The End-of-Life Nursing Education Consortium (ELNEC) Experience

Matzo, Marianne; Sherman, Deborah Witt; Penn, Barbara; Ferrell, Betty

doi:10.1097/00006223-200311000-00008

Cited by 45 publications

(24 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These targeted curricula could be taught to practicing nurses within the context of the setting and the patient population they serve. 17 For example, nurses practicing in outpatient settings were more likely to rate ''telling patients how their illness may impact their life'' as an extremely important and under-utilized skill. An appropriate intervention may assist nurses working in out-patient settings to address aspects of care that allow patients to preserve their quality of life.…”

Section: Discussionmentioning

confidence: 99%

“…21 While these findings suggest nurses view patient discussions of hospice and prognosis as outside their scope of practice, other studies suggest nurses desire more involvement when these aspects of communication are necessary for advance care planning and coordination of care. 17,22,23 Families also identify the important role nurses play in communication. In a community-based study, families reported that nurses were more likely to have discussed symptoms and their treatment than physicians and that discussions with nurses were more understandable than those with physicians.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Nurses' Identification of Important yet Under-Utilized End-of-Life Care Skills for Patients with Life-Limiting or Terminal Illnesses

Reinke

Shannon

Engelberg

et al. 2010

Journal of Palliative Medicine

View full text Add to dashboard Cite

Rationale: This study was designed to identify nurses' perspectives on nursing skills that are important yet under-utilized in end-of-life care. Methods: A 45-item survey was administered to nurses (n ¼ 717) in four U.S. states with a response rate of 79%. We identified skills that were endorsed by more than 60% of nurses as extremely important and also endorsed as not currently practiced by more than 25% of nurses. We used Chi square statistics to examine professional characteristics associated with ratings of end-of-life care skills including practice settings, years of experience, and end-of-life care education. Content analysis was used to examine nurses' responses to open-ended questions. Results: Nineteen items were endorsed as extremely important and also ranked as under-utilized. These end-oflife care skills included communication skills, symptom management competencies especially those concerning anxiety and depression, and issues related to patient-centered care systems. Four complementary themes emerged from qualitative analysis of nurses' comments, which supported the quantitative findings. Conclusions: This study provides a summary of skills nurses feel are important and under-utilized in their care of patients with life-limiting illnesses. The findings support the need to target both nursing education and healthcare system interventions to improve the use of practical end-of-life care skills by nurses with a focus on communication and symptom management skills.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Nurses' Identification of Important yet Under-Utilized End-of-Life Care Skills for Patients with Life-Limiting or Terminal Illnesses

Reinke

Shannon

Engelberg

et al. 2010

Journal of Palliative Medicine

View full text Add to dashboard Cite

show abstract

“…In examining end of life care and education for nurses over the past 20 years, researchers (Matza et al 2003;Mallory 2003) have systematically cited differences.…”

Section: Introductionmentioning

confidence: 99%

Palliative care and end of life issues in UK pre-registration, undergraduate nursing programmes

Dickinson

Clark

Sque

2008

Nurse Education Today

View full text Add to dashboard Cite

End of life and palliative care topics have traditionally not been in nursing school curricula.Only in recent years have these been included. The aim of this research was to determine the current status of such an emphasis in programmes in the United Kingdom (UK). A mailed survey in 2006 to the 66 undergraduate (pre-registration) nursing programmes in the UK (return rate of 79%) determined that end of life and palliative care play a significant role in these programmes. Forty-five teaching hours on average were devoted to these topics. All of the schools have some provision on end of life and palliative care, and over 95% of students participated in these courses. A nurse was usually the primary instructor, although non-nurses were sometimes used. Attitudes toward dying and death and communicating with terminally-ill patients and family members were emphasised. By highlighting dying and death in the curricula, nursing schools appeared to be giving nursing students an opportunity to face the issue of death, thus helping them to be better prepared to help their patients and their families to do so.

show abstract

“…Inadequately trained nurses practicing WDLS could result in substandard care for patients and families in the ICU setting and could contribute to increased emotional strain for nurses. [20][21][22][23] Given their role in withdrawal practices and the numbers of patients who experience WDLS, formal training should be included in curricula for basic nursing education. Institutions should also include formal training about WDLS during nurses' orientation for critical care.…”

Section: Discussionmentioning

confidence: 99%

Current Practices for Withdrawal of Life Support in Intensive Care Units

Kirchhoff

Kowalkowski

2010

American Journal of Critical Care

View full text Add to dashboard Cite

A closed-book, multiple-choice examination following this article tests your understanding of the following objectives: Background Nurses are present at the bedside of patients undergoing withdrawal of life support more often than any other member of the health care team, yet most publications on this topic are directed at physicians. Objectives To describe the training, guidance, and support related to withdrawal of life support received by nurses in intensive care units in the United States, how the nurses participated, and how the withdrawal of life support occurred.Methods A questionnaire about withdrawal of life support was sent to 1000 randomly selected members of the American Association of Critical-Care Nurses, with 2 follow-up mailings. Results Responses were received from 48.4% of the nurses surveyed. Content on withdrawal of life support was required in only 15.5% of respondents' basic nursing education and was absent from work site orientations for 63.1% of respondents. Nurses' actions during withdrawal were most often guided by individual physician's orders (63.8%), followed by standardized care plans (20%) and standing orders (11.8%). Nurses rated the importance of emotional support during and after the withdrawal of life support very highly, but they did not believe they were receiving that level of support. Most respondents (87.5%) participated in family conferences where withdrawal of life support was discussed. After physicians, nurses were most influential concerning administration of palliative medications. Patients' families were present during withdrawal procedures between 32.3% and 58.4% of the time.Conclusions To improve their practice, intensive care nurses should receive formal training on withdrawal of life support, and institutions should develop best practices that support nurses in providing the highest quality care for patients undergoing this procedure.

show abstract

The End-of-Life Nursing Education Consortium (ELNEC) Experience

Cited by 45 publications

References 4 publications

Nurses' Identification of Important yet Under-Utilized End-of-Life Care Skills for Patients with Life-Limiting or Terminal Illnesses

Nurses' Identification of Important yet Under-Utilized End-of-Life Care Skills for Patients with Life-Limiting or Terminal Illnesses

Palliative care and end of life issues in UK pre-registration, undergraduate nursing programmes

Current Practices for Withdrawal of Life Support in Intensive Care Units

Contact Info

Product

Resources

About