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Adapting the serious illness conversation guide for use in the emergency department by social workers

Aaronson, Emily Loving ; Greenwald, Jeffrey L. ; Krenzel, Lindsey R. ; Rogers, Angelina M. ; LaPointe, Lauren and Jacobsen, Juliet C. LU (2021) In Palliative and Supportive Care 19(6). p.681-685
Abstract

Objective Although important treatment decisions are made in the Emergency Department (ED), conversations about patients’ goals and values and priorities often do not occur. There is a critical need to improve the frequency of these conversations, so that ED providers can align treatment plans with these goals, values, and priorities. The Serious Illness Conversation Guide has been used in other care settings and has been demonstrated to improve the frequency, quality, and timing of conversations, but it has not been used in the ED setting. Additionally, ED social workers, although integrated into hospital and home-based palliative care, have not been engaged in programs to advance serious illness conversations in the ED. We set out to... (More)

Objective Although important treatment decisions are made in the Emergency Department (ED), conversations about patients’ goals and values and priorities often do not occur. There is a critical need to improve the frequency of these conversations, so that ED providers can align treatment plans with these goals, values, and priorities. The Serious Illness Conversation Guide has been used in other care settings and has been demonstrated to improve the frequency, quality, and timing of conversations, but it has not been used in the ED setting. Additionally, ED social workers, although integrated into hospital and home-based palliative care, have not been engaged in programs to advance serious illness conversations in the ED. We set out to adapt the Serious Illness Conversation Guide for use in the ED by social workers. Methods We undertook a four-phase process for the adaptation of the Serious Illness Conversation Guide for use in the ED by social workers. This included simulated testing exercises, pilot testing, and deployment with patients in the ED. Results During each phase of the Guide's adaptation, changes were made to reflect both the environment of care (ED) and the clinicians (social workers) that would be using the Guide. A final guide is presented. Significance of results This report presents an adapted Serious Illness Conversation Guide for use in the ED by social workers. This Guide may provide a tool that can be used to increase the frequency and quality of serious illness conversations in the ED.

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author
; ; ; ; and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Emergency medicine, Goals of care, Palliative care, Patient care planning, Social work
in
Palliative and Supportive Care
volume
19
issue
6
pages
681 - 685
publisher
Cambridge University Press
external identifiers
  • pmid:34140064
  • scopus:85108164217
ISSN
1478-9515
DOI
10.1017/S1478951521000821
language
English
LU publication?
no
additional info
Publisher Copyright: Copyright © The Author(s), 2021. Published by Cambridge University Press
id
05748a09-3afc-4319-9127-e15ac11bfe87
date added to LUP
2023-04-18 11:15:27
date last changed
2024-06-16 04:35:25
@article{05748a09-3afc-4319-9127-e15ac11bfe87,
  abstract     = {{<p>Objective Although important treatment decisions are made in the Emergency Department (ED), conversations about patients’ goals and values and priorities often do not occur. There is a critical need to improve the frequency of these conversations, so that ED providers can align treatment plans with these goals, values, and priorities. The Serious Illness Conversation Guide has been used in other care settings and has been demonstrated to improve the frequency, quality, and timing of conversations, but it has not been used in the ED setting. Additionally, ED social workers, although integrated into hospital and home-based palliative care, have not been engaged in programs to advance serious illness conversations in the ED. We set out to adapt the Serious Illness Conversation Guide for use in the ED by social workers. Methods We undertook a four-phase process for the adaptation of the Serious Illness Conversation Guide for use in the ED by social workers. This included simulated testing exercises, pilot testing, and deployment with patients in the ED. Results During each phase of the Guide's adaptation, changes were made to reflect both the environment of care (ED) and the clinicians (social workers) that would be using the Guide. A final guide is presented. Significance of results This report presents an adapted Serious Illness Conversation Guide for use in the ED by social workers. This Guide may provide a tool that can be used to increase the frequency and quality of serious illness conversations in the ED.</p>}},
  author       = {{Aaronson, Emily Loving and Greenwald, Jeffrey L. and Krenzel, Lindsey R. and Rogers, Angelina M. and LaPointe, Lauren and Jacobsen, Juliet C.}},
  issn         = {{1478-9515}},
  keywords     = {{Emergency medicine; Goals of care; Palliative care; Patient care planning; Social work}},
  language     = {{eng}},
  month        = {{12}},
  number       = {{6}},
  pages        = {{681--685}},
  publisher    = {{Cambridge University Press}},
  series       = {{Palliative and Supportive Care}},
  title        = {{Adapting the serious illness conversation guide for use in the emergency department by social workers}},
  url          = {{http://dx.doi.org/10.1017/S1478951521000821}},
  doi          = {{10.1017/S1478951521000821}},
  volume       = {{19}},
  year         = {{2021}},
}