Abstract

Hospice patients use the emergency department (ED) for the management of symptoms, making it necessary for ED nurses to be equipped with the knowledge and skills to care for hospice patients. EDs should have staff specially trained to address end-of-life needs due to ED staff's minimal knowledge of treating and managing hospice patients. When healthcare organizations fail to provide clinical practice guidelines (CPG) and collaborate with significant stakeholders adequately, gaps in care delivery can occur, and hospice care is often not delivered safely. Standardized guidelines on end-of-life care in the ED should provide adequate guidance for ED nurses in bridging the gap to improve end-of-life care in the ED. Based on peer-reviewed articles from Cochrane Database of Systematic Reviews, PubMed, and MEDLINE and the AGREE II model, the DNP student addressed the gap in practice by creating a CPG following Walden University's CPG manual and the AGREE II model, answering the practice-focused questions and providing ED nurses with resources to improve hospice care in the ED. A panel of three content experts with experience in both hospice and emergency medicine evaluated the newly developed CPG finding it of high quality with no revisions needed. Domain scores ranged from 90% for rigour of development and 98% for scope and practice with an overall domain score of 100% usable CPG. These newly developed guidelines should provide a positive social change through improved hospice care in the ED thus putting the patients and families at ease and allowing them to focus on themselves and their loved ones. Furthermore, cost-savings are anticipated due to the reduced uncertainty in care practice and a more efficient discharge process from the ED.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 28495698; ProQuest document ID: 2532012465. The author still retains copyright.

Author Details

Samer Saad, DNP, APRN, AGNP-BC

Sigma Membership

Unknown

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Clinical Practice Guideline(s)

Research Approach

Translational Research/Evidence-based Practice

Keywords:

Emergency Department, Hospice, Clinical Practice Guidelines

Advisor

Susan Hayden

Second Advisor

Robert McWhirt

Third Advisor

David Sharp

Degree

DNP

Degree Grantor

Walden University

Degree Year

2021

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2021-07-07

Full Text of Presentation

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