Development and protocol for a nurse-led telephonic palliative care program

The EMPallA Telephonic Working Group

doi:10.1016/j.outlook.2020.12.011

Development and protocol for a nurse-led telephonic palliative care program

The EMPallA Telephonic Working Group

Nursing

Research output: Contribution to journal › Article › peer-review

Abstract

Background: The COVID-19 pandemic has resulted in a profound transformation of health care delivery toward telemedicine models. Purpose: We present the structure of a nurse-led telephonic palliative program and operational metrics to influence further development of tele-palliative programs. Methods: The nurses engage with seriously ill patients for 6 months with the goal of discussing advance care planning (ACP) and addressing self-identified issues related to their illness. Findings: Of the first 100 program graduates, 78% were actively engaged and 51% named a health care agent and/or engaged in ACP. Of the 18 patients who died during the study, 13 (72%) were enrolled in hospice services. Discussion: Our preliminary results indicate that seriously ill patients are willing to engage with nurses and to participate with discussions on ACP. Conclusion: Given the gaps in health care exposed by the COVID-19 pandemic, this innovative program serves as an important model for bringing palliative care directly to patients.

Original language	English (US)
Pages (from-to)	626-631
Number of pages	6
Journal	Nursing outlook
Volume	69
Issue number	4
DOIs	https://doi.org/10.1016/j.outlook.2020.12.011
State	Published - Jul 1 2021

Keywords

End of life care
Hospice care
Palliative care
Program development
Telehealth

ASJC Scopus subject areas

General Nursing

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10.1016/j.outlook.2020.12.011

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title = "Development and protocol for a nurse-led telephonic palliative care program",

abstract = "Background: The COVID-19 pandemic has resulted in a profound transformation of health care delivery toward telemedicine models. Purpose: We present the structure of a nurse-led telephonic palliative program and operational metrics to influence further development of tele-palliative programs. Methods: The nurses engage with seriously ill patients for 6 months with the goal of discussing advance care planning (ACP) and addressing self-identified issues related to their illness. Findings: Of the first 100 program graduates, 78% were actively engaged and 51% named a health care agent and/or engaged in ACP. Of the 18 patients who died during the study, 13 (72%) were enrolled in hospice services. Discussion: Our preliminary results indicate that seriously ill patients are willing to engage with nurses and to participate with discussions on ACP. Conclusion: Given the gaps in health care exposed by the COVID-19 pandemic, this innovative program serves as an important model for bringing palliative care directly to patients.",

keywords = "End of life care, Hospice care, Palliative care, Program development, Telehealth",

author = "{The EMPallA Telephonic Working Group} and Tan, {Audrey J.} and Rebecca Yamarik and Brody, {Abraham A.} and Chung, {Frank R.} and Corita Grudzen",

note = "Funding Information: Funding: This work was supported by the Fan Fox & Leslie R. Samuels Foundation and partially supported through a Patient-Centered Outcomes Research Institute ( PCORI ) Award ( PLC-1609-36306 ). Publisher Copyright: {\textcopyright} 2021 The Authors",

year = "2021",

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doi = "10.1016/j.outlook.2020.12.011",

language = "English (US)",

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AU - Chung, Frank R.

AU - Grudzen, Corita

N1 - Funding Information: Funding: This work was supported by the Fan Fox & Leslie R. Samuels Foundation and partially supported through a Patient-Centered Outcomes Research Institute ( PCORI ) Award ( PLC-1609-36306 ). Publisher Copyright: © 2021 The Authors

PY - 2021/7/1

Y1 - 2021/7/1

N2 - Background: The COVID-19 pandemic has resulted in a profound transformation of health care delivery toward telemedicine models. Purpose: We present the structure of a nurse-led telephonic palliative program and operational metrics to influence further development of tele-palliative programs. Methods: The nurses engage with seriously ill patients for 6 months with the goal of discussing advance care planning (ACP) and addressing self-identified issues related to their illness. Findings: Of the first 100 program graduates, 78% were actively engaged and 51% named a health care agent and/or engaged in ACP. Of the 18 patients who died during the study, 13 (72%) were enrolled in hospice services. Discussion: Our preliminary results indicate that seriously ill patients are willing to engage with nurses and to participate with discussions on ACP. Conclusion: Given the gaps in health care exposed by the COVID-19 pandemic, this innovative program serves as an important model for bringing palliative care directly to patients.

AB - Background: The COVID-19 pandemic has resulted in a profound transformation of health care delivery toward telemedicine models. Purpose: We present the structure of a nurse-led telephonic palliative program and operational metrics to influence further development of tele-palliative programs. Methods: The nurses engage with seriously ill patients for 6 months with the goal of discussing advance care planning (ACP) and addressing self-identified issues related to their illness. Findings: Of the first 100 program graduates, 78% were actively engaged and 51% named a health care agent and/or engaged in ACP. Of the 18 patients who died during the study, 13 (72%) were enrolled in hospice services. Discussion: Our preliminary results indicate that seriously ill patients are willing to engage with nurses and to participate with discussions on ACP. Conclusion: Given the gaps in health care exposed by the COVID-19 pandemic, this innovative program serves as an important model for bringing palliative care directly to patients.

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Development and protocol for a nurse-led telephonic palliative care program

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Keywords

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