Barra M. Nobody Wants to Talk About Dying: Facilitating End-of-Life Discussions.
J Contin Educ Nurs 2021;
52:287-293. [PMID:
34048300 DOI:
10.3928/00220124-20210514-08]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
BACKGROUND
This educational study investigated the association between nursing staff and end-of-life discussions in an assisted living facility. Although mandated, these conversations often are deficient due to health care providers' limited knowledge on advance care documents.
METHOD
All staff underwent end-of-life training to identify their own reservations that prevent involvement with advance directive completion, develop advance directive competency, recognize the ramifications when advance directives are not documented, and role-play to experience different character viewpoints.
RESULTS
The group discussions and interview data were summarized into four main themes: not qualified to broach the end-of-life documents; reluctance to get involved; right place, right time, and right words; and who wants to think about death? Eleven subthemes that detailed descriptions from each category also were identified.
CONCLUSION
Staff acknowledged the value of in-service education to alleviate their uncertainty on the subject matter, gaining confidence, proficiency, and perspectives with end-of-life planning. [J Contin Educ Nurs. 2021;52(6):287-293.].
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