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Optimizing Advanced Care Planning in Hospitalized Patients With Advanced Cancers: A Quality Improvement Initiative.

Publication ,  Journal Article
Jackson, GL; Padilla, BI; Schneider, SM; Kyte, JJ
Published in: Journal of doctoral nursing practice
October 2019

Advance care planning (ACP) that generates an advanced directive (AD) can ensure patient autonomy at end of life. ACP is challenging for healthcare providers. Delaying patient ACP may lead to poor quality end-of-life care. Facilitation of early ACP by bedside RNs and social workers (SWs) may improve end-of-life care.To determine whether improved ACP by RNs and SWs impacts care transition times for patients with advanced cancers.A pre-/post-educational intervention designed to reinforce the roles of RNs and SWs in facilitating early ACP and timely documentation of an AD on an inpatient oncology unit.AD documentation increased by 12% between pre- and post-intervention period. There was a nonsignificant trend toward longer lengths of stay for patients transitioning care without an AD compared to those patients with and AD.Bedside RNs and SWs are in a key position to facilitate early ACP which can positively impact care quality at end of life. However, ACP is a collaborative team effort, best initiated early by the primary oncology providers.Early ACP may improve quality end-of-life care.Continuing education for RNs and SWs to enhance coordination with primary oncology teams to facilitate earlier ACP is recommended.

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Published In

Journal of doctoral nursing practice

DOI

EISSN

2380-9426

ISSN

2380-9418

Publication Date

October 2019

Volume

12

Issue

2

Start / End Page

239 / 245
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Jackson, G. L., Padilla, B. I., Schneider, S. M., & Kyte, J. J. (2019). Optimizing Advanced Care Planning in Hospitalized Patients With Advanced Cancers: A Quality Improvement Initiative. Journal of Doctoral Nursing Practice, 12(2), 239–245. https://doi.org/10.1891/2380-9418.12.2.239
Jackson, Gloria L., Blanca Iris Padilla, Susan M. Schneider, and Jennifer Jo Kyte. “Optimizing Advanced Care Planning in Hospitalized Patients With Advanced Cancers: A Quality Improvement Initiative.Journal of Doctoral Nursing Practice 12, no. 2 (October 2019): 239–45. https://doi.org/10.1891/2380-9418.12.2.239.
Jackson GL, Padilla BI, Schneider SM, Kyte JJ. Optimizing Advanced Care Planning in Hospitalized Patients With Advanced Cancers: A Quality Improvement Initiative. Journal of doctoral nursing practice. 2019 Oct;12(2):239–45.
Jackson, Gloria L., et al. “Optimizing Advanced Care Planning in Hospitalized Patients With Advanced Cancers: A Quality Improvement Initiative.Journal of Doctoral Nursing Practice, vol. 12, no. 2, Oct. 2019, pp. 239–45. Epmc, doi:10.1891/2380-9418.12.2.239.
Jackson GL, Padilla BI, Schneider SM, Kyte JJ. Optimizing Advanced Care Planning in Hospitalized Patients With Advanced Cancers: A Quality Improvement Initiative. Journal of doctoral nursing practice. 2019 Oct;12(2):239–245.

Published In

Journal of doctoral nursing practice

DOI

EISSN

2380-9426

ISSN

2380-9418

Publication Date

October 2019

Volume

12

Issue

2

Start / End Page

239 / 245