Importance of Certified Nursing Assistant (CNA)s Knowledge in End of Life (EOL) Care for a Hospice Patient
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Authors
Remaniravi, Aneesh
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Nursing
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Abstract
Background: Hospice services offered by Certified Nursing Assistant (CNA)s play a critical role in resolving most of the concerns raised by elderly patients and their families, for instance, their knowledge with regards to End of life care (EOLC) and comfort measures. Research has identified that education about EOLC helped CNAs in improving patient understanding, thus improving their health outcomes.
Purpose: The purpose of this study was to identify and assess the knowledge of EOLC among hospice CNAs and how education about end of life care improved their knowledge and skills in their care of the elderly in hospice and Care homes in Honolulu, Hawaii in 2020
Methods: Quasi-experimental pre-post design was used to answer clinical questions. A sample of 12 CNAs recruited from the hospice agency in Honolulu, Hawaii, was included. The CNAs underwent an EOL education and their knowledge was assessed immediately after the education session and after 4 weeks of the session. Data were analyzed through repeated measures ANOVA.
Results: There was a significant mean difference in knowledge of EOL from pre-intervention (M = 14.33, SD = 1.723) to post-intervention (M = 16.58, SD = 2.065), Z = -2.329, p = .020. There was a significant mean difference in skills delivery from pre-intervention (M = 119, SD = 7.045) to post-intervention (M = 135, SD = 8.432), Z = -3.062, p = .002.
Conclusions: The current project evaluated the effectiveness of EOL care education intervention in improving knowledge and skills in delivering care. The findings indicated that the educational intervention program was effective in improving the knowledge and skills in delivering quality care. Inadequate knowledge and skills gap are a notable challenge among many CNAs providing end of life care in nursing care systems, which have been addressed through the education program. Major limitations of this study related to the data collection being in only one facility, limiting the ability to generalize to other nursing homes, and the small CNA sample size (N = 12)
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Capstone Project
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Hawaii Pacific University