Related Experiment Video
Updated: Jan 25, 2026

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Incorporating patient priorities care curriculum for older adults with multiple chronic conditions into nurse
Melissa D Hladek1, Brenda Douglass2, Brenda Nettles2
1Johns Hopkins University, School of Nursing, Baltimore, MD, USA; Center on Aging and Health, Johns Hopkins University, Baltimore, MD, USA.
Abstract:
The majority of older adults, the major consumers of health care, have multiple chronic conditions (MCCs). These individuals often face complex tradeoffs, conflicting guidelines, and uncertain, fragmented care not focused on what matters most to them. The "Patient Priorities Care" (PPC) framework addresses these issues by aligning healthcare with patients' values, goals, and healthcare preferences, promoting shared decision-making and building trust. One nursing school implemented a 5-part PPC training in their NP curriculum. Evaluation of the PPC module responses indicated >90 % of NP students endorsed a self-reported understanding of PPC and found the training valuable for their future clinical practice. However, 17 % of students expressed a lack of confidence in applying PPC, highlighting the need for enhanced training. Future steps include integrating standardized patient experiences to better prepare NPs to use PPC. Additionally, supervised learning in clinic is needed to ensure effective, patient-focused decision-making for older adults with MCCs.
Related Concept Videos
Planning Nursing Care II
Planning Nursing Care I
Patient-centered Care
Chronic Pancreatitis II: Collaborative Care
Assessment:
Chronic Kidney Disease III: Interprofessional Care
Peptic Ulcer Disease V: Surgical Management and Nursing Care
Surgical Interventions for Peptic Ulcer Disease

