부산대학교 도서관

1. Self-report the ability to enhance their serious illness training programs to include the interprofessional team. 1. Increase serious illness conversations (SICs) documented by RNs and social workers after training. 2. RNs and social workers will report an increased level of comfort having SICs with patients/families. SICs related to an individual's goals of care allow healthcare providers to provide care that aligns with the patient's values and wishes. At our institution, most of these conversations are documented by physicians and advance practice providers. While other members of the interprofessional team are engaging in these conversations, few are documented. With turnover of the care team and lack of documentation, many important discussions are lost. We posit that if more SICs were documented in the electronic medical record (EMR), continuity and rapport with patients and families would increase and ensure goal-concordant care. Providing SIC training to nursing and social workers of the interprofessional team will increase skill in identifying, engaging in, and documenting SICs in EMRs. • Intervention: Provide an hour in-person SIC training to RNs and social workers (SWs) tailored to their role and patient population. • Data Collection: 1. Determine SICs documented in EMRs by RNs and SWs on units where participants currently work 3 months prior to training. 2. Obtain post-training evaluations from participants regarding skills learned. 3. Determine SICs documented by RNs and SWs on participants' units 3 months after training. At time of abstract submission, we have completed training and data gathering from three neurology units at Massachusetts General Hospital (nine total participants; three SWs, six RNs). • Number of SICs documented 3 months prior to training: 2 • Number of SICs documented 3 months after training: 12 (83% increase) • All participants rated their skills pertaining to SIC and documentation having increased as "agree" or "strongly agree." • We have additional trainings scheduled and are hopeful for similar results moving forward. [ABSTRACT FROM AUTHOR]