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Increasing interdisciplinary discussion on end of life and POLST form completion in the medical intensive care unit
Descriptive
TitleInfo
Title
Increasing interdisciplinary discussion on end of life and POLST form completion in the medical intensive care unit
Name
(type = personal)
NamePart
(type = family)
Rana
NamePart
(type = given)
Dimpal
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1991-
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Dimpal Rana
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(authority = RULIB)
author
Name
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Willard
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Suzanne
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Suzanne Willard
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Advisory Committee
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chair
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Rutgers University
Role
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degree grantor
Name
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School of Nursing - RBHS
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school
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Text
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theses
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2020
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2020-05
Language
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English
Abstract
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Purpose of Project: End of life conversations are extremely important for providers to have with their patients. In the medical intensive care unit, life-saving therapies such as artificial ventilation, cardiopulmonary resuscitation, and artificial nutrition/hydration are not out of the question. Therefore, knowing the wishes of patients is vitally important because these therapies can many times prolong death and suffering.
Methodology: This quality improvement project used a retrospective and prospective chart review, along with a pre and post-survey with an educational intervention and introduction of Karnofsky Performance scale for nurses working in the MICU.
Results: These findings showed higher rates of POLST form completion from 1% to 4% and an increase in an interdisciplinary discussion on EOL conversation from 12.1% to 64% which shows that the education influenced nurses. Although there was a significant increase in documentation of EOL conversations, more time is needed to see a much more significant rise in POLST form completion
Implications for Practice: Health care providers need to maintain ongoing communication regarding the patient's needs and preferences to provide holistic care. Ensuring that patients are being screened upon admission makes sure that the EOL conversation and goals of care are discussed in a timely manner. Having a policy in place will enforce this screening process. Documentation in the medical record regarding these preferences will be easy to track and can easily be found if an emergent situation arises.
Methodology: This quality improvement project used a retrospective and prospective chart review, along with a pre and post-survey with an educational intervention and introduction of Karnofsky Performance scale for nurses working in the MICU.
Results: These findings showed higher rates of POLST form completion from 1% to 4% and an increase in an interdisciplinary discussion on EOL conversation from 12.1% to 64% which shows that the education influenced nurses. Although there was a significant increase in documentation of EOL conversations, more time is needed to see a much more significant rise in POLST form completion
Implications for Practice: Health care providers need to maintain ongoing communication regarding the patient's needs and preferences to provide holistic care. Ensuring that patients are being screened upon admission makes sure that the EOL conversation and goals of care are discussed in a timely manner. Having a policy in place will enforce this screening process. Documentation in the medical record regarding these preferences will be easy to track and can easily be found if an emergent situation arises.
Subject
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Topic
POLST form
Subject
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Topic
Family Nurse Practitioner
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Rutgers University Electronic Theses and Dissertations
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ETD_10960
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Extent
1 online resource (118 pages) : illustrations
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DNP
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Includes bibliographical references
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School of Nursing (RBHS) DNP Projects
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rucore10004500001
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NjNbRU
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doi:10.7282/t3-eq0p-gf55
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
Rana
GivenName
Dimpal
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Copyright Holder
RightsEvent
Type
Permission or license
DateTime
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2020-05-13 21:28:33
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Name
Dimpal Rana
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Affiliation
Rutgers University. School of Nursing - RBHS
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Author Agreement License
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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
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2020-05-31
DateTime
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2099-12-31
Detail
Access to this PDF has been restricted at the author's request.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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2020-05-14T01:26:55
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2020-08-14T11:02:10
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