END OF LIFE CARE IN NURSING HOMES--PERT PROGRAM

描述：(申请者描述)这个项目的主要目标是 通过教育改善养老院(NH)的临终关怀 合作伙伴关系以增加护理人员的知识、技能和信心 纳什。瑞典医疗中心和瑞典医疗中心将建立合作伙伴关系 西雅图-地区NH，并将测试、完善和实施全面的 教育计划，将培养有执照的护理人员(RN和 LVN/LPN)和认证护士助理(CNA)作为姑息护理教育 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，重点是增加 执业人员和执业护士的临床知识和技能 养老院助理；2)增加持证护士的知识和技能 NH的临终关怀工作人员和经认证的护理助理； 3)通过以下方式改善姑息护理提供者和NH工作人员之间的合作 为NH员工和姑息治疗团队成员提供分享的机会 知识、想法和关注事项；以及4)记录 在NH改善EOL护理的教育干预。 该项目将分两个阶段进行。第一阶段将涉及一项试点测试 在一家NH设施的PERT课程。基于参与者和设施 根据反馈意见和项目成果，课程将得到完善。第二阶段将 在与瑞典签订合同的所有国家实施修订后的PERT课程 临终关怀服务医疗中心。目前，有35家工厂雇用了 大约1000名有执照的员工和2000名CNA表示有兴趣 参与其中。大约300名PERT成员将从这里招募 潜在申请者人才库。中包含一个强大的评估组件 项目的两个阶段，以记录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病人的影响 结果是有计划的，包括非专业和专业的演示和 出版物和一个网站。此外，还有成文的计划和 承诺确保在#年持续实施PERT计划 原始项目中未包括的附加设施。

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.