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DNP - University Access Only
Doctor of Nursing Practice (DNP)
palliative care, rural, PCKT, C-COPE, PPSv2, ELNEC
Palliative care (PC) is an interdisciplinary approach to improving the quality of life of patients with life-threatening illnesses. The early implementation of PC may be delayed when healthcare professionals lack knowledge or have been inadequately trained in the delivery of PC, especially in the rural area where specialized PC programs are not readily available. A convenience sample of rural nurses received PC education based on the End-of-Life Nursing Education Consortium curriculum. A pre-/post-test approach using the Palliative Care Knowledge Test to measure nurses’ PC knowledge and the Comfort with Communication in Palliative and End of Life Care to assess comfort was utilized. A statistically significant increase in nurses’ PC knowledge occurred following education provision; no change in nurses’ comfort in end-of-life (EOL) and palliative communication was recognized. The Palliative Performance Scale Version 2 (PPSv2) was implemented as a nurse-driven PC screening tool. There was a seven-fold increase in the number of patients identified as PC candidates when compared to data from one year prior. No increase in PC referrals occurred. Recommendations for future projects include offering PC education to rural providers in addition to rural nurses, screening patients in the clinic setting using the PPSv2, and considering other factors that may affect nurse comfort in palliative and EOL communication since this DNP Project found no correlation between PC education and nurses’ comfort level.
Includes bibliographical references
Number of Pages
South Dakota State University
In Copyright - Educational Use Permitted
Pravecek, Brandi D., "Increasing Rural Nurses’ Knowledge and Comfort in Palliative Care" (2018). Doctor of Nursing Practice (DNP) Practice Innovation Projects. 96.