Author Affiliations: Director (Dr Simmons-Fields), System Population Health/Care Management, Integrated Clinical Systems, Trinity Health; and Doctoral Candidate (Dr Simmons-Fields) and Professor and Director of DNP Program (Dr Burgermeister), Madonna University, Livonia; Vice President of Research & Medical Affairs (Dr Svinarich), Ascension Michigan, Warren; and Professor (Dr Hanson), Madonna University, Livonia, Michigan.
J Nurs Adm. 2020 Jul/Aug;50(7-8):426-432. doi: 10.1097/NNA.0000000000000911.
This quality improvement initiative sought to develop a proactive integrated system approach to advance care planning (ACP) through leadership and colleague engagement.
Nurse leaders have the capacity to influence the professional competencies of care teams in ACP. Nurse leaders were educated on the importance of ACP, national quality metrics, resources for staff education, and ways to integrate ACP into workflows based on a population management model.
The project design is a prospective, mixed method design.
Nurse leader participants demonstrated a significant increase in knowledge of the importance of ACP and evidence-based models to increase staff engagement and competency.
Study supports nurse leader interventions, promoted engagement of proactive ACP to honor patient choice, and aligns with the mission and vision of one of the largest national Catholic healthcare organizations of being a trusted partner for life.
本质量改进计划旨在通过领导力和同事参与，制定积极主动的综合系统方法来推进预先医疗指示（ACP）。
护士领导者有能力影响 ACP 护理团队的专业能力。护士领导者接受了关于 ACP 的重要性、国家质量指标、员工教育资源以及基于人口管理模式将 ACP 融入工作流程的方法的教育。
项目设计是前瞻性的、混合方法设计。
护士领导者参与者在 ACP 的重要性以及提高员工参与度和能力的循证模型方面的知识显著增加。
该研究支持护士领导者的干预措施，促进了积极主动的 ACP 的实施，以尊重患者的选择，并符合一家最大的全国天主教医疗机构的使命和愿景，即成为生命的可信赖伙伴。
