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Toolkit to Increase Provider Knowledge, Comfort, and Adoption of POLST: Portable Medical Orders in a Primary Care
Amalia Gedney-Lose1, Linda Liu Hand, Ann Marie McCarthy
1College of Nursing, University of Iowa, Iowa City.
Background:
POLST-Portable Medical Orders-abbreviated as POLST, is a nationwide initiative to help providers document and meet a patient's end-of-life wishes.
Problem:
Provider completion of POLST documents in primary care can promote continuity and implementation of patient preferences at the end of life in community-dwelling adults. Educating and providing a clinical process to support POLST use may improve implementation.
Approach:
A POLST toolkit was developed for primary care providers with measurement of knowledge, comfort, and likelihood of use with pre- and postsurvey data collection. The POLST toolkit was used to engage primary care providers in an educational session to enhance understanding and increased utilization.
Outcomes:
Providers reported increased knowledge, self-reported comfort, and likelihood of using POLST documents.
Conclusions:
Utilization of a POLST toolkit, with an educational component, improved provider interest in POLST implementation.
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