Document Type

DNP Project

Department

School of Nursing

Date of Degree

Spring 2025

Degree

Doctor of Nursing Practice (DNP)

Primary Advisor

Dr. Cynthia Allen, PhD, APRN, FNP-BC

Keywords

Palliative care; Interprofessional education; Home health; Self-efficacy; Palliative care training

Abstract

Background: Palliative care is vital for improving the quality of life for individuals with serious illnesses, yet many interprofessional home health providers lack adequate training. Addressing this educational gap is essential for delivering comprehensive, compassionate care to patients with chronic and life-limiting conditions.

Objectives: This Doctor of Nursing Practice (DNP) project aimed to develop, implement, and evaluate a structured primary palliative care training tailored to the needs of interprofessional home health providers. The objectives were to: (1) enhance knowledge of palliative care principles, (2) reinforce each team member’s role in primary palliative care delivery, (3) improve self-efficacy and perceived competence, and (4) gather participant feedback to guide future training initiatives.

Methods: A mixed-methods pre- and post-intervention design was used with a cohort of 16 home health professionals, including seven nurses, six physical therapists, two social workers, and 1 occupational therapist. Participants completed the Competency Assessment in Reasoning and Evaluation for Self in Primary Care (CARES-PC) tool and the Interprofessional Palliative Care Knowledge Assessment (IPCKA) before and after the intervention. Qualitative data from open-ended responses were analyzed thematically.

Results: Post-intervention results demonstrated an overall improvement in knowledge and perceived competence. Statistical significance (p ≤ 0.05) was achieved for 11 out of 17 CARES- PC items, supporting increased self-efficacy in palliative care delivery. Thematic analysis revealed increased understanding of core palliative care concepts, greater confidence in team- based care delivery, and enthusiasm for continued education. Key competencies improved included symptom management, communication, and goals of care discussions.

Conclusions: Primary palliative care training enhances interprofessional staff knowledge, confidence, and collaboration in home health settings. The findings support the integration of structured, interprofessional education into ongoing staff development and annual competencies. Continued expansion of training access and support for interprofessional learning is essential to fostering a sustainable, evidence-based palliative care culture in home health.

Open Access

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