J Hosp Palliat Nurs. 2020 Jun;22(3):196-203. doi: 10.1097/NJH.0000000000000643.
Nurses spend more time with seriously and terminally ill patients across the continuum of care than other health professionals, yet nursing students lack adequate palliative care education and experience when they transition to practice. In response to the American Association of Colleges of Nursing CARES competencies for enhanced preparation in palliative care, the End-of-Life Nursing Education Consortium developed modules for undergraduate programs. Nursing students' life experiences and their prior involvement with death and dying situations shape their potential achievement of end-of-life learning outcomes. The purpose of this study was to explore traditional and nontraditional students' perspectives and outcomes of their lived experiences in response to the End-of-Life Nursing Education Consortium modules and current palliative care program curriculum. Following university institutional review board approval, the phenomenological qualitative study included 2 focus groups of traditional and transfer students. Thematic data analysis revealed 4 primary themes with differences noted between groups in response to these themes: (1) witnessing suffering and death, (2) building courage and competence, (3) conversation challenges, and (4) curriculum issues and recommendations. Implications for future palliative care education indicate opportunities to better support students through expanded simulations and debriefing sessions, integrated roles for clinical faculty and preceptors, and interdisciplinary team collaboration opportunities across settings.
护士在整个护理连续体中与重病和绝症患者在一起的时间比其他卫生专业人员多,但护理学生在过渡到实践时缺乏足够的姑息治疗教育和经验。为了响应美国护理学院协会 CARES 在姑息治疗方面的强化准备能力,生命末期护理教育联盟为本科课程开发了模块。护理学生的生活经历以及他们之前对死亡和垂死情况的参与,塑造了他们在临终学习成果方面的潜在成就。本研究的目的是探讨传统和非传统学生对生命末期护理教育联盟模块和当前姑息治疗计划课程中生活经历的观点和结果。在获得大学机构审查委员会的批准后,这项现象学定性研究包括 2 个传统和转学生焦点小组。主题数据分析揭示了 4 个主要主题,并且在这些主题方面注意到了组间的差异:(1)目睹痛苦和死亡,(2)建立勇气和能力,(3)对话挑战,以及(4)课程问题和建议。对未来姑息治疗教育的影响表明,有机会通过扩大模拟和汇报会议、为临床教师和导师整合角色以及在跨环境中进行跨学科团队合作来更好地支持学生。