Developing and implementing a novel program to prepare nursing home-based geriatric nurse practitioners in primary palliative care.

Current palliative care workforce projections indicate that the growing palliative care needs of older adults in US nursing homes cannot be met by specialists, leaving them vulnerable and at risk for poor end-of-life outcomes. The purpose of this article is to describe the development, implementatio...

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Publicado en:Journal of the American Association of Nurse Practitioners Vol. 34; no. 1; pp. 142 - 153
Autores principales: Carpenter, Joan G., Ersek, Mary
Formato: research tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins Jan2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2022
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      pub: Lippincott Williams & Wilkins
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        atl: Developing and implementing a novel program to prepare nursing home-based geriatric nurse practitioners in primary palliative care.
      aug:
        au:
          Carpenter, Joan G.
          Ersek, Mary
        affil: Organizational Systems and Adult Health, University of Maryland School of Nursing, Baltimore, Maryland
      sug:
        subj:
          Program Development
          Program Implementation
          Program Evaluation
          Gerontologic Nurse Practitioners
          Primary Health Care
          Palliative Care
          Nursing Knowledge
          Nursing Skills
          Human
          Communication Skills
          Online Education
          Learning Methods
          Seminars and Workshops
          Internet
          Curriculum
          Outcomes (Health Care)
          Patient Simulation
          Practice Patterns
          Summated Rating Scaling
          Descriptive Statistics
      ab: Current palliative care workforce projections indicate that the growing palliative care needs of older adults in US nursing homes cannot be met by specialists, leaving them vulnerable and at risk for poor end-of-life outcomes. The purpose of this article is to describe the development, implementation, and initial evaluation of a program to support primary care nursing home nurse practitioners (NPs) in palliative care. The program aimed to improve geriatric NPs' knowledge and skills related to palliative care and to provide a structured protocol for integrating palliative care encounters into NPs' practice. It comprised three phases consisting of asynchronous online learning modules, a 1-day face-to-face communication skills and patient simulation workshop, and ongoing monthly virtual meetings to support NP clinical practice. Over a 1-year period, the program was developed and implemented with 12 practicing NPs in a national organization. Through an online survey and face-to-face feedback, NPs reported satisfaction with the curriculum and expressed it as valuable to their clinical practice. Future work will focus on sustaining implementation of the program, measuring patient level outcomes, and refining the curriculum based on NP feedback.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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