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Palliative Care Education to Increase Outpatient Provider Knowledge and Palliative Care Referral Intent Within Veterans Healthcare System of the Ozarks

Purpose: Examine outpatient providers' perceptions of palliative care education in increasing their understanding, knowledge of resources, and intent to refer.
Research questions/goals: 1) Increase provider understanding about palliative care and the benefits that patients can receive as a result of early referral; 2) Increase provider knowledge of palliative care facilities and resources within VHSO; 3) Increase provider intent to use the referral process for patients in need of palliative care.
Setting: Veterans Healthcare System of the Ozarks, Fayetteville, Arkansas.
Participants: 14 outpatient providers within VHSO; 8 MDs, 4 NPs, and 2 PAs.
Methods: Descriptive research study consisting of an education session, discussion, and completion of a demographics form and evaluation questionnaire.
Results: Questionnaire scores: Goal 1) 4.9 (SD=1.27)/6; Goal 2) 5.07 (SD=1.1)/6; Goal 3) 5.1 (SD=1.1)/6. Open ended question themes: 1) 21.4%: palliative care was an "umbrella"; 35.7%: early referral improves outcomes; 21.4%: treatment plan can include curative therapies; 2) 28.6%: open group discussion; 14.3%: training opportunities; 21.4%: multidisciplinary team approach. 3) 35.7%: screenshots of the referral process; 14.3%: individual comments for the care plan; 21.4%: open discussion regarding referrals. 4) 14.3%: more about how to accommodate homebound Veterans; 28.6%: more about telehealth opportunities; 21.4%: more information on communication tactics.
Conclusions: There is a knowledge deficit among outpatient care providers in regards to palliative care. The providers found this education session informative, beneficial, and increased their intent to initiate palliative care referrals.

Identiferoai:union.ndltd.org:arizona.edu/oai:arizona.openrepository.com:10150/624300
Date January 2017
CreatorsStewart, Tiffany Nicole, Stewart, Tiffany Nicole
ContributorsReed, Pamela G., Reed, Pamela G., Carlisle, Heather L., Shea, Kimberly D.
PublisherThe University of Arizona.
Source SetsUniversity of Arizona
Languageen_US
Detected LanguageEnglish
Typetext, Electronic Dissertation
RightsCopyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author.

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