College of Science and Health Theses and Dissertations

Date of Award

Spring 6-8-2018

Degree Type


Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Joseph Tariman, DNP

Second Advisor

Ronald Graf, DNP


America’s older adult population is expanding more quickly than any other age group. This is unprecedented in our history, especially in healthcare. The substantial increase in the number of older adults means people will be living longer with co-morbid, chronic medical conditions. As a result, nursing facilities have become an increasingly important setting for skilled nursing care including palliative (PC) and end-of-life (EOL) care for older adults.

The need for nurses with PC and EOL knowledge is increasing as the population ages. However, research has shown that many nurses don’t feel equipped to care for these patients. Education on PC and EOL care in nursing schools and in clinical practice has been found to be inadequate as well. The Institute of Medicine in 2014 released key findings and recommendations on EOL care calling for basic competency in PC for all clinicians working with people with advanced serious illness. In addition, they recommended that educational institutions and professional societies should provide training in PC concepts to clinicians throughout their careers.

In this one-group posttest only design study, a one hour Online PC Education was developed for nurses in a skilled nursing facility using 8 domains identified as key constructs to the provision of quality PC. Post Online PC Education, an evaluation of the impact on participants’ confidence in decision-making related to PC and acceptability ratings of the Online PC Education were examined. The overall mean score for confidence in decision-making related to PC was M = 91.11 (SD = 6.85). The overall mean score for Acceptability eScale for the Online PC Education was M = 26.55 (SD = 4.06). Both mean scores for confidence level in decision-making and acceptability of Online PC Education were found to be moderately high to very high levels after the completion of the Online PC Education.

SLP Collection


Included in

Nursing Commons