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Intervention to promote advance care planning in the joint and spine surgical population
Descriptive
TitleInfo
Title
Intervention to promote advance care planning in the joint and spine surgical population
Name
(type = personal)
NamePart
(type = family)
Castro
NamePart
(type = given)
Caroline
NamePart
(type = date)
1992-
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Caroline Castro
Role
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(authority = RULIB)
author
Name
(type = personal)
NamePart
(type = family)
Barberio
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(type = given)
Judith
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Judith Barberio
Affiliation
Advisory Committee
Role
RoleTerm
(authority = RULIB)
chair
Name
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NamePart
Rutgers University
Role
RoleTerm
(authority = RULIB)
degree grantor
Name
(type = corporate)
NamePart
School of Nursing - RBHS
Role
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school
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Text
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theses
OriginInfo
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2020
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(type = degree)
2020-05
Language
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(type = text)
English
Abstract
(type = abstract)
Purpose 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.
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.
Subject
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Topic
Advance care planning
Subject
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Topic
Family Nurse Practitioner
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Title
Rutgers University Electronic Theses and Dissertations
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ETD_10585
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Extent
1 online resource (86 pages) : illustrations
Note
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DNP
Note
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Includes bibliographical references
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TitleInfo
Title
School of Nursing (RBHS) DNP Projects
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rucore10004500001
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NjNbRU
Identifier
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doi:10.7282/t3-xb2r-hh43
Genre
(authority = ExL-Esploro)
ETD doctoral
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Rights
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The author owns the copyright to this work.
RightsHolder
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Name
FamilyName
Castro
GivenName
Caroline
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime
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2020-02-12 15:54:06
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Name
Caroline Castro
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Copyright holder
Affiliation
Rutgers University. School of Nursing - RBHS
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Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
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Embargo
DateTime
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2020-05-31
DateTime
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2022-05-31
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after May 31st, 2022.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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RULTechMD
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2020-02-12T15:50:53
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2020-07-22T20:36:19
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Microsoft® Word for Office 365
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