A Palliative Care Educational Intervention for Frontline Nursing Home Staff: The IMPRESS Project
Authors: Wen Aida , Gatchell Greg , Tachibana Yukako , Tin Maung Maung , Bell Christina , Koijane Jeannette , Zeri Kenneth , Masaki Kamal 
Published: September 2012

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Instructions

2.1 contact hours will be awarded for this activity. A contact hour is 60 minutes of instruction. This is a Learner-Paced Program. Vindico Medical Education does not require submission of quiz answers. A contact hour certificate will be awarded 4 to 6 weeks upon receipt of your completed Registration Form, including the Evaluation portion. To obtain contact hours:

1.
Read the article “A Palliative Care Educational Intervention for Frontline Nursing Home Staff: The IMPRESS Project” by Aida Wen, MD; Greg Gatchell, DO; Yukako Tachibana, MD; Maung Maung Tin, MD; Christina Bell, MD; Jeannette Koijane, MPH; Kenneth Zeri, RN, MS, NHA; and Kamal Masaki, MD on pages 20–25, carefully noting the tables and other illustrative materials that are provided to enhance your knowledge and understanding of the content.

2.
Read each question and record your answers. After completing all questions, compare your answers to those provided at the end of the quiz.

3.
Type or print your full name, address, and date of birth in the spaces provided on the registration form.

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Indicate the total time spent on the activity (reading article and completing quiz). Forms and quizzes cannot be processed if this section is incomplete. All participants are required by the accreditation agency to attest to the time spent completing the activity.

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Forward the completed form with your check or money order for $20 made payable to JGN-CNE. All payments must be made in U.S. dollars and checks must be drawn on U.S. banks. CNE Registration Forms must be received no later than October 31, 2014.

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ournal of
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erontological
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ursing
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Activity Objectives

1.
Identify the approximate number of deaths that take place in nursing homes.

2.
Describe results of previous studies related to palliative care provided in nursing homes.

3.
Discuss the IMPRESS project intervention.

4.
Discuss the findings of the IMPRESS project.

5.
Describe the limitations and overall conclusion of the IMPRESS project.

Author Disclosure Statement
The authors disclose that they have no significant financial interests in any product or class of products discussed directly or indirectly in this activity, including research support.

Commercial Support Statement
All authors and planners have agreed that this activity will be free of commercial bias. There is no commercial support for this activity. There is no non-commercial support for this activity.

The purpose of this study was to examine nursing home staff perceptions of end-of-life (EOL) care skills after an educational intervention. IMPRESS (IMproving PRofessional Education and Sustaining Support) was a quality improvement EOL care educational intervention (six lectures on core palliative care concepts) for frontline nursing home staff at five community nursing homes. Questionnaires were completed to evaluate frequency of application of palliative care skills before and after the educational series. Nursing home staff reported applying palliative care skills significantly more frequently after the intervention. A significant dose-response association was noted between number of inservice sessions attended and improvement in scores: Scores increased 0.04 points for staff who attended two of the six sessions, 0.12 for four sessions attended, and 0.46 for five to six sessions attended (
p
= 0.03). The results indicate that frontline nursing home staff who attend inservice sessions on core palliative care topics can significantly increase self-reported application of palliative care skills.