Advance Directives: Current Best Practices
Public DepositedMLA citation style (9th ed.)
. n242. saint-francis.hykucommons.org/concern/generic_works/d01250bd-fe1a-4c6e-abf9-48cc8f9be5e4?q=June%2024,%202021. Advance Directives: Current Best Practices.APA citation style (7th ed.)
(n242). Advance Directives: Current Best Practices. https://saint-francis.hykucommons.org/concern/generic_works/d01250bd-fe1a-4c6e-abf9-48cc8f9be5e4?q=June%2024,%202021Chicago citation style (CMOS 17, author-date)
Advance Directives: Current Best Practices. n242. https://saint-francis.hykucommons.org/concern/generic_works/d01250bd-fe1a-4c6e-abf9-48cc8f9be5e4?q=June%2024,%202021.Note: These citations are programmatically generated and may be incomplete.
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- Abstract
Problem Statement: Advance Directive (AD) and Advanced Care Planning (ACP) are part of the
healthcare process that is within the scope of practice for providers and despite evidence
supporting the effectiveness of these conversations, the system still falls short (Steffan, 2019).
There are reports of multiple AD related adverse events occurring in various hospitals, despite
best practice recommendations by professional organizations and the states. Patient’s feedback
still demonstrates dissatisfaction with the standard of care they receive. Their healthcare wishes
are not respected, thereby negatively impacting their confidence in the healthcare system. Many
factors are implicated as contributory, and notable among them is lack of provider knowledge on
current best practices for AD.
Purpose: To increase and update anesthesia provider’s knowledge on the current best practices
for AD. This will enable providers make an informed anesthesia care choices tailored to
individual patient’s needs and wishes. The project also aimed to create awareness and provide
solutions to rising incidence of AD related adverse events in hospitals.
Method: A quality improvement one-group pre-and post-intervention design. The process
involved a pre-intervention interview to ascertain baseline knowledge of anesthesia providers at
Kosciusko Community Hospital (KCH), on current best practice for AD. An educational
intervention (slideshow presentation) on AD was completed. A pre- and post-intervention survey
was collected and analyzed using percent change.
Results: The pre- and post-intervention survey showed improvements in provider’s knowledge
on AD. Seven out of the eight participants had a significant percent change (50% and above) in
knowledge gained on AD. Conclusion: Improved knowledge on current best practices for AD can promote practice change
towards the provision of informed anesthesia care and the prevention of the occurrence of AD
related adverse events in our hospitals.
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ILUBA_FINAL_DNP_PROJECT_MANUSCRIPT.pdf | 2022-09-13 | Public | Download |