Date

6-19-2024

Department

School of Nursing

Degree

Doctor of Nursing Practice (DNP)

Chair

Lynne' Sanders

Keywords

Palliative care, end-of-life care, nursing care, care bundle, perceived self-efficacy, nursing care quality, dying, bundle

Disciplines

Nursing

Abstract

A significant number of patients die in the hospital. Family-centered nursing care interventions are critically important to help ease the physical, social, spiritual, and emotional symptoms that patients may experience at the end of life. Despite the importance of the nurse’s role in delivering comprehensive end-of-life care, many nurses lack the knowledge and confidence necessary to implement evidence-based interventions. The purpose of this project was to evaluate the effectiveness of a nursing care bundle on increasing nurses’ self-perceived ability to deliver high-quality end-of-life care to patients in the inpatient setting. For this pilot study, an evidence-based Comfort Care Nursing Bundle was developed and implemented on an inpatient oncology unit for a period of four weeks. Nurses’ perceived self-efficacy in palliative care delivery was measured before and after the intervention period using a validated survey questionnaire, and qualitative data regarding the nurses’ perceptions of the care bundle was analyzed. Nurses’ perceived self-efficacy in palliative care delivery scores increased from 7.44 to 8.13, and 94% of nurses (n=15) perceived the bundle to be clinically useful. Findings suggest that the implementation of the bundle increased nurses’ perceived knowledge and confidence in end-of-life care delivery, and that the bundle may be particularly beneficial to practice settings in which nurses do not regularly deliver end-of-life care.

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