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 |
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Oncology Nursing Society
Dec2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=189541029&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 189541029 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10921095 GNN jtl: Clinical Journal of Oncology Nursing issn: 10921095 maglogo: N pubinfo: dt: Dec2025 vid: 29 iid: 6 pid: 12496 pub: Oncology Nursing Society place: Pittsburgh, Pennsylvania artinfo: ui: 189541029 189541029 189541029 10.1188/25.CJON.491-496 189541029 ppf: 491 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Prompting Serious Illness Conversation in Community Oncology Through Education, Shared Documentation, and Nudges. aug: au: Serino, Gillian affil: Director of advanced practice nursing and a nurse practitioner in the breast oncology program in the Susan F. Smith Center for Women's Cancers at the Dana-Farber Cancer Institute in Boston, MA sug: subj: Advance Care Planning Communication Documentation Neoplasms Therapy Health Personnel Education Community Health Services Evaluation Conversation Palliative Care Critical Illness Therapy Quality Improvement Electronic Health Records Human Education, Continuing (Credit) Thematic Analysis Health Knowledge Massachusetts Quality of Life Health Beliefs Retrospective Design Record Review Survey Research Practice Guidelines Patient-Family Relations Caregiver Attitudes Time Factors Professional Role Funding Source Purposive Sample Descriptive Statistics Data Analysis Software ab: 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. pubtype: Academic Journal doctype: CEU research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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