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    Area of Science:

    • Medical Education
    • Critical Care Medicine
    • Bioethics

    Background:

    • End-of-life (EOL) care requires open communication between patients, families, and healthcare professionals (HPs).
    • Advanced directives (ADs) are crucial for ensuring patient autonomy in EOL decision-making.
    • HPs in intensive care units (ICUs) play a vital role in facilitating these discussions.

    Purpose of the Study:

    • To assess the information needs of HPs regarding ADs.
    • To implement and evaluate an educational intervention aimed at improving HP knowledge and behaviors related to ADs.
    • To enhance AD and advance care planning (ACP) discussions in the ICU setting.

    Main Methods:

    • A needs assessment was conducted with HPs in an urban trauma ICU.
    • An educational intervention was delivered focusing on AD knowledge, communication strategies, patient illness awareness, and legal aspects of living wills.
    • Pre- and post-test data were collected to evaluate changes in knowledge and perceived capability.

    Main Results:

    • Despite moderate perceived knowledge (3.3-3.8/5), 87% of HPs lacked an AD.
    • The educational intervention resulted in a modest 2% improvement in correct responses on post-tests.
    • Significant gaps in knowledge and practice regarding ADs were identified among ICU HPs.

    Conclusions:

    • ICU HPs require targeted education to improve their understanding and implementation of ADs.
    • Enhanced training is necessary to facilitate early and effective AD and ACP discussions with patients and families.
    • Improving HP education on ADs is essential for better EOL care and patient-centered decision-making.