Toolkit to increase provider knowledge, comfort, and adoption of POLST : Portable Medical Orders in a Primary Care Setting

Article indépendant

GEDNEY-LOSE, Amalia | HAND, Linda Liu | MCCARTHY, Ann Marie

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.

http://dx.doi.org/10.1097/NCQ.0000000000000578

Voir la revue «Journal of nursing care quality»

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