Decreasing Nurses' Anxiety About Pediatric End-of-Life Care With Simulation.

IF 1.1 4区医学 Q3 NURSING

Journal of Continuing Education in Nursing Pub Date : 2023-12-01 Epub Date: 2023-10-17 DOI:10.3928/00220124-20231013-04

Kelsey A Roseland, Michelle Cook, Patricia Connelly, Jennifer R Dungan

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Abstract

Background: Caring for pediatric patients at the end of life (EOL) can lead to anxiety and burnout for critical care nurses. New graduate nurses (NGNs) often report receiving inadequate education related to EOL care and then enter the workforce with limited clinical experience in caring for patients at EOL. A quality improvement project at a pediatric academic hospital sought to determine whether a simulation-based educational program for NGNs working in critical care could reduce anxiety about EOL care.

Method: Eight NGNs participated in a case study and simulation-based educational program that encompassed topics such as communication, symptom management, postmortem care, and support for the family at EOL. Anxiety was measured pre- and postprogram with the Spielberger State-Trait Anxiety Inventory (STAI^©).

Results: Anxiety levels after participation in the EOL educational program decreased by 24.1% from preprogram levels.

Conclusion: Providing NGNs in critical care with a case- and simulation-based EOL educational program can reduce anxiety levels and potentially decrease caregiver burnout. [J Contin Educ Nurs. 2023;54(12):574-580.].

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模拟减少护士对儿科临终关怀的焦虑。

背景：临终关怀儿科患者会导致重症监护护士的焦虑和倦怠。新毕业护士（NGN）经常报告说，他们在EOL护理方面接受的教育不足，然后在EOL照顾患者的临床经验有限的情况下进入工作队伍。一家儿科学术医院的质量改进项目试图确定一个针对重症监护中NGN的基于模拟的教育计划是否可以减少对EOL护理的焦虑。方法：八名NGN参与了一项案例研究和基于模拟的教育计划，该计划涵盖了沟通、症状管理、尸检护理和EOL家庭支持等主题。使用Spielberger状态特质焦虑量表（STAI©）在术前和术后测量焦虑。结果：参加EOL教育项目后的焦虑水平比术前水平下降了24.1%。结论：为重症监护中的NGN提供基于案例和模拟的EOL教育计划可以降低焦虑水平，并可能降低护理人员的倦怠感。[J Contin Educ Nurs.202x；5x（x）：xx xx.]。

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

Journal of Continuing Education in Nursing NURSING-

CiteScore

1.80

自引率

8.30%

发文量

107

审稿时长

6-12 weeks

期刊介绍： The Journal of Continuing Education in Nursing is a monthly peer-reviewed journal publishing original articles on continuing nursing education that are directed toward continuing education and staff development professionals, nurse administrators, and nurse educators in all health care settings, for over 50 years.