The Relationship of Patient Population and Nurses Certification Status on Nurses' Practices in Preparing Families for the End of Life.

Abstract

While nurses usually prepare family for the patients' final days, little is known about how this is done. The purpose of this study was to describe nurses' beliefs and practices concerning family preparation for dying, focusing on strategies, tailoring, timing and content of preparation. Nurses' preparatory practices were compared by patient population (hospice or palliative care) and the nurses' certification status. A descriptive, comparative survey was conducted. All RN members of the Hospice and Palliative Nurses Association and who met the inclusion criteria (N=2706) were invited and 1434 (53.1%) participated. Nurses believe families can be prepared, and identified trust and repetition as important strategies. There are significant differences based on population regarding nurses' beliefs about preparation, strategies, tailoring, timing and content. Tailoring differed based on certification status. This information can be compared to what is known about family preparatory needs to develop preparatory interventions that are tailored to patient and family characteristics. Revisiting the similarities and differences in the practice of nurses in hospice and palliative care is important as the specialty continues to mature to assure that adequate education and proper criteria for certification are being provided for all hospice and palliative care nurses.