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1) Sigma Theta Tau small research grant
2) Hospice and Palliative Care Nursing Foundation EOL Nursing Care Research Grant
3) American Nurses Foundation in the area of patient care: Gerontology
4) National Institute of Nursing Research in the area of end-of-life(EOL)
5) John A. Hartford Foundation in the area of geriatrics

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Advocacy efforts by nursing organizations

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Advocacy efforts by nursing organizations

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AACN is a strong supporter of EOL care and education of nurses (see above CARES competencies
NHPCO(National Hospice and Palliative Care Organization) is in support of several bills regarding Hospice care initiatives including one that specifically advocates for Hospice and Palliative Care education
The Florida Nurses Association is in support of education regarding EOL care for nursing.

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Not to be confused with care competencies, this tool is a small laminated directive regarding important care needs of the dying to be utilized by clinical staff as an 'at your fingertips' guide:
Comfort, Airway, Restlessness, Emotional and spiritual support and Self-Care

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Sample of self-efficacy assessment survey

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1) AACN (American Association of Colleges of Nurses) introduced/implemented the CARES document in January of 2017 which recommends education and competencies for nurses regarding EOL care.
2) POLST programs are in place in 24 states in the U.S. Bill 228 is a POLST initiative that is currently in legislation in Florida this year. Physician orders for life-sustaining treatment (POLST) assist caregivers of patients to know what their EOL wishes are.

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Research method and population of interest

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Research method and population of interest

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A pre-test/post-test design will be utilized in a pilot study of approximately 10-20 subjects to evaluate the effectiveness of a newly developed end-of-life organized educational guide called the CARES tool. Novice nurses in their first year of practice will take the Palliative Care Self-Efficacy Scale (PCSES) prior to an educational program including the ELNEC end-of-life modules and use of the CARES tool. Each nurse will be provided with a laminated CARES tool pocket guide to reference when caring for a patient at the end-of-life. After six months, these nurses will be given the PCSES as a post-test to evaluate changes in palliative care self-efficacy

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Description of dissertation topic and policy impact 

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Description of dissertation topic and policy impact 

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This is a pilot study that will investigate the self-efficacy of novice nurses regarding palliative care before and after an educational training program.  Information gleaned from this study can further support the importance  of policies surrounding the type and amount of EOL education needed for professional nurses.