Prelicensure Nursing Students' Attitudes and Perceptions of End-of-Life Care

Smothers, Angel; Young, Stephanie; Dai, Zheng

doi:10.1097/nne.0000000000000606

Cited by 11 publications

(8 citation statements)

References 21 publications

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“…This led to the development of trust and rapport with the participants and was an essential step to engage participants (Mixer et al, 2014). Of note, the new FamPALcare intervention was delivered by a nationally certified EOLPC community nurse experienced in delivering palliative care in the Appalachia region of West Virginia (Li et al, 2019; Piamjariyakul, Smothers & Young, et al, 2020; Smothers et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

Verifying intervention fidelity procedures for a palliative home care intervention with pilot study results

Piamjariyakul

Smothers

Young

et al. 2021

Research in Nursing & Health

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Fidelity (consistency of intervention implementation) is essential to rigorous research. Intervention fidelity maintains study internal validity, intervention reproducibility, and transparency in the research conduct. The purpose of this manuscript is to describe intervention fidelity strategies/procedures developed for a pilot study testing a new palliative care nursing intervention (FamPALcare) for families managing advanced lung disease. The procedures described herein are based on the fidelity best practices recommendations from the NIH Consortium. An evidence‐based checklist guided observational ratings of the fidelity procedures used and the intervention content implemented in each intervention session. Descriptive data on how participants understood (received), enacted, or used the intervention information were summarized. The fidelity checklist observational scores found ≥93% of the planned intervention content was implemented, and the fidelity strategies were adhered to consistently during each intervention session. The small variation (7%) in implementation was expected and related to participants' varying experiences, input, and/or questions. The helpfulness scale items include participants' ability to use home care resources, to anticipate and manage end‐of‐life symptoms, and to use Advance Directive forms. The high ratings (M = 4.4) on the 1–5 (very helpful) Likert Helpfulness Scale verified participants utilized the information from the intervention. Furthermore, there was an improvement in patients' breathlessness scores and completion of Advance Directive forms at 3 months after baseline. It is essential to plan intervention fidelity strategies to use throughout a study and to report fidelity results.

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Section: Discussionmentioning

confidence: 99%

Verifying intervention fidelity procedures for a palliative home care intervention with pilot study results

Piamjariyakul

Smothers

Young

et al. 2021

Research in Nursing & Health

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“…Frente a los contenidos, se encontró la enseñanza de temas como conceptos generales de cuidado en hospicios, compasión, manejo del dolor, uso de opioides y otros analgésicos; manejo de síntomas, cuidado al paciente agónico, cuidado en el hogar, problemas legislativos o problemas de salud frente a la atención al nal de la vida; CP perinatales y neonatales, el duelo y la pérdida de seres queridos; calidad de vida, perspectivas culturales y globales de los CP, espiritualidad, consideraciones éticas y competencias interprofesionales (14)(15)(16)(17). Tres de los estudios, además (16)(17)(18), estructuraron sus contenidos a partir de las recomendaciones del Consorcio de educación en enfermería al nal de vida con base en Estados Unidos (Elnec por sus siglas en inglés), que es una iniciativa que busca mejorar la enseñanza en CP a nivel nacional e internacional (19).…”

Section: Cursos Presenciales En Cpunclassified

“…En cuanto a la medición del impacto, los estudios evaluaron variables como conocimientos en CP; actitudes (14,16,18); evaluación y satisfacción con el curso; educación interprofesional (14,15); la escala Elnec para valoración del conocimiento al nal de la vida (17) y un estudio evaluó el impacto del curso de forma cualitativa (15). Frente al impacto de las intervenciones, el estudio de Price et al (15) encontró un aumento en el conocimiento de educación interprofesional en CP después del curso y desde el punto de vista cualitativo, encontró un impacto en el aprendizaje de los cuidados perinatales y neonatales en CP, aprendizaje interprofesional y una mejora en las habilidades instrumentales.…”

Section: Cursos Presenciales En Cpunclassified

“…Finalmente, dentro de los instrumentos que reporta la literatura para la valoración de las actitudes y emociones frente al cuidado paliativo y al nal de la vida por parte de los estudiantes, se encuentran el Fatcod (16,18,(24)(25)(26)34,39), el Fatcod-B (23,28) y la escala C-LDAS (38) que mide el miedo a la muerte.…”

Section: Actitudes Y Emociones De Los Estudiantes Ante Los Cpunclassified

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Metodologías para la enseñanza de cuidados paliativos en estudiantes de áreas de la salud

Arias-Rojas

López

Carreño-Moreno

et al. 2022

Investg. Enferm. Imagen Desarollo.

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Introducción: la necesidad de la enseñanza de los cuidados paliativos a los profesionales de la salud es cada vez más imperante en el mundo y en Latinoamérica. Los educadores deben reconocer los avances para la enseñanza de los cuidados paliativos a través de nuevas formas de aprendizaje. Objetivo: caracterizar las metodologías, contenidos y efectos de la enseñanza del cuidado paliativo en estudiantes del área de la salud en literatura publicada entre los años 2016 y 2020. Métodos: se realizó una revisión de literatura tipo scoping review.Se revisaron artículos publicados en revistas indexadas en las bases de datos Medline, Cuiden, Lilacs, CINAHL durante el periodo 2016-2020 en inglés, español y portugués. Se seleccionaron 25 investigaciones luego de realizar el proceso de crítica de la evidencia. Resultados: los estudios incluidos fueron en su mayoría realizados con metodologías cuantitativas, en Estados Unidos y con poblaciones de estudiantes de enfermería. La información extraída de los artículos se organizó en cuatro temas: 1) cursos educativos en cuidado paliativo, 2) estrategias de simulación, 3) conocimientos en cuidados paliativos de los estudiantes, y 4) actitudes y emociones de los estudiantes ante los cuidados paliativos. Conclusiones: las estrategias encontradas para enseñar los cuidados paliativos incluyen cursos completamente virtuales o en multimodalidad y simulación clínica o en laboratorios. En general, la evidencia muestra el interés que existe por parte de los estudiantes para recibir este tipo de curso y la importancia que tienen en su desarrollo profesional.

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“…Moreover, training in palliative care and previous experience related to the end of life have an influence on improving the attitude of health professionals toward the care of patients at the end of life (Berndtsson et al, 2019; Dimoula et al, 2019; Smothers et al, 2019). At the same time, a more positive attitude to care for these people is also associated with less fear of death and avoidance of death, anxiety, and stress (Espinoza-Venegas et al, 2016; Bermejo et al, 2018; Barnett et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Frommelt Attitude Toward Care of the Dying Scale Form B: Validation for Spanish health professionals

et al. 2021

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Objective The aim of this study is to culturally adapt and validate the Frommelt Attitude Toward Care of the Dying Scale Form B (FATCOD-B) in Spanish health professionals. Method A cultural adaptation and scale validation was carried out to evaluate the validity of appearance, content and construct, reliability and feasibility. The psychometric validation of the FATCOD-B was carried out on a sample of 2,446 Spanish physicians, nurses, psychologists, and social workers and students of these disciplines, between January 2017 and December 2018. This sample was selected by intentional sampling. Descriptive statistics were used to characterize the sample. An exploratory multi-group factor analysis was performed, internal consistency was evaluated by calculating Cronbach's α and stability by test–retest. Results A total of 2,446 people participated in the study, 1,134 students and 1,312 professionals. The exploratory multi-group factor analysis revealed a two-dimensional factor structure, with a total of 17 items retained in the model from the 30 of the original scale. The results showed that this version has adequate reliability (α = 0.79) and for each subscale, and stability (ICC = 0.843, p < 0.001). Significance of results FATCOD has been used with physicians and nurses from different countries. However, no reports have been found in the literature of its use with psychologists and social workers. It is important to have an instrument that allows us to know the attitudes of these professionals since they are all directly involved in the care of patients at the end of their lives and their families. The Spanish version of FATCOD-B has proven to be a reliable and valid instrument for its use in Spanish health professionals while allowing comparisons between disciplines.

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Prelicensure Nursing Students' Attitudes and Perceptions of End-of-Life Care

Cited by 11 publications

References 21 publications

Verifying intervention fidelity procedures for a palliative home care intervention with pilot study results

Verifying intervention fidelity procedures for a palliative home care intervention with pilot study results

Metodologías para la enseñanza de cuidados paliativos en estudiantes de áreas de la salud

Frommelt Attitude Toward Care of the Dying Scale Form B: Validation for Spanish health professionals

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