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Intervention to promote advance care planning in the joint and spine surgical population
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Castro, Caroline. Intervention to promote advance care planning in the joint and spine surgical population. Retrieved from https://doi.org/doi:10.7282/t3-xb2r-hh43

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TitleIntervention to promote advance care planning in the joint and spine surgical population
NameCastro, Caroline (author); Barberio, Judith (chair); Rutgers University; School of Nursing - RBHS
Date Created2020
Other Date2020-05 (degree)
SubjectAdvance care planning, Family Nurse Practitioner
Extent1 online resource (86 pages) : illustrations
DescriptionPurpose of Project:
The purpose of the Doctor of Nursing Practice (DNP) project was to educate elective, surgical patients preoperatively regarding advance care planning options with the goal of increasing their knowledge and readiness to discuss an advanced directive using an established, validated tool. Advance care planning allows patients to identify and communicate their goals for future healthcare decisions in the setting where the patient is unable to voice their own preferences. This process has yet to become routine in clinical practice due to an absence of standardization amongst healthcare systems and organizations in both obtaining and documenting these records. Surgery is a critical time for patients and their medical providers to discuss advance care planning options and goals. Yet, individualized advance care planning education is lacking prior to surgery.

Methodology:
A pre and post-test design was used to measure an increase in patient’s knowledge and readiness pertaining to advance care planning and advanced directives. Identical questions from the Advance Care Planning Engagement Survey were administered at the beginning and completion of the educational session developed and led by the nurse practitioner student.

Results:
There was a mean increase for 8/9 survey questions, and no decreases were found. Positive ranks were found, and a significance was found for post test scores on question two of the survey. It can be inferred that the project did increase readiness to discuss or file an advanced directive. The lack of significance can be attributed to the smaller sample size (n=34).

Implication for Practice:
Discussing advanced directives prior to an admission can prepare patients to optimize their surgical experience. There are opportunities to enhance the education patients receive preoperatively regarding advance care planning and gaps remain in the literature particular to this topic. Quality and safety of patients can be significantly improved when education regarding advance care planning occurs.
NoteDNP
NoteIncludes bibliographical references
Genretheses, ETD doctoral
Persistent URLhttps://doi.org/doi:10.7282/t3-xb2r-hh43
LanguageEnglish
CollectionSchool of Nursing (RBHS) DNP Projects
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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