國立虎尾科技大學 |

Increasing Goals of Care Conversations and Documentation.

紀錄類型:	書目-語言資料,手稿 : Monograph/item
正題名/作者:	Increasing Goals of Care Conversations and Documentation./
作者:	Burk, Amanda Hayes.
面頁冊數:	1 online resource (74 pages)
附註:	Source: Dissertations Abstracts International, Volume: 85-11, Section: B.
Contained By:	Dissertations Abstracts International85-11B.
標題:	Health sciences. -
電子資源:	click for full text (PQDT)
ISBN:	9798382716756

Increasing Goals of Care Conversations and Documentation.
Burk, Amanda Hayes.

Increasing Goals of Care Conversations and Documentation. - 1 online resource (74 pages)

Source: Dissertations Abstracts International, Volume: 85-11, Section: B.

Thesis (D.N.P.)--The University of North Carolina at Chapel Hill, 2024.

Includes bibliographical references

Introduction: The 2022 American College of Cardiology/American Heart Association Joint Committee (AHA/ACC/HFSA) on Clinical Practice Guidelines (CPG) recommends that for all patients with HF, integration of palliative care early in the HF disease process as it is essential across all stages of HF. The CPG further defines a component of palliative care as clarifying goals and values through a goals of care conversation (GOCC). To improve the frequency and documentation of GOCC, a quality improvement (QI) project was implemented at Duke University Hospital (DUH). This project aimed to improve the quality of care provided to hospitalized patients with advanced HF who are not candidates for advanced therapies by enhancing goals of care conversations with the advanced practice provider (APP).Methods: This project was executed following a pre- and post-implementation design and was guided by the Iowa Model for Evidence-Based Practice framework. During the 12-week project implementation, several Plan-Do-Study-Act (PDSA) cycles were completed.Intervention: An HF-specific GOCC SmartPhrase was created within the electronic health record (EHR) for APPs working on the inpatient HF service to utilize when documenting a GOCC with a hospitalized, advanced HF adult at DUH. An evidence-based education session was provided to the APPs to introduce the QI project and raise awareness about the new SmartPhrase. A pre-and post-implementation questionnaire was given to the APPs to increase awareness of GOCC and measure their self-efficacy in conducting GOCC.Results: Results showed a decrease in the documentation of GOCC by APPs when this project was implemented, likely due to removing the previous GOCC template from the History and Physical (H&P) note with the intention of utilizing the GOCC-specific HF SmartPhrase for documentation. The GOCC SmartPhrase was only used for documentation in 1% of patients who were discharged by the APPs working on the inpatient HF service.Conclusion: These findings suggest that the chosen intervention, a GOCC disease-specific SmartPhrase, may not be the correct intervention for increasing the documentation and frequency of GOCC in this population of providers at this time. The results of this QI project can be used to increase awareness of this initiative and to improve other QI projects with similar goals in the future.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2024

Mode of access: World Wide Web

ISBN: 9798382716756Subjects--Topical Terms:

1179212
Health sciences.
Subjects--Index Terms:

Quality improvementIndex Terms--Genre/Form:

554714
Electronic books.

Increasing Goals of Care Conversations and Documentation.
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