Date of Graduation
Project/Capstone - Global access
Master of Science in Nursing (MSN)
School of Nursing and Health Professions
Problem: Transition patients at the end-of-life are those patients who are not mentally ready or physically eligible for hospice thus not enrolled in a Palliative or Hospice Program. Only one-third of the Transition patient census had completed and filed advance care plans. Healthcare providers are obligated to perform life-saving measures unless documented otherwise. A lack of advance care planning can create complicated scenarios and cause discordant care incidents.
Context: End-of-life care is a delicate subject to navigate conversations with patients. With holistic care being a large component of hospice and palliative care, it is important to have updated and accurate advance care plans for all patients, including Transition patients.
Intervention: A training program was developed and conducted with volunteers to assist patients to better identify and document their end-of-life wishes, care goals, and values.
Measures: Competency quizzes conducted online before and after training were collected to determine the program’s efficacy and retainment of knowledge. A score of 80 percent was considered a passing rate, and the aim was an overall average increase of knowledge by 15 percent across all the volunteers. Long-term measures include 100 percent of patients having received a follow-up and having completed and electronically filed advance care plans.
Result: No volunteer reached the 80 percent competency rate with the pre-test. However, all volunteers increased their knowledge as indicated with a better score greater than or equal to 15 percent than the pre-test. The average post-training score was 93 percent.
Conclusion: Advance care plans support patient autonomy and preserve patients' ability to be informed and involved in their care. Training volunteers to follow-up and educate Transition-enrolled clients about advance care planning will benefit the patient, the patient’s family, and the healthcare system.
Leomo, Andrea C., "Expanding the Volunteer Role to Include Advance Care Planning Knowledge" (2023). Master's Projects and Capstones. 1590.