Improving Staff Confidence in End-of-Life Care Discussions
Author Information
Author(s): Dobbs Debra, Yauk Jessica, Meng Hongdao, Haley William, Peterson Lindsay, Buck Harleah
Primary Institution: University of South Florida
Hypothesis
Does increased staff self-efficacy mediate the effects of a palliative care educational intervention on ACP documentation rates?
Conclusion
The palliative care educational intervention positively impacted staff self-efficacy and ACP discussion rates, but the mediation results were not significant.
Supporting Evidence
- Only 12% of residents in assisted living with dementia had advance care planning documentation at baseline.
- The PCEAL intervention improved staff self-efficacy and ACP discussion rates.
- Mediation results were not significant despite positive impacts.
Takeaway
The study looked at how confident staff feel about talking to patients about end-of-life care, and while training helped, it didn't lead to more paperwork being filled out.
Methodology
The study used mediation models to examine the relationship between staff self-efficacy and ACP discussion rates following a palliative care educational intervention.
Limitations
The treatment fidelity scores for ACP discussions were lower than average, indicating potential issues with implementation.
Participant Demographics
Participants included nurses and administrators from assisted living facilities.
Digital Object Identifier (DOI)
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