Determining the Effects of Complex Education on Primary Care Nurse Practitioners' Self-efficacy in Advance Care Planning for Healthy Adults.

IF 1.2 4区 医学 Q3 NURSING
Yelena Geiler, Helene Bowen Brady
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引用次数: 0

Abstract

Advance care planning is a process in which capable adults communicate their preferences for medical care in case of incapacitation. Regardless of health status, most adults are interested in advance care planning conversations and prefer providers to initiate these discussions. Primary care nurse practitioners are ideally positioned to lead these conversations but lack knowledge, confidence, and communication skills to do so. This project aimed to develop, implement, and evaluate an educational program for primary care nurse practitioners regarding leading advance care planning conversations with healthy adults. This evidence-based practice project used the Advance Care Planning Self-Efficacy Scale to measure primary care nurse practitioners' self-efficacy after completing a complex educational program. The educational program was developed based on a nationally recognized program incorporating didactic, observational, and role-play learning. The findings of this project indicated that providing complex education was an effective intervention immediately and after 3 months ( P = .018 and P = .023, respectively). The results indicate that educating nurse practitioners is an effective intervention for increasing their self-efficacy in leading advance care planning conversations with healthy adults over 3 months, recommending additional intervention at least earlier than 6 months.

确定复杂教育对初级护理执业护士为健康成年人制定预先护理计划的自我效能的影响。
预先护理计划是一个过程,有能力的成年人在这个过程中会表达他们在丧失能力时对医疗护理的偏好。无论健康状况如何,大多数成年人都对预先护理规划对话感兴趣,并希望由医疗服务提供者发起这些讨论。初级护理执业护士是引导这些对话的理想人选,但她们缺乏这方面的知识、信心和沟通技巧。本项目旨在为初级护理执业护士开发、实施和评估一项关于引导与健康成年人进行预先护理规划对话的教育计划。该循证实践项目采用了 "预先护理规划自我效能量表"(Advance Care Planning Self-Efficacy Scale)来测量初级护理执业护士在完成复杂的教育项目后的自我效能。该教育项目是根据一项国家认可的项目开发的,其中包含了说教、观察和角色扮演学习。本项目的研究结果表明,提供综合教育是一项有效的干预措施,无论是在第一时间还是在 3 个月之后(P = .018 和 P = .023)。结果表明,对执业护士进行教育是一项有效的干预措施,可在 3 个月内提高他们在引导健康成年人进行预先护理规划对话时的自我效能,建议至少在 6 个月前进行额外干预。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.60
自引率
11.10%
发文量
203
审稿时长
6-12 weeks
期刊介绍: Journal of Hospice & Palliative Nursing (JHPN) is the official journal of the Hospice & Palliative Nurses Association and is the professional, peer-reviewed journal for nurses in hospice and palliative care settings. Focusing on the clinical, educational and research aspects of care, JHPN offers current and reliable information on end of life nursing. Feature articles in areas such as symptom management, ethics, and futility of care address holistic care across the continuum. Book and article reviews, clinical updates and case studies create a journal that meets the didactic and practical needs of the nurse caring for patients with serious illnesses in advanced stages.
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