Implementation of an educational intervention pilot for residents on acute care general internal medicine wards around the ‘comfort measures strategy’ for end of life care

Wynnychuk, Lesia; Otal, Damanjot; Davidson, Heather; Pyakurel, Aakriti; Stilos, Kalli

doi:10.1080/09699260.2020.1841875

Cited by 2 publications

(2 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This was reassuring to observe as another study conducted within our organization demonstrated a statistically significant improvement in perceived self-efficacy in the delivery of EOL care following a PCCT-led educational intervention aimed at Medical Residents. [2] Providing EOL education early in their training of all health care providers, including assessing, monitoring and other comprehensive aspects of EOL care can translate to the enhanced delivery of EOL care. [42] Additional broader feedback raised the need for organizational commitment to support spiritual care needs, beyond the capacity of nurses alone.…”

Section: Discussionmentioning

confidence: 99%

“…[1] "Despite Canadian hospitals identifying gaps in the provision of end of life (EOL) care, healthcare professionals still have minimal formal training in diagnosing dying and in managing pain and common symptoms in dying patients. [2] Palliative care teams, themselves, need to find opportunities for education across their institution. [3] As such, inpatient palliative care teams must commit to taking on leadership roles in educating learners and colleagues in EOL care and contributing to initiatives that promote best practices around quality dying across the organization.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A QI initiative to enhance nurses comfort level in providing EOL care on a general internal medicine ward

Stilos

Wynnychuk²

2021

JNEP

View full text Add to dashboard Cite

Background and objective: Ideally, nurses should have acquired the knowledge and skills to provide not only pain and symptom management, but emotional support to dying patients and their families. In actual fact, nurses often feel under-educated, under-skilled, inexperienced and uncomfortable in providing comprehensive end of life care. A standardized protocol for assessing imminently dying patients’ symptoms and psychosocial needs was implemented at a tertiary academic hospital. The aim of this quality improvement initiative was to enhance the education and training of nurses on one acute care ward, around the implementation of the Comfort Measures Order Set for end of life care, specifically focusing on the provision of emotional support for dying patients and their families.Methods: Education sessions were offered to the nurses on one acute care ward as the study intervention, and the initial phase of one PDSA cycle. Descriptive statistics were used to analyze questionnaire responses; content analysis was used in reviewing the qualitative data.Results: Pre-intervention, over 70% of nurses did not feel comfortable providing emotional support to dying patients for whom the Comfort Mesaures Order Set was initiated. Post-intervention, nurses reported being more comfortable and knowledgeble.Conclusions: The goal of comfort care at end of life requires the skilled use of the Comfort Measures Order Set. The Advance Practice Nurse role, as part of the Palliative Care Consult Team, is specialized in providing emotional support to patients on comfort measures through research, theory development, education, practice, collaboration, and leadership across the institution.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A QI initiative to enhance nurses comfort level in providing EOL care on a general internal medicine ward

Stilos

Wynnychuk²

2021

JNEP

View full text Add to dashboard Cite

show abstract

Exploring the Impact of Social Factors on Attitudes Toward Death in Elderly Adults in Malaysia's

Ngah¹,

Manap²,

Sitinjak³

et al. 2023

RGSA

View full text Add to dashboard Cite

Purpose: The purpose of this study was to investigate attitudes toward death among older adults in Malaysia's Klang Valley and to identify the social factors that influence these attitudes. Theoretical framework: The study was based on the theoretical framework that death attitudes can have a significant impact on the physical and mental health of the elderly, as well as on their acceptance of care and quality of death. Method/design/approach: A cross-sectional survey was conducted, involving 165 older adults in Malaysia's Klang Valley. The study used nonparametric tests to investigate the social factors that influence attitudes toward death in the elderly. Results and conclusion: The study found that the various dimensions of death attitudes among older adults in Malaysia are influenced by one or more factors, including the number of illnesses, discussions about life and death, marital status, and income. These findings contribute to expanding knowledge about death attitudes among older adults and provide a reference for understanding attitudes toward death in the elderly. Research implications: The study has important implications for healthcare providers and policy makers who work with older adults, as it highlights the need to consider social factors that may influence attitudes toward death and end-of-life care. The findings also suggest the need for more research in this area to better understand and address the attitudes and needs of older adults as they approach the end of their lives.

show abstract

Implementation of an educational intervention pilot for residents on acute care general internal medicine wards around the ‘comfort measures strategy’ for end of life care

Cited by 2 publications

References 23 publications

A QI initiative to enhance nurses comfort level in providing EOL care on a general internal medicine ward

A QI initiative to enhance nurses comfort level in providing EOL care on a general internal medicine ward

Exploring the Impact of Social Factors on Attitudes Toward Death in Elderly Adults in Malaysia's

Contact Info

Product

Resources

About