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Integration of a standardized process for palliative care screening of patients in the telemetry and medical-surgical units
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Shrestha, Manita. Integration of a standardized process for palliative care screening of patients in the telemetry and medical-surgical units. Retrieved from https://doi.org/doi:10.7282/t3-q6td-zw52

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TitleIntegration of a standardized process for palliative care screening of patients in the telemetry and medical-surgical units
NameShrestha, Manita (author); Vitale, Tracy (chair); Logan, Ann (member); Rutgers University; RBHS School of Nursing
Date Created2021
Other Date2021-10 (degree)
SubjectNursing, Palliative care, Quality of life, In-patient consultation, Hospitalized patient, Screening tool, Screening trigger, Advance directives, Medical screening, Palliative treatment
Extent1 online resource (69 pages) : illustrations
DescriptionPurpose of Project: This quality improvement project was to increase access to palliative care services among hospitalized patients. The aim was to improve the quality of life among hospitalized patients through early integration of palliative care services.
Methodology: This project used a pre- and post-intervention chart review to evaluate completion of a palliative care screening tool among all patients admitted to a 29-bed Telemetry and 36-bed Medical-surgical unit. One week was provided for staff education with distribution of handouts, flyers and reminders pertaining to the project prior to the intervention.
Results: A total of 418 patients during the 9-week time frame had a completed palliative care checklist upon admission on both inpatient units. Pre- and Post-intervention the number of patients meeting criteria for a palliative care referral were (n=41) in April and (n=54) in May. The number of palliative care consult order among this group of patients with a score > 3 was (n=18) in April and (n=48) in May. The proportion of palliative care consult orders significantly increased from 7.4% in April to 23.2% in May (p=0.0001) after standardized monitoring and intervention.
Implications for Practice: Early integration of palliative care via screening and identifying hospitalized patients in need of palliative care. Despite increase utilization of palliative care, gaps highlight the implications for policy and practice changes to improve education and training of healthcare providers in addressing patient needs. A standardized process to identify patients for palliative care consultation allows for increased access and improved patient outcomes.
NoteD.N.P.
NoteIncludes bibliographical references
Genretheses
Persistent URLhttps://doi.org/doi:10.7282/t3-q6td-zw52
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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