2.50
Hdl Handle:
http://hdl.handle.net/10755/622564
Category:
Full-text
Format:
Text-based Document
Type:
DNP Capstone Project
Level of Evidence:
Other
Research Approach:
Translational Research/Evidence-based Practice
Title:
Education and Implementation of POLST Protocols in Northern Arizona
Author(s):
Rivas, Dawn M.
Additional Author Information:
Dawn Rivas, RN, MS Inducted member of STTI. If further discussion regarding the manuscript is warranted, please contact the author by email: dawn.rivas@nau.edu
Advisors:
Reynolds, Mary Anne
Degree:
DNP
Degree Year:
2017
Grantor:
Northern Arizona University
Abstract:

Provider orders for life-sustaining treatment (POLST) is a medical order set that is signed by a physician, nurse practitioner, or a physician assistant and describes how patients wish to be cared for regarding their medical treatment (or refusal of) during times of serious illness and frailty. POLST provides continuity of care across settings of care, increased quality of life and, improved patient satisfaction.  POLST is not readily available in all of the United States, and Flagstaff currently has the only POLST program in the state of Arizona. The purpose of this multi-step doctor of nursing practice (DNP) project was to affect a practice change initiative that increased the awareness and utilization of POLST in Northern Arizona by implementing a POLST protocol at Flagstaff Medical Center (FMC). This included assessing the educational needs of the nursing and medical staff, educating the staff, implementing and evaluating a referral system and supporting patients and their families as well as healthcare providers to continue to use POLST after discharge. As the nursing and medical staff became more comfortable with advance care planning discussions, more POLST appropriate patients were identified and more POLST referrals were brought to the attention of the POLST team.

Keywords:
POLST; end-of-life
CINAHL Headings:
Advance Care Planning; Advance Directives; Quality of Life; Palliative Care; Arizona; Advance Care Planning--Arizona; Advance Directives--Arizona
Note:
This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
Repository Posting Date:
2017-09-01T19:04:42Z
Date of Publication:
2017-09-01

Full metadata record

DC FieldValue Language
dc.contributor.advisorReynolds, Mary Anneen
dc.contributor.authorRivas, Dawn M.en
dc.date.accessioned2017-09-01T19:04:42Z-
dc.date.available2017-09-01T19:04:42Z-
dc.date.issued2017-09-01-
dc.identifier.urihttp://hdl.handle.net/10755/622564-
dc.description.abstract<p>Provider orders for life-sustaining treatment (POLST) is a medical order set that is signed by a physician, nurse practitioner, or a physician assistant and describes how patients wish to be cared for regarding their medical treatment (or refusal of) during times of serious illness and frailty. POLST provides continuity of care across settings of care, increased quality of life and, improved patient satisfaction.  POLST is not readily available in all of the United States, and Flagstaff currently has the only POLST program in the state of Arizona. The purpose of this multi-step doctor of nursing practice (DNP) project was to affect a practice change initiative that increased the awareness and utilization of POLST in Northern Arizona by implementing a POLST protocol at Flagstaff Medical Center (FMC). This included assessing the educational needs of the nursing and medical staff, educating the staff, implementing and evaluating a referral system and supporting patients and their families as well as healthcare providers to continue to use POLST after discharge. As the nursing and medical staff became more comfortable with advance care planning discussions, more POLST appropriate patients were identified and more POLST referrals were brought to the attention of the POLST team.</p>en
dc.formatText-based Documenten
dc.language.isoen_USen
dc.subjectPOLSTen
dc.subjectend-of-lifeen
dc.titleEducation and Implementation of POLST Protocols in Northern Arizonaen_US
dc.typeDNP Capstone Projecten
thesis.degree.grantorNorthern Arizona Universityen
thesis.degree.levelDNPen
dc.description.noteThis work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.-
dc.primary-author.detailsDawn Rivas, RN, MS Inducted member of STTI. If further discussion regarding the manuscript is warranted, please contact the author by email: dawn.rivas@nau.eduen
thesis.degree.year2017en
dc.type.categoryFull-texten
dc.evidence.levelOtheren
dc.research.approachTranslational Research/Evidence-based Practiceen
dc.subject.cinahlAdvance Care Planningen
dc.subject.cinahlAdvance Directivesen
dc.subject.cinahlQuality of Lifeen
dc.subject.cinahlPalliative Careen
dc.subject.cinahlArizonaen
dc.subject.cinahlAdvance Care Planning--Arizonaen
dc.subject.cinahlAdvance Directives--Arizonaen
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