NHS-FPX6004 |Training Plan and Agenda

School: Capella University
Subject: Nursing
Topic:Training Plan and Agenda

Course:FPX6004

Referencing: APA
Pages: 6

The Need for a Training Program

Kindred Hospice is underperforming in various metrics. For instance, the hospital does not provide hospice care patients with timely care, and their pain and related symptoms are not managed well. Also, caregivers are not adequately trained to enhance their competence in the caring of end-of-life patients (Medicare.gov). Therefore, the training of nurses is necessary because they spend most of their time with patients and their families, unlike other healthcare providers (Berry, Connor, & Stuart, 2017). They are also better positioned to educate caregivers about what is expected from them to enhance the experience of hospice care patients. The training will ensure that nurses manage and control patient pain and their disease symptoms while involving caregivers in providing appropriate care to hospice care patients. Their buy-in and support of the practice change guidelines is vital because of their role in managing and controlling pain and their involvement with patients and their families in hospice programs.

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Part 1 of the Training Plan

The primary goal of the training program is to boost the skills of the nursing staff in Kindred Hospice, to be precise when managing and controlling pain and its related symptoms. The training program will adopt multiple strategies to facilitate the learning process and engage stakeholders. They include clinical vignette and case-based learning. Case studies are effective because they promote critical thinking and decision-making skills. The trainer will use case studies to highlight effects vs. non-effective pain management strategies in hospice programs. Clinical vignettes, in contrast, will measure the trainees’ clinical reasoning and knowledge of in a clinical situation. For instance, the approach will gauge nurses’ knowledge in managing the end-of-care patient’s pain and its related symptom symptoms. It will also help nurses identify areas that caregivers should be involved to enhance care delivery to end-of-life patients. The use of these strategies will ensure that the target audience is engaged, empowered, and buys into the policy change practice and are prepared to apply the changes in their routine practice.       

Strategies for Engaging with the Nursing Staff during the Training Session

The nursing staff spends most of their time with hospice patients and their family members. They will take part in identifying issues that should be addressed in the training session. For instance, they will highlight the challenges they face in their endeavor to manage pain and its related symptoms among hospice patients. Hospice care, according to Powers (2017), must provide patients and their caregivers with support and comfort because death is the only option as their ailments do no react to treatment. However, nurses find it challenging to manage pain resulting in undermined quality of life and impaired functioning. Patients subjected to pain give up because of their inability to commit to fighting their conditions. Therefore, engaging nurses will be crucial in the design of the training program. They will help training experts provide solutions to the challenges they face to improve the quality of life of hospice care patients.

Part 11: Training Agenda

The fear of pain and pain itself determines hospice-care patients’ behaviors and quality of life.  Patients at the end of life care consider freedom from pain crucial in improving their quality of life. Although analgesic measures can alleviate their suffering, patients are always worried that their pain will progress without any efforts to relieve it. Pain predisposes end-of-life care patients to suicide and depression. Therefore, the training agenda is to inform Kindred Hospice nursing staff the importance of carefully assessing and monitoring end-of-life patients and managing their pain and its related suffering. It also focuses on the significance of involving caregivers to reduce the work pressure on nurses.

Training Activities and Materials

The training materials include charts, projectors, instructions, notebooks, pens, computers, and programs to guide the nursing staff on what to consider when managing and controlling pain. The materials will be utilized to provide trainees with guidelines for managing patients and the use of caregivers in prescribing pain medications or non-pharmacological interventions. Using these materials, the trainees will complete multiple tasks. For instance, they will use their notebooks to write down various case studies related to pain management. They will present their findings via PowerPoint. They can also use charts to provide multiple interventions for managing patient pain and related symptoms.   

An Annotated Agenda and Outline for a Two-Hour Training Workshop

        i.            Introducing the nursing staff to the policy change program: The nursing staff will be introduced to what the law says about pain management and the consequences of not managing pain and its associated symptoms among end-of-life care patients

   ii.            Engaging the nursing staff in pain management through the use of case studies: Various case studies will be utilized to provide the nursing staff with an opportunity to apply what they have learned throughout the training session in managing pain among hospice care patients. They will present to other trainees what they think is the most practical strategy to manage patient pain. For instance, they should decide whether the use of pain killers or non-pharmacological interventions is the most compelling in handling the client in the case study

    iii.            Addressing how caregivers can help nurses in managing patients’ pain and its related suffering: Caregivers play an essential role in taking care of end-of-life patients. Their involvement will help reduce nurses’ work pressure. They can assist with prescribing patients with pain medication as per the doctors’ instructions and providing them with spiritual and emotional support (LaValley, 2018). They can also help patients with non-pharmacological pain interventions. The nurses must provide them with adequate training to assist in taking care of their ailing patients. Therefore, the training program will address the need for nurses to train caregivers on what to expect from them when taking care of hospice care patients.

How the Policy Practice Guideline will improve the Quality of Care and Outcomes

Federal law (42CFR Section 418.52) states that patients have a right to access effective symptom and pain management from their hospice program. They must be engaged in the design of their care, and medics must consider their treatment goals and those of their family members. The law also states that the intervention designed must be updated and comprehensive. Therefore, the practice guideline will ensure that nurses provide quality care to patients enrolled in the facility’s hospice program. Effective management of their pain will improve their quality of life by reducing incidents of depression and suicide. Nurses will be informed that failing to comply with the national standards might result in legal lawsuits for the company. Additionally, patients might sue them for failure to comply with the national standards. Therefore, the outcome of the training program includes improved nurse competence in managing pain and its related symptoms, nurses’ ability to  educate caregivers, caregivers’ involvement in care delivery, and the significant improvements on the underperforming measures.

References

1. Berry, L.L., Connor, S.R., and Stuart, B.(2017). Practical ideas for improving the quality of hospice care. Journal of Palliative Medicine, 20(5), 449-452. https://doi.org/10.1089/jpm.2017.0016
2. LaValley, S.A.(2018). End-of-life caregiver social support activation: The roles of hospice clinicians and professionals. Qualitative Health Research, 28(1), 87-97.
3. Medicare.gov.(n.d). Kindred Hospice. Retrieved from, https://www.medicare.gov/hospicecompare/#profileandpid=151594andpreviousPages=resultsandcmpids=151594
4. Powers, J.S.(2017). Emerging quality improvement concepts to enhance the patient and family experience in hospice and palliative care. Palliative Medicine and Hospice Care, 3(2), 22-25. http://dx.doi.org/10.17140/PMHCOJ-3-123