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Implementation of a Caregiver Education Tool in the Hospice Setting
Freburger, Sarah Elizabeth ProQuest Dissertations & Theses Salisbury Universi 2020 해외박사(DDOD)
Problem Statement: Available research shows that most caregivers of hospice patients do not feel confident or prepared to care for their loved ones in the home. Although evidence shows that providing thorough education can contribute to improving caregiver confidence, the Hospice of the Chesapeake (HOC) does not utilize a standardized method for providing education to caregivers.Purpose: The purpose of this DNP project was to determine if the use of a standardized educational tool, called the CARES Tool, would increase the confidence of family caregivers who were caring for hospice patients within a community-based hospice organization.Methods: A quality improvement project was implemented with a one-group pretest- posttest design. Thirty participants were obtained from a convenience sample of primary caregivers of patients newly admitted to the Hospice of the Chesapeake. Baseline caregiver confidence scores were collected from participants utilizing the modified Caregiver Confidence in the Sign/Symptom Management (CCSM) Scale. The caregivers then took part in an individual, nurse led, educational session using the CARES Tool. After the intervention, caregiver confidence scores were collected again.Results: There was a significant difference in the caregiver confidence scores before (M = 3.173, Variance = 0.952) and after (M = 4.445, Variance = 0.187) the educational intervention; t (29) = -6.977, p < 0.05. Significance: This quality improvement project was successful in demonstrating that the use of a one-on-one educational session utilizing the CARES Tool was effective for improving the confidence of family caregivers caring for patients of the Hospice of the Chesapeake.