Effect of end-of-life nursing education on the knowledge and performance of nurses in the intensive care unit: a quasi-experimental study

Abstract Background End-of-life care education is required for nurses to acquire the clinical competence necessary for the improvement of the quality of end-of-life nursing care. The aim of this study was to determine the effect of nursing care education based on End-of-Life Nursing Education Consor...

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Main Authors: Sima Sadat Ghaemizade Shushtari, Shahram Molavynejad, Mohammad Adineh, Mohsen Savaie, Asaad Sharhani
Format: Article
Language:English
Published: BMC 2022-05-01
Series:BMC Nursing
Subjects:
Online Access:https://doi.org/10.1186/s12912-022-00880-8
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author Sima Sadat Ghaemizade Shushtari
Shahram Molavynejad
Mohammad Adineh
Mohsen Savaie
Asaad Sharhani
author_facet Sima Sadat Ghaemizade Shushtari
Shahram Molavynejad
Mohammad Adineh
Mohsen Savaie
Asaad Sharhani
author_sort Sima Sadat Ghaemizade Shushtari
collection DOAJ
description Abstract Background End-of-life care education is required for nurses to acquire the clinical competence necessary for the improvement of the quality of end-of-life nursing care. The aim of this study was to determine the effect of nursing care education based on End-of-Life Nursing Education Consortium (ELNEC) on the knowledge and performance of nurses working in the intensive care unit (ICU). Methods This quasi-experimental study was conducted with a pretest–posttest design. From among nurses working in the ICU of Golestan and Imam Khomeini hospitals in Ahvaz, Iran, 80 nurses were selected based on the inclusion criteria. They were randomly assigned to the intervention and control groups (40 people in each group) using a table of random numbers. Data were collected using a demographic characteristics form, the ELNEC Knowledge Assessment Test (ELNEC-KAT), and the Program in Palliative Care Education and Practice Questionnaire (German Revised Version; PCEP-GR). Results A significant difference was observed between the intervention and control groups in terms of the average knowledge score in all 9 modules including nursing care, pain management and control, disease symptom management, ethical/legal issues, culture, communication with the patient and his/her family, loss and grief, death, and quality of life (QOL) (P < 0.001). Moreover, the average performance score of nurses in the fields of preparation for providing palliative care, self-assessment of ability to communicate with dying patients and their relatives, self-assessment of knowledge and skills in palliative care increased significantly in the intervention group compared to the control group (P < 0.001). Conclusions End-of-life nursing education is recommended as an effective method for promoting knowledge, attitude, performance, and clinical competence among all nurses involved in end-of-life care.
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spelling doaj.art-cfd56d9efdd84515bbcd4d394547f4922022-12-22T00:44:56ZengBMCBMC Nursing1472-69552022-05-012111810.1186/s12912-022-00880-8Effect of end-of-life nursing education on the knowledge and performance of nurses in the intensive care unit: a quasi-experimental studySima Sadat Ghaemizade Shushtari0Shahram Molavynejad1Mohammad Adineh2Mohsen Savaie3Asaad Sharhani4Nursing Care Research Center in Chronic Diseases, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical SciencesNursing Care Research Center in Chronic Diseases, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical SciencesNursing Care Research Center in Chronic Diseases, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical SciencesPain Research Center, Ahvaz Jundishapur University of Medical SciencesDepartment of Epidemiology and Biostatistics, School of Public Health, Ahvaz Jundishapur University of Medical SciencesAbstract Background End-of-life care education is required for nurses to acquire the clinical competence necessary for the improvement of the quality of end-of-life nursing care. The aim of this study was to determine the effect of nursing care education based on End-of-Life Nursing Education Consortium (ELNEC) on the knowledge and performance of nurses working in the intensive care unit (ICU). Methods This quasi-experimental study was conducted with a pretest–posttest design. From among nurses working in the ICU of Golestan and Imam Khomeini hospitals in Ahvaz, Iran, 80 nurses were selected based on the inclusion criteria. They were randomly assigned to the intervention and control groups (40 people in each group) using a table of random numbers. Data were collected using a demographic characteristics form, the ELNEC Knowledge Assessment Test (ELNEC-KAT), and the Program in Palliative Care Education and Practice Questionnaire (German Revised Version; PCEP-GR). Results A significant difference was observed between the intervention and control groups in terms of the average knowledge score in all 9 modules including nursing care, pain management and control, disease symptom management, ethical/legal issues, culture, communication with the patient and his/her family, loss and grief, death, and quality of life (QOL) (P < 0.001). Moreover, the average performance score of nurses in the fields of preparation for providing palliative care, self-assessment of ability to communicate with dying patients and their relatives, self-assessment of knowledge and skills in palliative care increased significantly in the intervention group compared to the control group (P < 0.001). Conclusions End-of-life nursing education is recommended as an effective method for promoting knowledge, attitude, performance, and clinical competence among all nurses involved in end-of-life care.https://doi.org/10.1186/s12912-022-00880-8End-of-life nursing care educationNursing educationKnowledge and performance of nurses
spellingShingle Sima Sadat Ghaemizade Shushtari
Shahram Molavynejad
Mohammad Adineh
Mohsen Savaie
Asaad Sharhani
Effect of end-of-life nursing education on the knowledge and performance of nurses in the intensive care unit: a quasi-experimental study
BMC Nursing
End-of-life nursing care education
Nursing education
Knowledge and performance of nurses
title Effect of end-of-life nursing education on the knowledge and performance of nurses in the intensive care unit: a quasi-experimental study
title_full Effect of end-of-life nursing education on the knowledge and performance of nurses in the intensive care unit: a quasi-experimental study
title_fullStr Effect of end-of-life nursing education on the knowledge and performance of nurses in the intensive care unit: a quasi-experimental study
title_full_unstemmed Effect of end-of-life nursing education on the knowledge and performance of nurses in the intensive care unit: a quasi-experimental study
title_short Effect of end-of-life nursing education on the knowledge and performance of nurses in the intensive care unit: a quasi-experimental study
title_sort effect of end of life nursing education on the knowledge and performance of nurses in the intensive care unit a quasi experimental study
topic End-of-life nursing care education
Nursing education
Knowledge and performance of nurses
url https://doi.org/10.1186/s12912-022-00880-8
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