Date of Award

Summer 2023

Project Type


College or School




Departments (Collect)

Department of Nursing

Program or Major

Direct Entry Masters in Nursing

Degree Name

Master of Science

First Advisor

Pamela Kallmerten

Second Advisor

Kaitlynn Liset


In 2022, 1.72 million people chose to use hospice as their end-of life care. This is a 6.8% increase from 2019, and the number of patients who choose to use hospice is increasing (Summers, 2022). The aim of this quality improvement (QI) study was to decrease levels of stress reported by the patient and informal caretakers by combining the information from the hospice program’s admission packet and other approved handouts, while standardizing the verbiage through a Flesch-Kincaid readability scale to an eighth-grade reading level. Pre-survey perceived stress scores averaged 22.97 on a modified Perceived-Stress Scale, and the mean of the post-survey averaged 19.38, suggesting a decrease in stress experienced by the patient and informal caretakers when provided with simplified, effective, and timely education.