Improving The Use Of POLST And AHCD In Long-term Care Through A Community Partnership
Date
2020
Authors
Contributor
Advisor
Department
Instructor
Depositor
Speaker
Researcher
Consultant
Interviewer
Narrator
Transcriber
Annotator
Journal Title
Journal ISSN
Volume Title
Publisher
University of Hawaii at Manoa
Volume
Number/Issue
Starting Page
Ending Page
Alternative Title
Abstract
Background: In 1990 Congress passed the Patient Self-Determination Act, which requires any facilities receiving Medicare or Medicaid payment to inquire if the patient has an advance directive and to provide information if the patient does not have one (IOM, 2015). Advance Care Planning (ACP) for end-of-life care emerged in the mid-1970s to address the need for tools, such as the Advanced Health Care Directives (AHCD), to guide medical decision-making among seriously ill patients, their families, and healthcare providers (Nedjat-Haiem, Cadet, Amtaya, & Mishra, 2019). End-of-life care planning has evolved and currently tools available include Providers Orders for Life-Sustaining Treatment (POLST) and Advance Health Care Directives (AHCD). Objective: The goal of this evidence-based quality improvement project was to improve healthcare staffs’ (registered nurses, certified nursing assistants, admission staff and social work) knowledge and comfort level with discussing Providers Orders for Life-Sustaining Treatment (POLST) and Advanced Health Care Directives (AHCD) with newly admitted patients in a long-term care facility through a four-part interactive education workshop. Methods: A four-series 30-minute staff educational workshop was conducted over a month period. Each workshop explored different avenues of advance care planning and utilization of POLST and AHCD in a long-term care facility. Five point-Likert scale pre and post-survey completed by staff to assess self-reported confidence and knowledge. A pre and post knowledge quiz (true or false) evaluating knowledge about POLST and AHCD. Results: Overall staff average on knowledge quiz after completion of workshop series improved by 8%. Conclusion: Staff education workshops seem to improve knowledge and comfort, however the limited time for the project did not allow for observed improvements in conversations with patients about POLST and AHCD.
Description
Keywords
Nursing
Citation
Extent
Format
Geographic Location
Time Period
Related To
Related To (URI)
Table of Contents
Rights
Rights Holder
Local Contexts
Collections
Email libraryada-l@lists.hawaii.edu if you need this content in ADA-compliant format.