Education to Increase Palliative Knowledge and Capacity

Topic: Education

Close to two million people live in U.S. nursing homes.  With an aging population, evidence-based strategies are needed to increase palliative care capacity in long term care.  The focus of this poster is to present the implementation and evaluation of a blended palliative care educational intervention in a 200-bed nursing home in Maryland.  An evidence-based practice model and adult learning theory informed project implementation and content delivery.  The Palliative Care Quiz for Nursing (PCQN), a validated tool, was used to assess participants’ (n=50) baseline knowledge.  

During the first of two learning sessions, participants viewed a 30-minute online presentation covering basic palliative care concepts.  A week later, a face-to-face review of the concepts was held.  Based on Androgogy, concepts were made relevant to the unique role of each participant.  The result was a 39% group mean score increase.  The participants agreed (100%) the education helped them gain a better understanding of palliative care, would increase referrals, and improve their ability to provide care.  Referral rates and patient outcomes have subsequently improved at the site.  These results support the effectiveness of a blended educational approach with evidence-based content informed by adult learning and cognitive theory to increase palliative knowledge and capacity in long term care.


  • Dr. David C. Free
  • Niagara Health System
  • 1823 Niagra Stone Rd
  • Niagara-on-the-Lake, ON L0S 1J0
  • (443) 883-1797

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