Training Nursing Staff to Recognize and Respond to Suicidal Ideation in a Nursing Home Public Deposited

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Last Modified
  • March 19, 2019
Creator
  • Kabatchnick, Rebecca
    • Affiliation: School of Nursing
Abstract
  • The purpose of this project was to develop and utilize an educational module to increase confidence and knowledge of nurses and nursing assistants in a nursing home regarding recognition of and response to suicidal ideation among residents. Despite federally mandated screenings and protocols for suicide risk in nursing homes, active and passive suicidal thoughts are common among nursing home residents in particular. Suicidal ideation is a significant issue in nursing homes due to associated distress and the negative impact upon quality of life. Depression and hopelessness are strongly associated with suicide and suicidal ideation, but nursing home staff members receive limited training about late-life depression and suicide. To address this problem, I utilized a quality improvement design that included a learning needs assessment and educational module. I developed a web-based educational module based upon evidence-based recommendations and toolkits and a learning needs assessment. I implemented the educational module, pre-test, post-test, and 30-day follow-up test for nursing staff volunteers. I analyzed data from the pre-test and post-tests, and I measured outcomes including: 1) increased knowledge about and confidence with discussing suicidal ideation with residents, 2) increased knowledge regarding recognition of depression and warning signs of suicide, and 3) improved knowledge about and confidence with implementation of the site’s suicidal ideation protocol. Results from the initial pre-test, post-test, and evaluation suggested that the confidence and knowledge levels of nursing staff improved after completing the educational module, as evidenced by increased test scores and generally high confidence levels reported on evaluation survey responses. Results from the evaluation questions suggested that the nurses likely experience a higher level of confidence regarding recognizing and responding to suicidal ideation among residents, and nursing assistants may benefit from reinforcement of education regarding responding to residents expressing suicidal ideation and familiarity with the site’s current suicidal ideation protocol. With increased knowledge and confidence responding to and recognizing suicidal ideation in nursing homes, nursing staff can help residents experience reduced morbidity and mortality related to suicidal ideation.
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Rights statement
  • In Copyright
Advisor
  • Piven, Mary Lynn
  • Toles, Mark
  • Beeber, Anna
Degree
  • Doctor of Nursing Practice
Degree granting institution
  • University of North Carolina at Chapel Hill Graduate School
Graduation year
  • 2017
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