Quality Improvement Project to Increase Referrals to Palliative Care for Heart Failure Patients

مرکز و کتابخانه مطالعات اسلامی به زبان های اروپایی

منو

" Quality Improvement Project to Increase Referrals to Palliative Care for Heart Failure Patients "
Crawford, Stephanie Dawn Prenovost, Leanne

Document Type	:	Latin Dissertation
Language of Document	:	English
Record Number	:	1104420
Doc. No	:	TLpq2231079579
Main Entry	:	Crawford, Stephanie Dawn
	:	Prenovost, Leanne
Title & Author	:	Quality Improvement Project to Increase Referrals to Palliative Care for Heart Failure Patients\ Crawford, Stephanie DawnPrenovost, Leanne
College	:	Grand Canyon University
Date	:	2019
student score	:	2019
Degree	:	D.N.P.
Page No	:	135
Abstract	:	Rationale/Background: Palliative care (PC) services include symptom management with advanced care planning (ACP) and establishment of goals of care (GOC) for patients with serious conditions, such as heart failure (HF). Literature demonstrates low hospitalist referrals to PC. Purpose: The purpose of this project was to explore if providing evidence-based information and procedural information to hospitalists on ACP and GOC would increase PC referrals for HF patients, providing these patients access to ACP and GOC by the PC team and possibly even reducing 30-day readmissions for these patients. Theoretical Framework: Humanistic nursing theory guided this project. This framework takes individual experiences into consideration. Providing comfort is key to humanistic nursing. Project Method and Design: The quantitative methodology and correlational design evaluated if a relationship existed between evidence-based information and procedural information on ACP and GOC for hospitalists, and PC referrals. The population consisted of patients admitted with HF pre-intervention (n = 25) and post-intervention (n = 21), and Hospitalists were the focus of the intervention (n = 27). Results: Chi-square analysis, performed to evaluate for a relationship between variables, did not reveal a statistically significant (p > 0.05) increase in PC referrals or decrease in readmission. Implications: Results align with previous research of low hospitalist PC referrals; therefore, future measures are needed to increase patient access to ACP and GOC.
Subject	:	Health care management
	:	Nursing