Home
Resource
Increasing healthcare provider conversations on advance care planning and advance directive/POLST completions in a primary care setting
PDF
PDF format is widely accepted and good for printing.
Plug-in required
Access to this PDF has been restricted at the author's request. It will be publicly available after August 27, 2024.
Citation & Export
View Usage Statistics
Staff View

Citation & Export
Hide

Simple citation

Phinn, Shaneka. Increasing healthcare provider conversations on advance care planning and advance directive/POLST completions in a primary care setting. Retrieved from https://doi.org/doi:10.7282/t3-axg8-c865

Export

Click here for information about Citation Management Tools at Rutgers.

Statistics
Hide

Description

TitleIncreasing healthcare provider conversations on advance care planning and advance directive/POLST completions in a primary care setting
NamePhinn, Shaneka (author); Holmes, Aline (chair); DeMarco, Katherine (member); Stephenson, Carolene (member); Rutgers University; RBHS School of Nursing
Date Created2022
Other Date2022-05 (degree)
SubjectNursing, Advance care planning, Advance care planning conversations, Interventions to improve advance care planning, Primary care
Extent41 pages : illustrations
DescriptionPurpose of Project: Advance care planning (ACP) is a process that allows individuals to discuss their goals for future health care. The purpose of this DNP project was to increase healthcare provider readiness to initiate ACP, documented ACP conversations, and advance directive/POLST completions in a primary care setting.
Methodology: This DNP project was a quality improvement project that consisted of a pre-post study design. A retrospective chart review and post-intervention chart review was done. A pre and post survey was given to assess healthcare provider readiness to initiate ACP. The multimodal intervention consisted of educational sessions, role-play workshops, and the utilization of a conversation assistant tool.
Results: In the pre-intervention group (n = 60), 0% (n = 0) had a documented ACP conversation. In the post-intervention group (n = 60), 88.3% (n = 53) had a documented ACP conversation and 11.7% (n = 7) did not have one. The data achieved significance (X2 = 94.925, p < .001). In the pre-intervention group (n = 60), 1.7% (n = 1) had an advance directive/POLST and 98.3% (n = 59) did not have one. In the post-intervention group (n = 60), 31.7% (n = 19) had an advance directive/POLST and 68.3% (n = 41) did not have one. The data achieved significance (X2 = 19.440, p < .001). The mean score of the pre-intervention survey was 10.75. The mean score of the post-intervention survey was 17.00. This showed an approximate 58.1% increase in score.
Implications for Practice: Implications include early ACP engagement, completion of continuing education credits on ACP, an increase in patient satisfaction, a decrease in excessive medical treatments, and a decrease in healthcare costs.
NoteD.N.P.
NoteIncludes bibliographical references
Genretheses
Persistent URLhttps://doi.org/doi:10.7282/t3-axg8-c865
LanguageEnglish
CollectionSchool of Nursing (RBHS) DNP Projects
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
Version 8.5.5
Rutgers University Libraries - Copyright ©2024