END OF LIFE CARE IN NURSING HOMES--PERT PROGRAM

描述：（申请人的描述）本项目的主要目标是 通过教育改善养老院（NH）的临终关怀（EOL） 伙伴关系，以增加知识，技能和护理人员的信心， 嗯。 该合作伙伴关系将由瑞典医疗中心和 西雅图地区的NH和将测试，完善，并实施全面的 教育计划，将准备持牌护理人员（RNs和 LVN/LPN）和认证护理助理（CNA）作为姑息治疗教育 资源小组（PERT）成员。 该项目的具体目标是： 1)测试和完善教育干预，重点是增加 持牌医护人员及注册护士的临床知识及技能 护理院助理; 2）增加持牌人的知识和技能 在临终关怀方面，NH的工作人员和认证护理助理; 3)改善姑息治疗提供者和NH工作人员之间的合作， 为NH工作人员和姑息团队成员提供分享的机会 知识、想法和关注点;以及4）记录 教育干预改善NH中的EOL护理。 该项目将分两个阶段进行。 第一阶段将进行试点测试， 在一个NH设施的PERT课程。 根据参与者和设施 根据反馈和项目成果，将对课程进行改进。 第2阶段将 在所有与瑞典签订合同的NH实施修订后的PERT课程 临终关怀服务医疗中心。 目前，35个设施雇用 大约1000名持证员工和2000名CNA表示有兴趣 参与。 大约300名PERT成员将从中招募 潜在的申请人。 一个强有力的评价组成部分包括在 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课程的推广及其对护患的影响 成果计划，包括外行和专业介绍， 出版物和网站。 此外，还有书面计划， 承诺，以确保持续实施PERT计划， 原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.