Palliative Care: Improving Eligible Patient Identification to Encourage Early Intervention
Review TypeFaculty Approved: Degree-based Submission
Repository Posting Date2019-07-01T17:16:19Z
Author(s)Clark, Norma H.
Author DetailsNorma Heather Clark, DNP, RN completed all requirements for the Doctor of Nursing Practice and graduated on May 11, 2019. email@example.com
Lead Author Sigma AffliationLambda Omicron
Lead Author AffliationNorthern Arizona University
TypeDNP Capstone Project
Level of EvidenceQuality Improvement
Research ApproachPilot/Exploratory Study
CINAHL HeadingsHospice and Palliative Nursing; Palliative Care -- Utilization; Clinical Indicators; Clinical Assessment Tools; Nurse Practitioners; Professional-Patient Relations; Communication; Palliative Care
Palliative care (PC) encompasses a holistic way of caring for patients and families with chronic disease or life-limiting illness through optimal symptom management. Individuals in need of PC has reached 20 million annually world-wide. Many patients in need of this service never receive a consultation, or if they do, it comes late in the disease process. Some health care specialists see PC as incongruent with treatment, while others have a lack of understanding of what this service provides. Additionally, many providers have few or no resources to guide in the recognition of PC needs. This practice improvement project emphasized identification of chronically ill patients in need of PC through the use of the Supportive and Palliative Care Indicators Tool (SPICT), coupled with a thorough assessment by a nurse practitioner (NP) in an outpatient clinic in Yuma, Arizona. The project used a mixed-method design with qualitative data obtained through face-to-face interviews with the NPs and a questionnaire. Quantitative analysis occurred through comparison of the number of PC candidates with and without the use of the SPICT tool. Results showed that the SPICT tool, coupled with a thorough assessment, increased the NP’s recognition of PC needs by 34%, and guided them in initiating a PC discussion with the patient and family. A thorough assessment, coupled with the SPICT screening tool can assist the practitioner in recognizing chronically ill patients in need of PC, thus increasing the potential for referral in a timely fashion. This may positively impact symptom management and quality of life.
Degree GrantorNorthern Arizona University
NotesThis work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
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