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J Hosp Palliat Nurs ; 21(1): 38-45, 2019 02.
Article in English | MEDLINE | ID: mdl-30608356

ABSTRACT

Communication is a key component of palliative and end-of-life care. Little is known about comfort with palliative and end-of-life communication among nurses working in rural and urban settings. We assessed this comparison using the 28-item (including 2 ranked items) Comfort with Communication in Palliative and End-of-Life Care instrument. Descriptive analyses of the sample (N = 252) identified statistically significant results differences for age and experience; rural nurses were older and more experienced. Urban nurses reported less comfort than did rural nurses based on composite score analysis (P = .03) and reported less comfort than did rural nurses in talking with patients and families about "end-of-life decisions" (P < .05). Overall, years of experience were significant for more comfort with end-of-life communication. Our instrument could be used within academic settings to establish baseline awareness of comfort with palliative and end-of-life communication and in institutional settings to provide a continuing education bridge from prelicensure through licensure. Moreover, experienced nurses are integral in mentoring new graduates in initiating and sustaining difficult conversations.


Subject(s)
Nurse-Patient Relations , Palliative Care/standards , Adult , Attitude of Health Personnel , Cross-Sectional Studies , Female , Humans , Male , Middle Aged , Palliative Care/psychology , Pilot Projects , Psychometrics/instrumentation , Psychometrics/methods , Rural Population/trends , Statistics, Nonparametric , Surveys and Questionnaires , Urban Population/trends
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