Stryker, Whitney_DNP_2021

Title Stryker, Whitney_DNP_2021
Alternative Title Improving Advance Care Planning for the Bone Marrow Transplant Patient and Family
Creator Stryker, Whitney
Collection Name Doctor of Nursing Practice (DNP)
Description The following Doctor of Nursing Practice dissertation examines the impact of early advance care planning (APC) on leukemia patients in a Bone Marrow Transplant/Acute Leukemia Program in Salt Lake City, Utah.
Abstract Advance care planning (APC) is a dynamic process that supports the values and preferences of patients as it relates to future healthcare decisions. Patients diagnosed with leukemia will face many critical treatment decisions during their care. Early ACP conversations and accurate documentation are important for patient outcomes and overall quality of life. The purpose of this Doctor of Nursing Practice project was to implement a standardized ACP protocol with a focus on clinician communication and education for a Bone Marrow Transplant/Acute Leukemia Program in Salt Lake City, Utah. Implementation included clinician education on initiating ACP conversations within a standardized process and using documentation tools to communicate patient decisions within the electronic health record. Data were evaluated from pre-and post-education clinician surveys, patient record reviews of ACP documentation, patient satisfaction surveys, and clinician surveys. Eighty-three providers and 33 patients participated in the program. Results showed patients were 64% more likely to fill out ACP documents and 89% more likely to identify a healthcare agent in their patient record. 100% of patients felt like ACP was beneficial, and 100 % felt better prepared to make future decisions about their healthcare. Implementing a standardized ACP process for at-risk patients increases documentation and the identification of appointed health care agents in the electronic health record. ACP clinician education can increase providers' confidence in initiating critical conversations required for ACP. Patients and clinicians find ACP beneficial and feel it prepares patients to make future health care decisions.
Subject Oncology; Medical policy; Nursing care plans
Keywords Advanced care planning; Oncology; Bone marrow transplant
Digital Publisher Stewart Library, Weber State University, Ogden, Utah, United States of America
Date 2021
Medium Dissertation
Type Text
Access Extent 550 KB; 56 page PDF
Language eng
Rights The author has granted Weber State University Archives a limited, non-exclusive, royalty-free license to reproduce his or her theses, in whole or in part, in electronic or paper form and to make it available to the general public at no charge. The author retains all other rights.
Source University Archives Electronic Records; Annie Taylor Dee School of Nursing. Stewart Library, Weber State University
OCR Text Show
Format application/pdf
ARK ark:/87278/s63028f9
Setname wsu_atdson
ID 12054
Reference URL https://digital.weber.edu/ark:/87278/s63028f9