Health System Advance Care Planning Culture Change for High-Risk Patients: The Promise and Challenges of Engaging Providers, Patients, and Families in Systematic Advance Care Planning

Reidy, Jennifer; Halvorson, Jennifer; Makowski, Suzana; Katz, Delila; Weinstein, Barbara E.; McCluskey, Christine; Doering, Alex; DeCarli, Kathryn; Tjia, Jennifer

doi:10.1089/jpm.2016.0272

Cited by 13 publications

(9 citation statements)

References 7 publications

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“…11 Before the intervention, special ACP training was offered to alleviate the fear and avoidance of ACP topics among nursing students. Reidy et al 12 designed an Internet-based APC training and promotion tool based on the local primary health-care system and 2 specialist clinics. As a result, 85% of 807 registrants developed ACP, of which 583 were medical staff and medical students.…”

Section: Discussionmentioning

confidence: 99%

Investigation and Analysis of Undergraduate Nursing Students’ Attitudes Toward Advanced Care Planning and Their Willingness to Implement

Shi

Tang

et al. 2020

Am J Hosp Palliat Care

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Objective: The purpose of this study is to understand the attitude of undergraduate nursing students toward advanced care planning (ACP) and their willingness to implement ACP and to analyze its influencing factors, so as to provide evidence-based basis for life and death education and ACP-related training in colleges and universities. Methods: A total of 312 nursing undergraduates from a university in Chengdu (China) were surveyed by using general information questionnaire, attitude scale of ACP, and willingness questionnaire to implement ACP. Results: The scores of undergraduate nursing students’ attitude toward ACP were 24.97 ± 2.75, and the scores of total willingness to ACP were 79.26 ± 9.70. Univariate analysis and multivariate linear regression analysis showed that religious belief, grade, family relationship, and family discussion of death were the factors influencing the willingness of nursing students to carry out ACP. Conclusions: The attitude of undergraduate nursing students toward ACP tended to be positive, but their cognition of ACP was misunderstood, and their willingness to implement ACP needed to be improved. To improve the awareness and implementating willingness of undergraduate nursing students to ACP, it was recommended that colleges and universities carried out systematic standardized life and death education courses and ACP-related training.

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Section: Discussionmentioning

confidence: 99%

Investigation and Analysis of Undergraduate Nursing Students’ Attitudes Toward Advanced Care Planning and Their Willingness to Implement

Shi

Tang

et al. 2020

Am J Hosp Palliat Care

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“…Changing culture and implementing new ways of working like with AAC requires a comprehensive vision with simultaneous, interconnected strategies targeting clinician training (Reidy et al., ). Research has shown how communication in the care of patients with advanced and serious illnesses can be improved using interventions, particularly with regard to healthcare use (Fawole et al., , 570–577).…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Implementing augmentative and alternative communication in critical care settings: Perspectives of healthcare professionals

Handberg

Voss²

2017

Journal of Clinical Nursing

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“…The Patient Care Connect Program and the Conversation Project are patient navigatorled ACP programs implemented by health systems in Alabama and Wisconsin, respectively. 36,37 Care manager and navigator roles are tailored based on the patient population, health system or insurer goals, and resources available. As a result, there is significant variability in their parameters, including scope of practice.…”

Section: Tip 6: Clinical Decision Support Tools Can Help To Further Tmentioning

confidence: 99%

Top Ten Tips Palliative Care Clinicians Should Know About Integrating Population Health Principles into Practice

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Kaufman

Kamal

et al. 2020

Journal of Palliative Medicine

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The field of palliative care (PC) has spent the past decade demonstrating that it improves outcomes for patients, clinicians, and health systems. Forward-thinking organizations preparing for a reimbursement system rooted in value have built robust inpatient PC programs and are rapidly moving toward the outpatient and community settings as well. As PC programs get larger and are increasingly tasked with leading a wide variety of diverse initiatives, population health principles can help to focus programs on high-value activities. This article, written by population health researchers and PC clinicians, seeks to provide PC teams nationally with a variety of population health strategies and tools to guide PC delivery throughout the health system and beyond.

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Health System Advance Care Planning Culture Change for High-Risk Patients: The Promise and Challenges of Engaging Providers, Patients, and Families in Systematic Advance Care Planning

Abstract: We learned that changing culture and systems to promote ACP requires a comprehensive vision with simultaneous, interconnected strategies targeting patient education, clinician training, EMR documentation, and community awareness.

Cited by 13 publications

References 7 publications

Investigation and Analysis of Undergraduate Nursing Students’ Attitudes Toward Advanced Care Planning and Their Willingness to Implement

Investigation and Analysis of Undergraduate Nursing Students’ Attitudes Toward Advanced Care Planning and Their Willingness to Implement

Implementing augmentative and alternative communication in critical care settings: Perspectives of healthcare professionals

Top Ten Tips Palliative Care Clinicians Should Know About Integrating Population Health Principles into Practice

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