Introducing a Supportive Care Team for Advance Directive Education in a Neurological and Neurosurgical Patient Population.

advance care planning advance directive medical decision making patient education

Journal

Journal of patient experience
ISSN: 2374-3735
Titre abrégé: J Patient Exp
Pays: United States
ID NLM: 101688338

Informations de publication

Date de publication:
Dec 2020
Historique:
entrez: 18 1 2021
pubmed: 19 1 2021
medline: 19 1 2021
Statut: ppublish

Résumé

Patient-centered care includes delineation of patient treatment values (ie, advance care planning [ACP]). Advance care planning often includes advance directive (AD) completion and is underutilized, particularly among neurology and neurosurgery patients. Implementation of a supportive care team (SCT) in outpatient clinic settings may offer opportunities for AD education and completion. This study assesses the effectiveness of an integrative SCT composed of hospice volunteers and undergraduate quality improvement interns in their efforts to provide ACP education in neurological and neurosurgical outpatient clinics. Assessment includes a description of different types of SCT-patient encounters, as well as patient interest in and completion of ADs after interacting with the SCT. Across the data collection period, 2770 encounters were initiated. The majority of encounters resulted in patient ACP education. Some patients completed ADs during their SCT encounter (3.45%) or after their SCT encounter (10.18%). The SCT effectively enhances ACP education in this patient population. The utilization of trained interns to assist with ACP is beneficial and practical in clinic workflow.

Sections du résumé

BACKGROUND BACKGROUND
Patient-centered care includes delineation of patient treatment values (ie, advance care planning [ACP]). Advance care planning often includes advance directive (AD) completion and is underutilized, particularly among neurology and neurosurgery patients. Implementation of a supportive care team (SCT) in outpatient clinic settings may offer opportunities for AD education and completion.
OBJECTIVE OBJECTIVE
This study assesses the effectiveness of an integrative SCT composed of hospice volunteers and undergraduate quality improvement interns in their efforts to provide ACP education in neurological and neurosurgical outpatient clinics. Assessment includes a description of different types of SCT-patient encounters, as well as patient interest in and completion of ADs after interacting with the SCT.
RESULTS RESULTS
Across the data collection period, 2770 encounters were initiated. The majority of encounters resulted in patient ACP education. Some patients completed ADs during their SCT encounter (3.45%) or after their SCT encounter (10.18%).
CONCLUSION CONCLUSIONS
The SCT effectively enhances ACP education in this patient population. The utilization of trained interns to assist with ACP is beneficial and practical in clinic workflow.

Identifiants

pubmed: 33457577
doi: 10.1177/2374373520932449
pii: 10.1177_2374373520932449
pmc: PMC7786676
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1286-1293

Informations de copyright

© The Author(s) 2020.

Déclaration de conflit d'intérêts

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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Auteurs

Charlotte Henke (C)

Department of Neurology, University of Florida, Gainesville, FL, USA.
These authors contributed equally to this work.

Emily Mroz (E)

Department of Neurology, University of Florida, Gainesville, FL, USA.
Department of Psychology, University of Florida, Gainesville, FL, USA.
These authors contributed equally to this work.

Ngoc Anh Le (NA)

Department of Neurology, University of Florida, Gainesville, FL, USA.

Hannah M Gregory (HM)

Department of Neurology, University of Florida, Gainesville, FL, USA.

Ashley Ghiaseddin (A)

Lillian S. Wells Department of Neurosurgery, University of Florida, Gainesville, FL, USA.

Nikolaus R McFarland (NR)

Department of Neurology, University of Florida, Gainesville, FL, USA.
Norman Fixel Institute for Neurological Diseases, University of Florida, Gainesville, FL, USA.

Jacqueline Baron-Lee (J)

Department of Neurology, University of Florida, Gainesville, FL, USA.

Classifications MeSH