• Int J Palliat Nurs · Mar 2015

    Communicating with patients and their families about palliative and end-of-life care: comfort and educational needs of nurses.

    • Cheryl Moir, Renee Roberts, Kim Martz, Judith Perry, and Laura J Tivis.
    • Home Care/Hospice, Care Coordinator, St. Luke's Health System, Boise, Idaho, US.
    • Int J Palliat Nurs. 2015 Mar 1; 21 (3): 109-12.

    IntroductionEffectively discussing palliative care with patients and families requires knowledge and skill. The purpose of this study was to determine perceived needs of inpatient nurses for communicating with patients and families about palliative and end-of-life (EoL) care.MethodA non-experimental design was used. In total, 60 inpatient nurses from one hospital in Idaho completed the End of Life Professional Caregiver Survey (EPCS), which examines three domains: patient and family-centered communication, cultural and ethical values, and effective care delivery.ResultsThe number of years' experience nurses had (F(9,131.57)=2.22, p=0.0246; Wilk's ^=0.709) and the unit they worked on (F(6,110)=2.49, p=0.0269; Wilk's ^=0.775) had a significant effect on their comfort discussing EoL and palliative care with patients and their families. For all three domains, years of nursing experience was positively associated with comfort in communicating about EoL care. Oncology nurses were most comfortable with regard to patient and family-centered communication.DiscussionThe success and sustainability of this service is dependent on education for health-care providers. Studies are needed to determine the most effective ways to meet this educational challenge.

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