Tully Jessica
Jessica Tully is the director of medical and surgical nursing at Midland Memorial Hospital in Midland, Tex.
Nursing. 2018 Nov;48(11):63-66. doi: 10.1097/01.NURSE.0000546456.63746.1b.
To improve the healthcare team's comfort and efficacy with end-of-life conversations at a 474-licensed bed community acute care hospital through training on advance care planning (ACP) and advance directives (ADs).
This instructional program utilized training sessions, including pre- and posttests, to demonstrate enhanced knowledge of and confidence in discussing ACP and ADs among healthcare professionals engaging in end-of-life conversations with patients and their families.
There were 138 participants included in the program. A pretest and a posttest were completed by the attendees at the beginning and end of training, respectively. Data indicated improved preparedness for end-of-life conversations following the training sessions.
Training specific to ACP and ADs increases confidence with end-of-life conversations. With the proper knowledge and resources, the healthcare staff can foster these difficult conversations. Although the program exceeded expectations, the sample is considered small and more research will be needed.
通过开展预先护理计划（ACP）和预先医疗指示（ADs）培训，提高一家拥有474张床位的社区急症护理医院医护团队在临终谈话中的舒适度和效率。
该教学项目利用培训课程，包括课前和课后测试，以证明参与与患者及其家属进行临终谈话的医护人员在讨论ACP和ADs方面的知识有所增强且信心有所提高。
该项目共有138名参与者。参与者分别在培训开始和结束时完成了课前测试和课后测试。数据表明，培训课程结束后，医护人员在临终谈话方面的准备更加充分。
针对ACP和ADs的培训增强了医护人员在临终谈话中的信心。有了适当的知识和资源，医护人员就能促成这些艰难的谈话。尽管该项目超出了预期，但样本规模较小，还需要更多研究。
