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advanced practice registered nurses, COMFORT, communication, end of life, families



  1. Roth, Roxanne L. DNP, RN
  2. Lis, Gail DNP, ACNP, BC
  3. O'Connor, Nancy PhD, ANP-BC
  4. Aseltyne, Kathleen A. PhD, LPC


The purpose of this project was to evaluate the effectiveness and usefulness of a COMFORT communication model in strengthening perceived communication confidence of advanced practice registered nurses. The project explored the effect of an intervention strategy that combined a COMFORT model didactic with an end-of-life simulation experience focused on family communication. Pre and post outcomes reveal improvements in perceived confidence for initiating potentially difficult communication topics and managing emotional needs of families. Advanced practice registered nurse participants positively indicated the COMFORT model as a useful tool for guiding difficult discussion (mean, 4.35 [SD, 0.48]) and an effective strategy for guiding advanced practice registered nurse communication at end of life (mean, 4.4 [SD, 0.6]) using a 5-point Likert scale.