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Published on: February 16, 2011
Integration of Advance Care Planning Into Clinical Practice: A Quality Improvement Project for Leaders
Lisa Simmons-Fields1, Diane Burgermeister, David Svinarich
1Author Affiliations: Director (Dr Simmons-Fields), System Population Health/Care Management, Integrated Clinical Systems, Trinity Health; and Doctoral Candidate (Dr Simmons-Fields) and Professor and Director of DNP Program (Dr Burgermeister), Madonna University, Livonia; Vice President of Research & Medical Affairs (Dr Svinarich), Ascension Michigan, Warren; and Professor (Dr Hanson), Madonna University, Livonia, Michigan.
Objective:
This quality improvement initiative sought to develop a proactive integrated system approach to advance care planning (ACP) through leadership and colleague engagement.
Background:
Nurse leaders have the capacity to influence the professional competencies of care teams in ACP. Nurse leaders were educated on the importance of ACP, national quality metrics, resources for staff education, and ways to integrate ACP into workflows based on a population management model.
Methods:
The project design is a prospective, mixed method design.
Results:
Nurse leader participants demonstrated a significant increase in knowledge of the importance of ACP and evidence-based models to increase staff engagement and competency.
Conclusions:
Study supports nurse leader interventions, promoted engagement of proactive ACP to honor patient choice, and aligns with the mission and vision of one of the largest national Catholic healthcare organizations of being a trusted partner for life.
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