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CULTURAL SENSITIVITY AND END-OF-LIFE CARE

Award Number: R44NR008839
ORGANIZATION: NATIONAL INSTITUTE OF NURSING RESEARCH
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 08/08/2007
PERIOD OF PERFORMANCE END DATE: 05/31/2011

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CULTURAL SENSITIVITY AND END-OF-LIFE CARE - DESCRIPTION (provided by applicant): The Culture & End-of-Life e-learning course introduces a step-wise process for understanding and incorporating culture in patient care along with six case studies with patients from diverse cultures. The introduction is followed by modules on spirituality and religion, complementary and alternative medicine, and ethical dilemmas. All modules are based on case studies reflecting diversity in patients and healthcare providers and incorporate process-based tools for culturally competent healthcare. In Phase II, we propose to 1) expand and enhance the case-based e-learning course, 2) develop and pilot test an Interactive Video Assessment for cultural competency and end- of-life care, 3) submit the full course to formal usability testing, and 4) evaluate the effectiveness of the e-learning course, resident physicians using multiple measures in a three-group, pre-post randomized trial We intend to produce a convenient, low-cost resource for cultural competency training and end-of-life education. We expect that Graduate Medical Education programs, , healthcare organizations, membership organizations, and continuing medical education (C.M.E.) vendors will purchase Culture & End-of-Life for their physicians and other clinical staff. Our goal is to improve the quality of end-of-life care by enhancing providers' knowledge, attitudes skills for culturally-competent care. Abstract/Relevance Today, people at the end-of-life are older and more diverse than they were just twenty years ago. In poorer health, and needing more services, the elderly are reshaping end- of-life care in the U.S. For most individuals, the end of life comes after a series of decisions about medical care, ultimately including decisions to terminate or withhold further interventions. "Living with dying" and the decisions to be made along the way pose new challenges for both patients and health care providers. Health care providers are being asked to initiate early and meaningful discussions about preferences for end- of-life care with an increasingly diverse patient population. The Culture & End of Life e- learning course teaches skills for providing culturally sensitive end-of-life care that do not require prior knowledge of specific cultures.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2010 ( Subtotal = $0 )
2010	2008	TALARIA, INC	1121 34TH AVE	SEATTLE	WA	98122	KING	USA	Nursing Research	000	3	6/4/2010	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2008 ( Subtotal = $495,924 )
2008	2008	TALARIA, INC	1121 34TH AVE	SEATTLE	WA	98122	KING	USA	Nursing Research	000	3	8/13/2008	NON-COMPETING CONTINUATION	$495,924
														Subtotal = $495,924

Issue Date FY: 2007 ( Subtotal = $445,296 )
2007	2007	TALARIA, INC	821 SECOND AVE #1150	SEATTLE	WA	98104	KING	USA	Nursing Research	000	2	8/8/2007	COMPETING CONTINUATION	$445,296
														Subtotal = $445,296

Grand Total All Awards = $941,220

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CULTURAL SENSITIVITY AND END-OF-LIFE CARE

Award Number: R44NR008839

ORGANIZATION: NATIONAL INSTITUTE OF NURSING RESEARCH

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 08/08/2007

PERIOD OF PERFORMANCE END DATE: 05/31/2011

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