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Geriatr Nurs. 2015 Jan-Feb;36(1):21-4. doi: 10.1016/j.gerinurse.2014.09.001. Epub 2014 Oct 16.

Nurses' knowledge and comfort levels using the Physician Orders for Life-sustaining Treatment (POLST) form in the progressive care unit.

Author information

1
3 East Progressive Care Unit, Sharp Grossmont Hospital, 5555 Grossmont Center Drive, La Mesa, CA 91942, USA. Electronic address: nien-hsien.mcgough@sharp.com.
2
3 East Progressive Care Unit, Sharp Grossmont Hospital, 5555 Grossmont Center Drive, La Mesa, CA 91942, USA.
3
3 East Progressive Care Unit, Sharp Grossmont Hospital, 5555 Grossmont Center Drive, La Mesa, CA 91942, USA; School of Nursing, San Diego State University, San Diego, CA, USA.

Abstract

Many patients are admitted to the hospital with an active Physician Orders for Life-sustaining Treatment (POLST) Form; however, not all registered nurses (RNs) are familiar with the form or comfortable with initiating a discussion about end-of-life care. Evidence indicates that an education program increases RNs' knowledge and utilization of the POLST form. The purpose of this evidence-based practice project was to answer the question: among the RNs in a progressive care unit (PCU), does implementing a formal evidence-based practice POLST program compared to current practice increase RNs' knowledge and comfort level using the POLST form? A pre-post education survey was used. Results indicated a POLST education program increased PCU RNs' knowledge and comfort level in using the POLST form. It is recommended to include POLST form education for PCU RNs in workplace education programs.

KEYWORDS:

End-of-life; Evidence-based practice; POLST; Progressive care unit

PMID:
25441841
DOI:
10.1016/j.gerinurse.2014.09.001
[Indexed for MEDLINE]

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