An Interactive Exercise in Advance Care Planning for Medical Students

被引:12
作者
Levi, Benjamin H. [1 ,2 ]
Wilkes, Michael [3 ,4 ]
Der-Martirosian, Claudia [4 ]
Latow, Polly [5 ]
Robinson, Mark [5 ]
Green, Michael J. [1 ,2 ]
机构
[1] Penn State Coll Med, Dept Humanities, Hershey, PA 17033 USA
[2] Penn State Coll Med, Dept Pediat, Hershey, PA 17033 USA
[3] Univ Calif Davis, Off Dean, Davis, CA 95616 USA
[4] Univ Calif Davis, Sch Med, Davis, CA 95616 USA
[5] Univ Calif Davis, Dept Internal Med, Davis, CA 95616 USA
关键词
DIRECTIVES; LIFE; COMPLETION; BARRIERS; END;
D O I
10.1089/jpm.2013.0039
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: With the growing need to train medical professionals how to engage their patients in advance care planning, this study examines medical students' experience using an interactive, online decision aid to help consenting adults complete an advance directive. Methods: Third-year medical students at the University of California, Davis (UC Davis) used an online, multimedia decision aid to help an adult discuss his or her wishes for medical treatment and create a formal advance directive for health care. Students then wrote essays about their experiences, and an iterative analysis was used for thematic categorization. Results: Four distinct thematic categories emerged from students' essays: 1) students' personal experiences with advance care planning; 2) participants' experiences; 3) recommendations for practice regarding advance care planning; and 4) feedback about the online decision aid. Conclusions: An interactive, online decision aid can play a meaningful role in educating medical professionals about advance care planning.
引用
收藏
页码:1523 / 1527
页数:5
相关论文
共 17 条
[1]   Discussing living wills. A qualitative study of a German sample of neurologists and ALS patients [J].
Burchardi, N ;
Rauprich, O ;
Hecht, M ;
Beck, M ;
Vollmann, J .
JOURNAL OF THE NEUROLOGICAL SCIENCES, 2005, 237 (1-2) :67-74
[2]   Physician Attitudes Toward Advanced Directives: A Literature Review of Variables Impacting on Physicians Attitude Toward Advance Directives [J].
Coleman, Albert M. E. .
AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE, 2013, 30 (07) :696-706
[3]   Why don't patients and physicians talk about end-of-life care?: Barriers to communication for patients with acquired immunodeficiency syndrome and their primary care clinicians [J].
Curtis, JR ;
Patrick, DL ;
Caldwell, ES ;
Collier, AC .
ARCHIVES OF INTERNAL MEDICINE, 2000, 160 (11) :1690-1696
[4]   THE ECONOMICS OF DYING - THE ILLUSION OF COST SAVINGS AT THE END OF LIFE [J].
EMANUEL, EJ ;
EMANUEL, LL .
NEW ENGLAND JOURNAL OF MEDICINE, 1994, 330 (08) :540-544
[5]   ADVANCE CARE PLANNING AS A PROCESS - STRUCTURING THE DISCUSSIONS IN PRACTICE [J].
EMANUEL, LL ;
DANIS, M ;
PEARLMAN, RA ;
SINGER, PA .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1995, 43 (04) :440-446
[6]   Enough - The failure of the living will [J].
Fagerlin, A ;
Schneider, CE .
HASTINGS CENTER REPORT, 2004, 34 (02) :30-42
[7]   Projection in surrogate decisions about life-sustaining medical treatments [J].
Fagerlin, A ;
Ditto, PH ;
Danks, JH ;
Houts, RM ;
Smucker, WD .
HEALTH PSYCHOLOGY, 2001, 20 (03) :166-175
[8]   Teaching Advance Care Planning to Medical Students with a Computer-Based Decision Aid [J].
Green, Michael J. ;
Levi, Benjamin H. .
JOURNAL OF CANCER EDUCATION, 2011, 26 (01) :82-91
[9]   Development of an interactive computer program for advance care planning [J].
Green, Michael J. ;
Levi, Benjamin H. .
HEALTH EXPECTATIONS, 2009, 12 (01) :60-69
[10]   Advance Directives: Limitations to Completion [J].
Hinders, Denise .
AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE, 2012, 29 (04) :286-289