Building successful coalitions to promote advance care planning

作者: Lucille Marchand , Kathryn J. Fowler , Obrad Kokanovic

DOI: 10.1177/104990910502200609

关键词: Organizational Case StudiesGroup cohesivenessNursingAdvance care planningHealth services researchGrounded theoryQualitative researchPalliative carePublic relationsProcess (engineering)Medicine

摘要: This qualitative study explored the challenges and successes of an advance care planning (ACP) coalition formed at University Wisconsin called Life Planning 2000. Data were obtained from key informant interviews (n = 24) grounded theory. Major themes included commitment (the need for leadership, recruitment persons, funding); cohesiveness (disparate groups collaborating toward a common purpose); outcomes (including educational tool development). Coalitions to define short-, intermediate-, long-term goals that result in measurable evaluation process. Resources must be commensurate with goals. Results indicate strong paid staff adequate funding, collaboration diverse working goal are essential if promoting end-of-life (EOL) is successful.

参考文章(12)
Marchand L, Gjerde C, Cloutier Vm, Haq C, Factors influencing rural Wisconsin elders in completing advance directives. WMJ : official publication of the State Medical Society of Wisconsin. ,vol. 100, pp. 26- 31 ,(2001)
Bobbie Davis, Panagiota V. Caralis, Karen Wright, Eileen Marcial, The influence of ethnicity and race on attitudes toward advance directives, life-prolonging treatments, and euthanasia. Journal of Clinical Ethics. ,vol. 4, pp. 155- 165 ,(1993)
Sarah Coate Johnson, Advance directives: from the perspective of the patient and the physician. Journal of the Royal Society of Medicine. ,vol. 89, pp. 568- 570 ,(1996) , 10.1177/014107689608901008
P. Florin, R. Mitchell, J. Stevenson, Identifying training and technical assistance needs in community coalitions: a developmental approach Health Education Research. ,vol. 8, pp. 417- 432 ,(1993) , 10.1093/HER/8.3.417
Anna L. Romer, Bernard J. Hammes, Communication, trust, and making choices: advance care planning four years on. Journal of Palliative Medicine. ,vol. 7, pp. 335- 340 ,(2004) , 10.1089/109662104773709495
Bernard J. Hammes, Brenda L. Rooney, Death and End-of-Life Planning in One Midwestern Community JAMA Internal Medicine. ,vol. 158, pp. 383- 390 ,(1998) , 10.1001/ARCHINTE.158.4.383
Annie Millar, Ronald S. Simeone, John T. Carnevale, Logic models: a systems tool for performance management Evaluation and Program Planning. ,vol. 24, pp. 73- 81 ,(2001) , 10.1016/S0149-7189(00)00048-3
Maria J. Silveira, Albert DiPiero, Martha S. Gerrity, Chris Feudtner, Patients' Knowledge of Options at the End of Life JAMA. ,vol. 284, pp. 2483- 2488 ,(2000) , 10.1001/JAMA.284.19.2483
David W. McMillan, David M. Chavis, Sense of community: A definition and theory Journal of Community Psychology. ,vol. 14, pp. 6- 23 ,(1986) , 10.1002/1520-6629(198601)14:1<6::AID-JCOP2290140103>3.0.CO;2-I
Douglas R. Smucker, Walter Edinger, Outpatients' attitudes regarding advance directives. Journal of Family Practice. ,vol. 35, pp. 650- 653 ,(1992)