{"id":{"repo_id":"wvu","oai_identifier":"oai:researchrepository.wvu.edu:etd-1129"},"canonical_url":"https://search.dev.ndltd.org/etd/wvu/oai:researchrepository.wvu.edu:etd-1129","repository":{"repo_id":"wvu","name":"West Virginia University","base_url":"https://researchrepository.wvu.edu/do/oai/"},"display":{"title":"Evaluation of a Nurse-led Intervention to Improve Palliative Care for Select Medical Intensive Care Patients","abstract":"Body: Twenty percent of all Americans die in an intensive care unit (ICU) or shortly thereafter. For most of these patients, relentless and distressing symptoms are commonplace. Review of local data reveals opportunity for improvement in the palliative care offered to hospitalized patients. To address this need for improved palliative care, the Volunteer Hospital Association's (VHA) Communication and Care Bundle will be implemented in a local medical ICU, using Roger's (2003) diffusion of innovations (DOI) as the theoretical base.;Evaluation: Communication and Care Bundle within a given time frames, for select medical ICU patients. ICU length of stay and patient mortality were also assessed before and after the multifaceted intervention.;Results: The implementation of the Communication and Care Bundle.;Discussion and Recommendations: The adoption of the Communication and Care Bundle has been shown to increase documentation of three of the nine quality measures in the medical intensive care unit (MICU) and surgical intensive care unit (SICU) for adult medical intensive care patients at high risk of death. Further inquiry is needed to fully examine why all quality measures did not significantly increase.","abstract_html":"Body: Twenty percent of all Americans die in an intensive care unit (ICU) or shortly thereafter. For most of these patients, relentless and distressing symptoms are commonplace. Review of local data reveals opportunity for improvement in the palliative care offered to hospitalized patients. To address this need for improved palliative care, the Volunteer Hospital Association's (VHA) Communication and Care Bundle will be implemented in a local medical ICU, using Roger's (2003) diffusion of innovations (DOI) as the theoretical base.;Evaluation: Communication and Care Bundle within a given time frames, for select medical ICU patients. ICU length of stay and patient mortality were also assessed before and after the multifaceted intervention.;Results: The implementation of the Communication and Care Bundle.;Discussion and Recommendations: The adoption of the Communication and Care Bundle has been shown to increase documentation of three of the nine quality measures in the medical intensive care unit (MICU) and surgical intensive care unit (SICU) for adult medical intensive care patients at high risk of death. Further inquiry is needed to fully examine why all quality measures did not significantly increase.","abstract_has_math":false,"creators":["Constantine, Lori A."],"institution":null,"degree_name":"DNP","degree_level":"Dissertation","degree_discipline":"Family/Community Health","degree_department":null,"school":null,"contributors":["Gina Maiocco","Patty Hermosilla","Alvin Moss."],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2013,"date_issued":"2013-12-01T08:00:00Z","date_published":"2013-12-01T08:00:00Z","updated_at":"2026-07-24T06:14:02Z","subjects":["Nursing","Health care management"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[{"key":"dc:identifier","label":"Identifier","values":["https://researchrepository.wvu.edu/etd/126"],"render_values":[{"text":"https://researchrepository.wvu.edu/etd/126","href":"https://researchrepository.wvu.edu/etd/126","code":true}]}]},"links":{"outbound_url":"https://doi.org/10.33915/etd.126","outbound_label":"DOI","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Gina Maiocco","Patty Hermosilla","Alvin Moss."]},{"key":"dc:creator","label":"Author","values":["Constantine, Lori A."]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.available","label":"Dc Date Available","values":["2019-01-17T08:00:00Z"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Family/Community Health"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Dissertation"]},{"key":"thesis:degree_name","label":"Degree Name","values":["DNP"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Nursing","Health care management"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://doi.org/10.33915/etd.126","https://researchrepository.wvu.edu/etd/126"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Body: Twenty percent of all Americans die in an intensive care unit (ICU) or shortly thereafter. For most of these patients, relentless and distressing symptoms are commonplace. Review of local data reveals opportunity for improvement in the palliative care offered to hospitalized patients. To address this need for improved palliative care, the Volunteer Hospital Association's (VHA) Communication and Care Bundle will be implemented in a local medical ICU, using Roger's (2003) diffusion of innovations (DOI) as the theoretical base.;Evaluation: Communication and Care Bundle within a given time frames, for select medical ICU patients. ICU length of stay and patient mortality were also assessed before and after the multifaceted intervention.;Results: The implementation of the Communication and Care Bundle.;Discussion and Recommendations: The adoption of the Communication and Care Bundle has been shown to increase documentation of three of the nine quality measures in the medical intensive care unit (MICU) and surgical intensive care unit (SICU) for adult medical intensive care patients at high risk of death. 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To address this need for improved palliative care, the Volunteer Hospital Association's (VHA) Communication and Care Bundle will be implemented in a local medical ICU, using Roger's (2003) diffusion of innovations (DOI) as the theoretical base.;Evaluation: Communication and Care Bundle within a given time frames, for select medical ICU patients. ICU length of stay and patient mortality were also assessed before and after the multifaceted intervention.;Results: The implementation of the Communication and Care Bundle.;Discussion and Recommendations: The adoption of the Communication and Care Bundle has been shown to increase documentation of three of the nine quality measures in the medical intensive care unit (MICU) and surgical intensive care unit (SICU) for adult medical intensive care patients at high risk of death. Further inquiry is needed to fully examine why all quality measures did not significantly increase."],"dc:identifier":["https://doi.org/10.33915/etd.126","https://researchrepository.wvu.edu/etd/126"],"dc:subject":["Nursing","Health care management"],"dc:title":["Evaluation of a Nurse-led Intervention to Improve Palliative Care for Select Medical Intensive Care Patients"],"thesis:degree_discipline":["Family/Community Health"],"thesis:degree_level":["Dissertation"],"thesis:degree_name":["DNP"]},"updated_at":"2026-07-24T06:14:02Z"}