Introducing a Supportive Care Team for Advance Directive Education in a Neurological and Neurosurgical Patient Population
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 ca...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2020-12-01
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| Series: | Journal of Patient Experience |
| Online Access: | https://doi.org/10.1177/2374373520932449 |
| _version_ | 1818194916348526592 |
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| author | Charlotte Henke MSc Emily Mroz MS, PhDc Ngoc Anh Le MPHc Hannah M Gregory DOc Ashley Ghiaseddin MD Nikolaus R McFarland MD, PhD Jacqueline Baron-Lee PhD |
| author_facet | Charlotte Henke MSc Emily Mroz MS, PhDc Ngoc Anh Le MPHc Hannah M Gregory DOc Ashley Ghiaseddin MD Nikolaus R McFarland MD, PhD Jacqueline Baron-Lee PhD |
| author_sort | Charlotte Henke MSc |
| collection | DOAJ |
| description | 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: 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: 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: 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. |
| first_indexed | 2024-12-12T01:09:53Z |
| format | Article |
| id | doaj.art-27a17956594a492b81346f09c068856f |
| institution | Directory Open Access Journal |
| issn | 2374-3735 2374-3743 |
| language | English |
| last_indexed | 2024-12-12T01:09:53Z |
| publishDate | 2020-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Patient Experience |
| spelling | doaj.art-27a17956594a492b81346f09c068856f2022-12-22T00:43:30ZengSAGE PublishingJournal of Patient Experience2374-37352374-37432020-12-01710.1177/2374373520932449Introducing a Supportive Care Team for Advance Directive Education in a Neurological and Neurosurgical Patient PopulationCharlotte Henke MSc0Emily Mroz MS, PhDc1Ngoc Anh Le MPHc2Hannah M Gregory DOc3Ashley Ghiaseddin MD4Nikolaus R McFarland MD, PhD5Jacqueline Baron-Lee PhD6 These authors contributed equally to this work. These authors contributed equally to this work. Department of Neurology, University of Florida, Gainesville, FL, USA Department of Neurology, University of Florida, Gainesville, FL, USA Lillian S. Wells Department of Neurosurgery, University of Florida, Gainesville, FL, USA Norman Fixel Institute for Neurological Diseases, University of Florida, Gainesville, FL, USA Department of Neurology, University of Florida, Gainesville, FL, USABackground: 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: 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: 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: 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.https://doi.org/10.1177/2374373520932449 |
| spellingShingle | Charlotte Henke MSc Emily Mroz MS, PhDc Ngoc Anh Le MPHc Hannah M Gregory DOc Ashley Ghiaseddin MD Nikolaus R McFarland MD, PhD Jacqueline Baron-Lee PhD Introducing a Supportive Care Team for Advance Directive Education in a Neurological and Neurosurgical Patient Population Journal of Patient Experience |
| title | Introducing a Supportive Care Team for Advance Directive Education in a Neurological and Neurosurgical Patient Population |
| title_full | Introducing a Supportive Care Team for Advance Directive Education in a Neurological and Neurosurgical Patient Population |
| title_fullStr | Introducing a Supportive Care Team for Advance Directive Education in a Neurological and Neurosurgical Patient Population |
| title_full_unstemmed | Introducing a Supportive Care Team for Advance Directive Education in a Neurological and Neurosurgical Patient Population |
| title_short | Introducing a Supportive Care Team for Advance Directive Education in a Neurological and Neurosurgical Patient Population |
| title_sort | introducing a supportive care team for advance directive education in a neurological and neurosurgical patient population |
| url | https://doi.org/10.1177/2374373520932449 |
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