An Intervention to Improve Respiratory Therapists' Comfort With End-of-Life Care
Wenger, Neil S
Respiratory care 2010 Jul ; 55(7): 858-65
BACKGROUND: Respiratory therapists (RTs) are often involved in treating seriously ill and dying patients, but receive little instruction in end-of-life care. Prompted by several difficult cases, we developed an interdisciplinary program to introduce practicing RTs to ethical and end-of-life issues, and evaluated the program with a dedicated survey instrument. METHODS: A convenience sample of RTs from a university hospital and nearby community hospitals participated in a one-day interactive program, in 2005 (n = 49) and in 2008 (n = 36), that included role-play and didactic components. The questionnaire completed before and after the program included scales on comfort with end-of-life care and role in end-of-life care, and knowledge indices. RESULTS: Nearly all the RTs had recently encountered end-of-life situations, yet most had not received dedicated training and felt ill-prepared to deal with these situations; one third reported distress related to withdrawal of treatment. The 78 participants who completed both the before and after surveys had increased comfort with end-of-life care (P
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Walling, Anne M; Asch, Steven M; Lorenz, Karl A; Roth, Carol P; Barry, Tod; Kahn, Katherine L; Wenger, Neil S (2010-06-28)Patients in American hospitals receive intensive medical treatments. However, when lifesaving treatments are unsuccessful, patients often die in the hospital with distressing symptoms while receiving burdensome care. ...
Baker, Rose; Wu, Albert W.; Teno, Joan M.; Kreling, Barbara; Damiano, Ann M.; Rubin, Haya R.; Roach, Mary J.; Wenger, Neil S.; Phillips, Russell S.; Desbiens, Norman A.; Connors, Albert F., Jr.; Knaus, William; Lynn, Joanne (2000-05)