Caring for Rural Patients at End of Life: Perceptions of Critical Access Hospital Nurses

Author(s): Renea L. Beckstrand, PhD, RN, CCRN, CNE, Trissa M. Lyman, BS, RN, Karlen E. Luthy, DNP, FNP-C, and Janelle L. B. Macintosh, PhD, RN

Contact Hours 1.00

CERP B 1.00

Expires Sep 01, 2025

Topics: Family-Centered Care, Palliative/End-of-life Care

Population: Adult, Geriatric

Role: Staff

Member: Free
NonMember: $10.00

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Activity Summary

Required reading for all learners: Implicit Bias impacts patient outcomes

Critical Access Hospitals (CAHs) provide care to a significant portion of the US population. Nurses working in CAHs care for sick and dying patients at the End-of-Life (EOL). A research gap exists concerning the perception of EOL care in CAHs. This study received responses from nurses (n = 188) in 39 CAHS regarding their perceptions of EOL care obstacles and helpful behaviors.


  • Describe how Critical Access Hospitals (CAHs) were established and how many US individuals are served by CAHs.
  • Describe how these CAH nurses perceived end-of-life care obstacles and helpful behaviors compared with nurses from more urban hospitals.
  • Identify the most common reported items related to the largest obstacles in providing end-of-life care in CAHs.

Continuing Education Disclosure Statement

Successful Completion

Learners must attend/view/read the entire activity, read Implicit Bias impacts patient outcomes, and complete the associated evaluation to be awarded the contact hours or CERP. No partial credit will be awarded.


The American Association of Critical-Care Nurses is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.

Provider approved by the California Board of Registered Nursing, Provider number CEP 1036, for 1.00 contact hours.

Accreditation refers to recognition of continuing education only and does not imply AACN, ANCC, or CBRN approval or endorsement of any commercial products discussed or displayed in conjunction with this educational activity.


Any relevant relationship between an ineligible company and an individual with the ability to influence clinical content will be identified by the Nurse Planner within the activity. Any relevant relationship between an ineligible company and an individual with the ability to influence clinical content has been mitigated.

AACN programming meets the standards for most states that require mandatory continuing education contact hours for license and/or certification renewal. AACN recommends consulting with your state board of nursing or credentialing organization before submitting CE to fulfill continuing education requirements.

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