Implementation of a Standardized Patient/Family Communication Bundle

被引：4
|
作者：
Sona, Carrie [1 ]
Pollard, Kathryn A. [2 ]
Schallom, Marilyn [3 ]
Schrupp, Anne [1 ]
Wessman, Brian T. [4 ,5 ]
机构：
[1] Barnes Jewish Hosp, Surg Burn Trauma ICU, St Louis, MO USA
[2] Indiana Univ, Hlth Methodist Hosp, Crit Care & Emergency Med, Indianapolis, IN 46204 USA
[3] Barnes Jewish Hosp, Dept Res Patient Care Serv, St Louis, MO 63110 USA
[4] Washington Univ, Sch Med, Dept Anesthesiol, EM CCM, St Louis, MO 63110 USA
[5] Washington Univ, Sch Med, Dept Emergency Med, EM CCM, St Louis, MO USA
来源：
CRITICAL CARE NURSING CLINICS OF NORTH AMERICA | 2020年 / 32卷 / 02期
关键词：
Communication; Family; Engagement; Satisfaction; Surrogate; Decision; Goals; End-of-life; CARE;
D O I：
10.1016/j.cnc.2020.02.006
中图分类号：
R47 [护理学];
学科分类号：
1011 ;
摘要：
During critical illness, active discussions about a person's preferences are linked with better patient outcomes. Our intensive care unit implemented an evidence-based standardized communication bundle that included education to providers on effective family communication, focused patient/family discussions to identify Durable Power of Attorney/surrogate decision maker and obtaining advanced directive documents, and documenting conversations in the electronic medical record and appropriately updating the patient's code status. The aim of the bundle was to increase compliance with conducting and documenting family discussions, clearly identifying and documenting surrogate decisions makers, and to improve patient/family satisfaction and caregiver satisfaction. © 2020 Elsevier Inc.
引用
收藏
页码：243 / 251
页数：9
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