Annual Connecticut Coalition to Improve End of Life Care Meeting

Elizabeth Ercolano, RN, DNSc, AOCNSPrincipal InvestigatorDecember 7, 2011

ELNEC Geriatric Train-the-Trainer

Purpose

Increase knowledge and skills of health care providers who provide palliative/end of life care in Ct by enrolling a state wide target sample of Registered Nurses (RNs) to train them.

Provide an opportunity to incorporate recommendations of Assessing the Unmet Needs of Health Care Providers Using a Web-based Survey.

Purpose

Comprehensive and longitudinal follow-up to monitor dissemination of the training to a range of disciplines who work at different clinical settings.

Measures and Questionnaires

Pre-program ELNEC Application with Goals for Training.

End-of-Life Needs Professional Caregiver Survey (EPCS) before training and 6 months after training.

6-month ELNEC survey and 12-month ELNEC survey to gather data on number of modules taught; number and type of health care providers taught; and to evaluate goals.

Preliminary Training Outcomes

Two-day training conducted on October 20 and 21, 2011.

50 nurses attended both days of training.

50 nurses were awarded ELNEC certificates and continuing education credits for attending the training.

Preliminary Training Outcomes Demographics of 50 Participants

Demographic Number (n)

Percent ( %)

Gender Female Male

491

98 2

Race White African American Asian

4541

90 8 2

Education/License BSN/RN MSN/APRN LPN

28 21 1

56 42 2

Preliminary Training Outcomes Nurses’ Work Setting

Work Setting n Work Setting n

Acute Care 16 Other-house calls, inpt hospice

4

Homecare/Hospice Homecare

13 Long Term Care (LTC)

2

Skilled Nursing Facility

11 Hospice serving LTC

1

School of Nursing 7 Assisted Living 1

Preliminary Training Outcomes Methods to Enroll State-Wide Target

of RNs Methods to Enroll RNs n

Supervisor 20

Invitation Letter 9

Co-Worker 8

CTEOL website 5

Other (Ct Hosp Assoc Posting, Director, ELNEC website, not specified)

4

Friend 2

Preliminary Training Outcomes Incentive for Attending the ELNEC

TrainingIncentives for ELNEC Training n

My institution sent me to be a trainer to train others

24

Beginning a palliative care team/service at facility/unit

16

Other (assist me as nurse educator, increase eol content in nsg curriculum, interest in content, self-advancement, hospice nurse, incorporate concepts into clinical program)

16

Supervisor suggested that I come to course 6

New in palliative care and need information 5

Thinking about changing career to palliative care

2

In graduate school and studying palliative care

0

Preliminary Training Outcomes General Evaluation of ELNEC Training by

Participants (Rated on Scale 1-5, 5=excellent and

1=poor)

Item Mean Score

What was your overall opinion of the course? 4.9

Was the information stimulating and thought provoking regarding palliative care issues in geriatrics?

4.6

To what extent did the course meet your objectives and your expectations?

4.4

Was the environment conducive to learning? 4.3

Next Steps

Establish a database to store essential data needed for reports to the DPH and Ct Cancer Partnership.

Analysis and comparison of pre-course EPCS scores and post-course EPCS scores.

Analysis of whether participants met 6 and 12 months goals: integration of end-of-life care in facility’s educational activities.

Appreciation

Nealy Zimmerman, Project Director

Patricia Trotta, Project Coordinator

ELNEC Faculty: Carol Curtiss, Thomas Quinn, Lynn Allchin,

Patricia Trotta, Karen Stanley, Janet Treantofilis

Appreciation

Ct Coalition Education Committee Members

Bernadette DiGiulian

Cynthia Lamont Nancy Leonard Barbara Morrison Cynthia O’Sullivan Kathy Shanahan Karen Stanley Pat Trotta