Advance Care Planning Provider Education: Solution to Improve Provider Self-Efficacy

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dc.contributor.authorLloyd Doherty, Caroline L
dc.date2023-05-18T00:51:45.000
dc.date.accessioned2023-05-22T14:45:59Z
dc.date.available2022-06-16T00:00:00Z
dc.date.issued2021-06-17
dc.date.submitted2021-06-16T09:35:56-07:00
dc.description.abstractHealthcare providers are not comfortable having Advance Care Planning (ACP) conversations with patients and families. This project aimed to determine if ACP education modules improve self-efficacy with ACP. The project was a pre-/post-implementation design utilizing the validated ACP Self-Efficacy (ACP-SE) survey. Participants completed the pre-test ACP-SE followed by four Center to Advance Palliative Care (CPAC) ACP education modules and a Project-Lead-developed state-specific advance directive (AD) module that were accessed on-demand electronically. Participants were Advanced Practice Providers (APPs; n=21) on the inpatient heart failure service at an urban academic medical center. Thirteen APPs had complete pre and post-test and surveys data (61.9%). The majority of participants were white (95%), female (92%), aged 20-39 (83%), and NPs (62%) with 0-5 years of experience. The Wilcoxon Signed Rank Sum Test was used for median sum ACP-SE score comparisons for paired pre/post data. There was a significant median increase in ACP-SE scores pre and post intervention (W=2.9; p=0.002). The number of ACP conversations post-education modules ranged from 0-11 with a mean of 3.2 per APP, and a total of 68 conversations for all APPs during the month after the intervention. With increasing comfort and self-efficacy for discussing ACP, the desired effect is that ACP discussions will become a routine component of patient care.
dc.identifier.urihttps://repository.upenn.edu/handle/20.500.14332/27566
dc.legacy.articleid1033
dc.legacy.fieldsNursing
dc.legacy.fulltexturlhttps://repository.upenn.edu/cgi/viewcontent.cgi?article=1033&context=dnp_projects&unstamped=1
dc.legacy.nativeurlhttps://repository.upenn.edu/context/dnp_projects/article/1033/type/native/viewcontent
dc.source.issue9
dc.source.journalDoctor of Nursing Practice (DNP) Projects
dc.source.statuspublished
dc.subject.othereducation
dc.subject.otherself-efficacy
dc.subject.otherhealthcare professionals
dc.subject.otheradvance care planning
dc.subject.otherpalliative care
dc.subject.otherCritical Care Nursing
dc.subject.otherNursing
dc.subject.otherPalliative Nursing
dc.subject.otherPost-Master's
dc.titleAdvance Care Planning Provider Education: Solution to Improve Provider Self-Efficacy
dc.typeOther
digcom.date.embargo2022-06-16T00:00:00-07:00
digcom.identifierdnp_projects/9
digcom.identifier.contextkey23380818
digcom.identifier.submissionpathdnp_projects/9
digcom.typeproject
dspace.entity.typePublication
relation.isAuthorOfPublicationd80aae71-d0e9-403a-b2fc-5a3165f0a908
relation.isAuthorOfPublication.latestForDiscoveryd80aae71-d0e9-403a-b2fc-5a3165f0a908
upenn.schoolDepartmentCenterDoctor of Nursing Practice (DNP) Projects
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