END OF LIFE CARE IN NURSING HOMES--PERT PROGRAM

描述：（申请人的描述）该项目的主要目标是 通过教育改善疗养院 (NH) 的临终 (EOL) 护理 伙伴关系，以提高护理人员的知识、技能和信心 NH。 该合作伙伴关系将由瑞典医疗中心和 新罕布什尔州西雅图地区将测试、完善和实施全面的 教育计划将培养有执照的护理人员（注册护士和护士） LVN/LPN）和认证护理助理（CNA）作为姑息治疗教育 资源团队 (PERT) 成员。 该项目的具体目标是： 1）测试和完善教育干预措施，重点是提高 持证人员和认证护理人员的临床知识和技能 疗养院助理； 2）增加持证人的知识和技能 新罕布什尔州有关临终关怀的工作人员和经过认证的护理助理； 3) 改善姑息治疗提供者和 NH 工作人员之间的合作 为 NH 工作人员和姑息治疗团队成员提供分享的机会 知识、想法和关注点； 4) 记录有效性 改善新罕布什尔州临终关怀的教育干预。 该项目将分两个阶段进行。 第一阶段将进行试点测试 新罕布什尔州一处设施的 PERT 课程。 基于参与者和设施 反馈和项目成果，课程将得到完善。 第二阶段将 在与瑞典签订合同的所有新罕布什尔州实施修订后的 PERT 课程 提供临终关怀服务的医疗中心。 目前，共有 35 家工厂雇用 大约 1000 名持照员工和 2000 名 CNA 表示有兴趣 参与。 此次将招募约300名PERT会员 潜在申请人库。 强大的评估成分包含在 项目的两个阶段都记录了 PERT 计划对员工的影响 知识和技能以及临床实践。 PERT 课程的传播及其对护士和患者的影响 成果是有计划的，包括非专业和专业的演示， 出版物和网站。 此外，还有书面计划和 确保 PERT 计划持续实施的承诺 原项目中未包含的额外设施。

DESCRIPTION: (Applicant's Description) The major goal of this project is to improve end of life (EOL) care in nursing homes (NH) through an educational partnership to increase knowledge, skills, and confidence of nursing staff in NH. The partnership will be formed between Swedish Medical Center and Seattle-area NH and will test, refine, and implement a comprehensive educational program that will prepare licensed nursing staff (RNs and LVN/LPNs) and certified nursing assistants (CNAs) as Palliative Care Education Resource Team (PERT) members. The specific aims of the project are to: 1) test and refine an educational intervention that focuses on increasing the clinical knowledge and skills of licensed staff and certified nursing assistants in nursing homes; 2) increase the knowledge and skills of licensed staff and certified nursing assistants in NH regarding end of life care; 3) improve collaboration between palliative care providers and NH staff by providing opportunities for NH staff and palliative team members to share knowledge, ideas, and concerns; and 4) document the effectiveness of the educational intervention in improving EOL care in NH. The project will proceed in two phases. Phase 1 will involve a pilot test of the PERT curriculum at one NH facility. Based on participant and facility feedback and project outcomes, the curriculum will be refined. Phase 2 will implement the revised PERT curriculum in all NH that contract with Swedish Medical Center for hospice services. At present, 35 facilities employing approximately 1000 licenced staff and 2000 CNAs have expressed interest in participating. Approximately 300 PERT members will be recruited from this pool of potential applicants. A strong evaluation component is included in both phases of the project to document the impact of the PERT program on staff knowledge and skills, and clinical practice. Dissemination of the PERT curriculum and its impact on nurse and patient outcomes is planned and includes lay and professional presentations and publications, and a website. In addition, there are documented plans and commitments to ensure the ongoing implementation of the PERT Program in additional facilities not included in the original project.