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American Journal of Hospice and Palliative Medicine®
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Evaluating Strategies for Changing Acute Care Nurses' Perceptions on End-of-life Care

Barbara G. Kruse, ARNP, PhD

School of Nursing, Florida Gulf Coast University, bkruse{at}fgcu.edu

Lolita W. Melhado, BSN, MSN, ARNP, BC

Lee Memorial Health System, Fort Myers, Florida

Linda Convertine, RN, CMSRN

Lee Memorial Health System, Fort Myers, Florida

Jo Stecher, MA, RN, BC, CCTC

School of Nursing, Florida Gulf Coast University

Providing quality care to the dying has become a primary concern in the United States. Eighty percent of deaths still occur in the hospital even though nurses report they do not think that good deaths are routinely possible within a hospital setting due to lack of appropriate education on end-of-life care. The aim of this pilot study was to test the best method for changing acute nurse's perceptions about end-of-life care. A 3-group experimental design tested the efficacy of a nurse-led hospice collaborative. Hypotheses were: (1) nurses who receive classroom instruction will have greater change in perceptions than the control group and (2) nurses who receive a combination of classroom and hospice experiences will demonstrate greater changes than the classroom or control group. No significant differences were found among the 3 groups. However, the intervention group showed increased guilt about not having enough time to spend with the dying.

Key Words: end-of-life care • acute care registered nurses • perceptions • didactic • experiential learning • kings theory • goal attainment

American Journal of Hospice and Palliative Medicine®, Vol. 25, No. 5, 389-397 (2008)
DOI: 10.1177/1049909108322368
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