AI Article Synopsis
- The study focused on improving critical care nurses' abilities and confidence in discussing patient prognosis and care goals through an 8-hour educational workshop.
- The workshop included role-playing exercises, reflection on burnout, and self-care, helping nurses practice essential communication skills.
- Results showed significant increases in nurses' self-reported confidence and skills immediately after the workshop and sustained improvements three months later.
Article Abstract
Background: Integrating palliative care into intensive care requires active involvement of bedside nurses in discussions of patients' prognosis and goals of care.
Objective: To improve critical care nurses' skills and confidence to engage in discussions with patients' families and physicians about prognosis and goals of care by using a focused educational intervention.
Methods: An 8-hour-long workshop was developed for critical care nurses. Key roles and skills of nurses in communication about prognosis and goals of care were defined. Participants practiced skills during facilitated role-plays. A reflection session addressed burnout, distress, and self-care. Participants completed surveys before, immediately after, and 3 months after their workshop, rating their confidence and skill in performing key tasks. Use of a participant focus group and open-response items in the surveys further elucidated the impact of the workshop.
Results: Between March 2011 and April 2013, a total of 82 critical care nurses completed a workshop. Compared with before the workshop, after the workshop, nurses reported greater skill and confidence for 14 survey items (P < .001), including assessing families' understanding of prognosis and goals of care, addressing families' emotional needs, and contributing to family meetings. Increases were sustained 3 months after the workshop.
Conclusion: Defining roles and providing opportunities for skills practice and reflection can enhance nurses' confidence to engage in discussions about prognosis and goals of care.
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| http://dx.doi.org/10.4037/ajcc2015855 | DOI Listing |
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