Use of the Physician Orders for Scope of Treatment Program in Indiana Nursing Homes.
Use of the Physician Orders for Scope of Treatment Program in Indiana Nursing Homes.
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DOI：
10.1111/jgs.15338
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发表时间：
2018-07
影响因子：
6.3
通讯作者：
Hammes BJ
中科院分区：
文献类型：
--
作者：
Hickman SE;Sudore RL;Sachs GA;Torke AM;Myers AL;Tang Q;Bakoyannis G;Hammes BJ
通过基层联盟的工作，印第安纳州治疗范围医生医嘱于2013年7月生效。评估使用印第安纳州POST表格记录疗养院（NH）居民的治疗偏好和相关实践。调查印第安纳州负责提前护理计划的工作人员，在535个国家卫生机构调查印第安纳州邮政的使用情况、相关政策和教育活动。通过电话或电子邮件联系了NH。无应答者被发送了一份简短的明信片调查。几乎所有（486/535或91%）印第安纳州的NHS参与了研究，大多数（79%）有POST经验。在与居民一起完成POST的NH中（65%），46%的人报告说一半或更多的居民有POST表格。POST最常在入院时完成（68%）。只有一半（52%）的参与者知道关于使用POST的现有设施政策。大多数（80%）报告说，一般工作人员都接受过员额配置方面的教育。在不使用POST的NH中（n = 172），原因包括不熟悉该工具（23%）和缺乏设施政策（21%）。在一场基层运动引入自愿的印第安纳州POST计划近三年后，大多数NH都在使用POST来支持居民护理。需要改进的领域包括为所有NH制定POST政策，培训POST对话的工作人员，以及考虑可能增强POST对话的流程，例如在可能的仓促入院流程之外找到参与治疗偏好对话的最佳时间。
The Indiana Physician Orders for Scope of Treatment (POST) became available in July 2013 through the work of a grassroots coalition. Assess use of the Indiana POST form to record nursing home (NH) residents’ treatment preferences and associated practices. Survey Indiana Staff responsible for advance care planning in 535 NHs Survey about use of the Indiana POST, related policies, and educational activities. NHs were contacted by phone or email. Non-responders were sent a brief postcard survey. Almost all (486/535 or 91%) Indiana NHs participated and a majority (79%) had experience with POST. Among NHs that complete POST with residents (65%), 46% reported that half or more residents had a POST form. POST was most often completed at the time of admission (68%). Only half (52%) of participants were aware of an existing facility policy regarding use of POST. A majority (80%) reported general staff education on POST. Among NHs not using POST (n = 172), reasons included unfamiliarity with the tool (23%) and a lack of facility policies (21%). Almost three years following a grassroots campaign to introduce the voluntary Indiana POST program, a majority of NHs were using POST to support resident care. Areas for improvement include creating policies on POST for all NHs, training staff on POST conversations, and considering processes that may enhance the POST conversation, such as finding an optimal time to engage in conversations about treatment preferences outside of a potential rushed admission process.
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影响因子：
6.3
作者：
Hickman, Susan E.;Keevern, Elisabeth;Hammes, Bernard J.
通讯作者：
Hammes, Bernard J.
影响因子：
2.8
作者：
Hickman, Susan E.;Nelson, Christine A.;Tolle, Susan W.
通讯作者：
Tolle, Susan W.
DOI：
10.1111/j.1532-5415.2004.52402.x
发表时间：
2004-09-01
影响因子：
6.3
作者：
Hickman, SE;Tolle, SW;Carley, MM
通讯作者：
Carley, MM
影响因子：
6.3
作者：
Hickman, Susan E.;Unroe, Kathleen T.;Sachs, Greg A.
通讯作者：
Sachs, Greg A.
影响因子：
2.1
作者：
Hickman, Susan E.;Sabatino, Charles R.;Nester, Jessica Wehrle
通讯作者：
Nester, Jessica Wehrle