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Optimizing the role of social workers in advance care planning within an academic hospital: an educational intervention program.
- Source :
- Social Work in Health Care; Sep2019, Vol. 58 Issue 8, p796-806, 11p
- Publication Year :
- 2019
-
Abstract
- Advance Care Planning (ACP) promotes communication to help patients express future health-care preferences and goals for their medical care. Social workers (SWs) are trained to facilitate complex conversations and assist in various ACP tasks across clinical settings. This three-part mixed-method interventional study implemented a comprehensive education and training program for SWs of a large academic hospital, which used pre- and post-training evaluations, chart review, and qualitative data from debrief sessions to examine ACP skills and confidence, and assess the number of ACP conversations initiated with patients. Self-reported level of preparation to facilitate ACP conversations improved significantly (n = 26; pre 36% versus post 82%; p <.05). A 4-month post-intervention chart audit showed an 8.69 fold increase in the number of initiated ACP conversations. Qualitative analysis identified key themes regarding barriers and enablers of initiating ACP conversations during standard care from the perspective of SWs. [ABSTRACT FROM AUTHOR]
- Subjects :
- EDUCATION of social workers
ACADEMIC medical centers
CHI-squared test
CLINICAL trials
COMMUNICATION
CONFIDENCE
RESEARCH methodology
MEDICAL quality control
MEDICAL records
PSYCHOLOGY of social workers
ADVANCE directives (Medical care)
QUALITATIVE research
OCCUPATIONAL roles
CLIENT relations
STATISTICAL significance
EDUCATIONAL outcomes
ACQUISITION of data methodology
Subjects
Details
- Language :
- English
- ISSN :
- 00981389
- Volume :
- 58
- Issue :
- 8
- Database :
- Complementary Index
- Journal :
- Social Work in Health Care
- Publication Type :
- Academic Journal
- Accession number :
- 138296300
- Full Text :
- https://doi.org/10.1080/00981389.2019.1645794