Lightning Talk

Interprofessional Advance Care Planning to Enhance End-of-life Care

Thursday, September 28, 2023, 1:15 pm - 2:15 pm CDT
Some experience with IPE
palliative care
Sample video
Lightning Talk Live Discussion Recording

Lightning Talk Description: 
Background/Purpose: Lawyers and financial planners are more often sought for estate directives than primary care providers for end-of life planning. A comprehensive, interprofessional approach to advance care planning (ACP) addressing medical and non-medical decision-making for aging adults is needed. However, few studies have employed an interprofessional ACP approach and none include non-health professionals. The purpose of this project was to advance understanding of the unique role of each interdisciplinary team member in ACP and identify teaching and learning strategies that promote professional competence in goal-aligned palliative and end-of-life care. The team took a community-engaged approach to better inform future interprofessional ACP practice and education.

Framework: Interprofessional collaborative practice is a patient-centered approach that utilizes the unique skills of team members to achieve enhanced outcomes. Kwak et al. designed a visual model, Interprofessional Collaboration Competencies for Advance Care Planning that depicts gaps in ACP and recommendations for interprofessional ACP facilitation.

Methods: A qualitative, exploratory design was employed to investigate ACP understanding, barriers, and needs among four populations of interest: consumers of ACP (aging Nebraskans), Omaha-metro community agencies that serve these consumers, professional students from health, business, and law programs who may conduct ACP conversations in their future roles, and faculty that educate students about primary palliative care and/or facilitation of ACP conversations. Focus groups with each population were facilitated using open-ended questions to explore participants’ experiences and values related to ACP. Transcripts were analyzed to determine common perspectives, needs, and priorities.

Results: Lack of role clarity and divergent views about ACP responsibility exist among interprofessional team members. ACP values and needs for education of pre-professional students, their faculty, community agency members, and consumers were clarified.

Conclusions: Improved ACP discussions are needed for supporting value-aligned end-of-life care by educating aging adults about, and documenting their wishes for, life-sustaining treatments and other decisions surrounding death. Results of this needs assessment will guide the development of an interprofessional ACP clinic that engages pre-professional health, business, and law students in necessary training and experience with these discussions.

Accreditation Details

In support of improving patient care, this activity is planned and implemented by The National Center for Interprofessional Practice and Education Office of Interprofessional Continuing Professional Development (National Center OICPD). The National Center OICPD is accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

As a Jointly Accredited Provider, the National Center is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. The National Center maintains responsibility for this course. Social workers completing this course receive continuing education credits.

The National Center OICPD (JA#: 4008105) is approved by the Board of Certification, Inc. to provide continuing education to Athletic Trainers (ATs).

This activity was planned by and for the healthcare team, and learners will receive Interprofessional Continuing Education (IPCE) credit for learning and change.

Text reads "Office of Interprofessional Continuing Professional Development" and shown are logos for the National Center for Interprofessional Practice and Education,
                    the University of Minnesota School of Nursing, and the University of Minnesota College of Pharmacy.
 

Physicians: The National Center for Interprofessional Practice and Education designates this live activity for AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with their participation.

Physician Assistants: The American Academy of Physician Assistants (AAPA) accepts credit from organizations accredited by the ACCME.

Nurses: Participants will be awarded contact hours of credit for attendance at this workshop.

Nurse Practitioners: The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts credit from organizations accredited by the ACCME and ANCC.

Pharmacists and Pharmacy Technicians: This activity is approved for contact hours.

Athletic Trainers: This program is eligible for Category A hours/CEUs. ATs should claim only those hours actually spent in the educational program.

Social Workers: As a Jointly Accredited Organization, the National Center is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. The National Center maintains responsibility for this course. Social workers completing this course receive continuing education credits.

IPCE: This activity was planned by and for the healthcare team, and learners will receive Interprofessional Continuing Education (IPCE) credits for learning and change.

Learners can claim CE credit by completing the Daily Evaluation.