12 beds, with a staff of 59 nurses (RNs). The nursing staff expressed increased stress and discomfort when communicating with patients and their families when providing end-of-life care. Selected evidence-based techniques for stress reduction and active listening skills were taught in 4- to 5-minute mini sessions during the morning huddle 3 days per week for 4 weeks. The program was evaluated using pretest, posttest, and 2 follow-up surveys composed of 5 statements and 2 open-ended questions. The survey tool was developed by researchers in accordance with the relevant literature. The results showed improved communication as demonstrated by the surveys. Nurses also reported feeling more supported by their colleagues and supervisors. The project was conducted in 1 CICU, therefore limiting the generalizability of the results.

Online Modules to Alleviate Burnout and Related Symptoms Among Interdisciplinary Staff in Long-Term Care: A Pre-post Feasibility Study

“…5,[19][20][21] Skillsbased programs were also found to be helpful like those that improve communication skills between staff and patients and their families through active listening techniques and motivational interviewing. [22][23][24] Other strategies implemented at the organizational level include the creation of staff support groups, provision of telephone supports, individual mental health supports and services, staff resilience training, daily communication, leadership support, online psychoeducation, provision of respite spaces, and professional development days. 25,26 To contribute to the growing literature on strategies that could reduce burnout among healthcare professionals in longterm care, we conducted this study aimed at examining the feasibility of implementing online modules.…”