Assessment of Rural Nurses' Educational Needs in Providing Evidence-based End-of-Life Care

Persistent Link:
http://hdl.handle.net/10150/612982
Title:
Assessment of Rural Nurses' Educational Needs in Providing Evidence-based End-of-Life Care
Author:
Wiggins, Heather Dawn
Issue Date:
2016
Publisher:
The University of Arizona.
Rights:
Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
Abstract:
Many organizations such as the Institute of Medicine, the World Health Organization and the National Consensus Project for Quality Palliative Care have identified the need for equitable access to palliative and end-of-life care (Ferrell, Coyle, & Paice, 2015). However, in many rural areas of the world, including rural Wyoming, patients at end-of-life are cared for in acute care settings where nurses have not received specialized training and education on evidence based end-of-life care. The aim for this DNP project was to assess rural registered nurses' perceptions of competencies important in end-of-life nursing practice (Coyne & White, 2011). A 32-item survey developed by White and Coyne (2011) was adapted for use in a rural critical access hospital to determine content priorities and educational needs of generalist nurses in a rural setting, regarding providing palliative and end-of-life care. A purposive sample of 16 nurses in a rural critical access hospital in Wheatland, WY, who care for patients at end-of-life, completed the survey. Only one-third of the nurses surveyed reported receiving any type of end-of-life care education in the prior two years. Similar to findings from the study completed in 2011 in an urban area, symptom management, talking to patients and families about death and dying, and pain control were the highest ranking core competencies. Nurses who did report receiving education in end-of-life care still felt inadequately prepared to talk to patients and families about dying, and this needs assessment identified that educational gaps are evident regarding provision of end-of-life nursing care in rural settings. The information gleaned from this survey will be used to design an educational program to disseminate evidence based practice guidelines regarding providing quality end-of-life care using ELNEC (End-of-Life Nursing Education Consortium) modules based on the findings of the needs assessment survey
Type:
text; Electronic Dissertation
Keywords:
End-of-life care; Rural; Nursing; Educational Needs
Degree Name:
D.N.P.
Degree Level:
doctoral
Degree Program:
Graduate College; Nursing
Degree Grantor:
University of Arizona
Advisor:
Martin-Plank, Lori M.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.titleAssessment of Rural Nurses' Educational Needs in Providing Evidence-based End-of-Life Careen_US
dc.creatorWiggins, Heather Dawnen
dc.contributor.authorWiggins, Heather Dawnen
dc.date.issued2016-
dc.publisherThe University of Arizona.en
dc.rightsCopyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author.en
dc.description.abstractMany organizations such as the Institute of Medicine, the World Health Organization and the National Consensus Project for Quality Palliative Care have identified the need for equitable access to palliative and end-of-life care (Ferrell, Coyle, & Paice, 2015). However, in many rural areas of the world, including rural Wyoming, patients at end-of-life are cared for in acute care settings where nurses have not received specialized training and education on evidence based end-of-life care. The aim for this DNP project was to assess rural registered nurses' perceptions of competencies important in end-of-life nursing practice (Coyne & White, 2011). A 32-item survey developed by White and Coyne (2011) was adapted for use in a rural critical access hospital to determine content priorities and educational needs of generalist nurses in a rural setting, regarding providing palliative and end-of-life care. A purposive sample of 16 nurses in a rural critical access hospital in Wheatland, WY, who care for patients at end-of-life, completed the survey. Only one-third of the nurses surveyed reported receiving any type of end-of-life care education in the prior two years. Similar to findings from the study completed in 2011 in an urban area, symptom management, talking to patients and families about death and dying, and pain control were the highest ranking core competencies. Nurses who did report receiving education in end-of-life care still felt inadequately prepared to talk to patients and families about dying, and this needs assessment identified that educational gaps are evident regarding provision of end-of-life nursing care in rural settings. The information gleaned from this survey will be used to design an educational program to disseminate evidence based practice guidelines regarding providing quality end-of-life care using ELNEC (End-of-Life Nursing Education Consortium) modules based on the findings of the needs assessment surveyen
dc.typetexten
dc.typeElectronic Dissertationen
dc.subjectEnd-of-life careen
dc.subjectRuralen
dc.subjectNursingen
dc.subjectEducational Needsen
thesis.degree.nameD.N.P.en
thesis.degree.leveldoctoralen
thesis.degree.disciplineGraduate Collegeen
thesis.degree.disciplineNursingen
thesis.degree.grantorUniversity of Arizonaen
dc.contributor.advisorMartin-Plank, Lori M.en
dc.contributor.committeememberReed, Pamela G.en
dc.contributor.committeememberKoithan, Mary S.en
dc.contributor.committeememberMartin-Plank, Lori M.en
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