Development and protocol for a nurse-led telephonic palliative care program

被引：9

作者：

Tan, Audrey J. ^{[1
,2
]}

Yamarik, Rebecca ^{[3
]}

Brody, Abraham A. ^{[2
,4
]}

Chung, Frank R. ^{[1
]}

Grudzen, Corita ^{[1
,5
]}

机构：

[1] NYU Grossman Sch Med, Ronald O Perelman Dept Emergency Med, New York, NY USA

[2] NYU Grossman Sch Med, Div Geriatr Med & Palliat Care, New York, NY USA

[3] Tibor Rubin Long Beach Vet Affairs, Dept Med, Long Beach, CA USA

[4] NYU Rory Meyers Coll Nursing, Hartford Inst Geriatr Nursing, New York, NY USA

[5] NYU Grossman Sch Med, Dept Populat Hlth, New York, NY USA

来源：

NURSING OUTLOOK | 2021年 / 69卷 / 04期

关键词：

Palliative care; Program development; Telehealth; End of life care; Hospice care; VALIDATION;

D O I：

10.1016/j.outlook.2020.12.011

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Background: The COVID-19 pandemic has resulted in a profound transformation of health care delivery toward telemedicine models. Purpose: We present the structure of a nurse-led telephonic palliative program and operational metrics to influence further development of tele-palliative programs. Methods: The nurses engage with seriously ill patients for 6 months with the goal of discussing advance care planning (ACP) and addressing self-identified issues related to their illness. Findings: Of the first 100 program graduates, 78% were actively engaged and 51% named a health care agent and/or engaged in ACP. Of the 18 patients who died during the study, 13 (72%) were enrolled in hospice services. Discussion: Our preliminary results indicate that seriously ill patients are willing to engage with nurses and to participate with discussions on ACP. Conclusion: Given the gaps in health care exposed by the COVID-19 pandemic, this innovative program serves as an important model for bringing palliative care directly to patients.

引用

页码：626 / 631

页数：6

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