DNP - Open Access
Doctor of Nursing Practice (DNP)
Purpose: Palliative care (PC) is an important and yet underutilized discipline in neuro critical care units (NCCUs). The purpose of this project was to integrate and improve PC in a NCCU by implementing a Palliative Needs Screening Intervention (PNSI). A PNSI consists of a list of criteria used to screen patients to identify family and patient PC needs.
Methods: A quality improvement project using a PNSI was implemented in a NCCU. Nurses completed 2 hours of pre-implementation PC education and a palliative perceived self-efficacy scale pre/post-implementation. A PNSI was developed and integrated into the NCCU’s daily rounding process.
Results: PNSI and PC education led to an increase in PC consults and statistically significant increases in care conferences and perceived nurse self-efficacy.
Discussion: Statistical and clinical results showed that PNSIs and PC education impact PC practices in a NCCU. PC education is crucial for nurses' PC practices and delivery.
Implications for Practice: PNSIs enhance PC in NCCUs by identifying needs, empowering care teams, and integrating PC into daily workflows. They increase nurse perceived self-efficacy, PC referrals and care conferences, resulting in greater patient and family satisfaction and improving overall care.
Library of Congress Subject Headings
Neurological intensive care.
Number of Pages
South Dakota State University
© 2023 Marcus Goodfellow
Goodfellow, Marcus, "The Implementation of a Palliative Needs Screening Intervention in a Neuro Critical Care Unit:" (2023). Doctor of Nursing Practice (DNP) Practice Innovation Projects. 186.