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Serious Illness Conversation Training for Inpatient Medical Oncology Advanced Practice Providers: A Quality
Jo Clarke1, Mary Alice Momeyer1, Robin Rosselet1
1The Ohio State University Wexner Medical Center, Columbus, Ohio.
Journal of the Advanced Practitioner in Oncology
|February 6, 2023
Summary
Advanced practice providers received training to improve serious illness conversations (SICs) with advanced cancer patients. Training enhanced provider emotional management and increased documentation of these crucial discussions in the electronic medical record.
Area of Science:
- Oncology
- Medical Education
- Palliative Care
Background:
- Hospitalized advanced cancer patients and families often lack sufficient information regarding diagnosis and prognosis.
- This information gap hinders informed decision-making for care and end-of-life planning.
Purpose of the Study:
- To enhance serious illness conversations (SICs) with advanced cancer patients through training for advanced practice providers (APPs).
- To increase the frequency of SIC documentation within the electronic medical record (EMR).
Main Methods:
- APPs underwent a 45-minute video training and participated in 30-minute discussion groups.
- Pre- and post-training surveys assessed APP beliefs and self-efficacy regarding SICs.
- Documentation frequency of SICs in the EMR was measured before and after the intervention.
Main Results:
- While pre-training scores for beliefs and self-efficacy were high, training significantly improved APPs' emotional management and presence during SICs.
- Participants expressed a need for further training to enhance confidence and communication skills.
- Serious illness conversation documentation in the EMR showed a significant increase post-training.
Conclusions:
- APP training can improve comfort and emotional management during serious illness conversations.
- Enhanced training and support are valuable for improving communication and documentation of critical patient discussions.
- Increased SIC documentation in the EMR facilitates better-informed patient care and planning.
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