Prompting Serious Illness Conversation in Community Oncology Through Education, Shared Documentation, and Nudges.
BACKGROUND: Early palliative care prompted by serious illness conversation (SIC) increases the likelihood that care aligns with patients' goals along the illness trajectory. Having sound and well-documented SIC is a cornerstone of timely palliative care. The Dana-Farber Cancer Institute has created...
| Publicado en: | Clinical Journal of Oncology Nursing Vol. 29; no. 6; pp. 491 - 497 |
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| Autor principal: | |
| Formato: | CEU research tables/charts Journal Article |
| Publicado: |
Oncology Nursing Society
Dec2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| Sumario: | BACKGROUND: Early palliative care prompted by serious illness conversation (SIC) increases the likelihood that care aligns with patients' goals along the illness trajectory. Having sound and well-documented SIC is a cornerstone of timely palliative care. The Dana-Farber Cancer Institute has created an advance care planning (ACP) module to document and store SIC, but it is not consistently used among care team members. OBJECTIVES: This project evaluated the effectiveness of education and nudges to improve the use of the ACP module to document SIC. METHODS: ACP dashboard data measured the use of the ACP module during a three-month period after education and nudges were implemented. Thematic analysis identified reasoning for lack of engagement in SIC and how education and awareness could create a shift in this paradigm. FINDINGS: On review of the ACP dashboard, use of the ACP module increased across all disciplines. Survey results revealed favorable impressions about using nudges to prompt SIC. |
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