Assistant Professor (Dr Rauch), Professor (Dr Dudley), and Professor Emeritus (Drs Adelman and Canham), The Valley Foundation School of Nursing, San Jose State University, San Jose, California.
Nurse Educ. 2023;48(4):209-213. doi: 10.1097/NNE.0000000000001368. Epub 2023 Feb 6.
Palliative care is an essential component of community health for a growing population of seriously ill older adults residing in the community. Yet, nursing students are often challenged in initiating and engaging in serious illness conversations.
This study implemented and evaluated an educational activity designed to increase nursing students' skills and self-efficacy to initiate and conduct conversations with patients/clients experiencing serious illness.
A mixed-methods approach was used to study how statement cards and prompts facilitated students' readiness to engage in such conversations. A quantitative pre- and posttest survey was used to evaluate self-efficacy and students' perception of their ability to engage in challenging conversations.
The results indicated a significant increase in student confidence in conducting serious illness conversations.
Students reported an improved perception of their ability to conduct serious illness conversations and emphasized the need to practice these conversations in clinical practice.
姑息治疗是社区卫生的一个重要组成部分，越来越多的重病老年人居住在社区中。然而，护理学生在开始和进行严重疾病对话方面常常面临挑战。
本研究实施并评估了一项教育活动，旨在提高护理学生与患有严重疾病的患者/客户进行对话的技能和自我效能感。
采用混合方法研究了陈述卡和提示如何促进学生准备参与此类对话。使用定量的前测和后测调查来评估自我效能感和学生对自己进行挑战性对话的能力的看法。
结果表明，学生进行严重疾病对话的信心显著增强。
学生报告说，他们对进行严重疾病对话的能力有了更好的认识，并强调需要在临床实践中练习这些对话。
