Provide an essay with the following proposal:

• Include a minimum of six scholarly sources
• Organize in logical sections
• Include an overview of the literature
• Be unbiased in your presentation of information
• Include sources and content relevant to your research questions and hypothesis; state the relevance in your literature review
• Include a critical assessment of the sources. Do not simply include a summary of what you have read
• A strong introduction and conclusion, including further questions for research
• formatting, citations, and references

Title

Impact of Early Advanced Care Planning on Quality of End-of-Life Care and Patient Satisfaction: A Quantitative Study

Problem Statement

Despite the known benefits of early advanced care planning (EACP) in aligning treatment with patient preferences and improving outcomes, there is a notable gap in its implementation across diverse healthcare settings. This discrepancy contributes to suboptimal end-of-life care and increased healthcare costs, highlighting the need for a better understanding of EACP's effectiveness and barriers.

Research Questions

1. How does early advanced care planning compare to late advanced care planning in terms of the quality of end-of-life care provided?
2. What is the effect of early advanced care planning on patient and family satisfaction with end-of-life care?
3. What barriers do healthcare providers encounter when implementing early advanced care planning?

Significance of the Research Topic to Nursing

Understanding the impact of early advanced care planning is crucial for nursing practice as it directly influences the quality of care provided to patients nearing the end of their lives. By identifying the benefits and challenges associated with early EACP, nurses can better advocate for and implement practices that respect patient preferences, reduce unnecessary interventions, and improve overall care quality. This research will also contribute to developing targeted strategies to overcome barriers, ultimately enhancing patient and family experiences during end-of-life care.

PICOT Question

PICOT Question: In adult patients with chronic illness (P), how does early advanced care planning (I) compared to late advanced care planning (C) affect the quality of end-of-life care and patient satisfaction (O) over a period of 6 months to 1 year (T)?

Research Design and Methodology

• Design: A cross-sectional quantitative study
• Participants: 200 adult patients with chronic illnesses and their families from multiple healthcare settings
• Data Collection: Surveys and medical record reviews
  • Survey Instruments: Standardized questionnaires measuring quality of end-of-life care and patient/family satisfaction
  • Medical Records: Data on timing of advanced care planning and treatment outcomes
• Data Analysis: Statistical analysis using SPSS to compare outcomes between early and late advanced care planning groups

Expected Outcomes

1. Quality of End-of-Life Care: Patients who received early advanced care planning will report higher quality of end-of-life care compared to those with late advanced care planning.
2. Patient and Family Satisfaction: Early advanced care planning is expected to lead to greater satisfaction among patients and their families regarding end-of-life care.
3. Barriers to Implementation: Common barriers to early advanced care planning implementation will be identified, including resource constraints and lack of training.

References

Korfage, I. J., & de Lange, D. (2019). Early advance care planning: An overview of the current evidence.Journal of Palliative Medicine, 22(7), 756-762.

In-Text Citation:

(Korfage & de Lange, 2019)

Detering, K. M., & Hancock, A. D. (2020). The impact of early advance care planning on end-of-life care.BMC Palliative Care, 19, 105.

In-Text Citation:

(Detering & Hancock, 2020)

Lautrette, A., & Rigal, C. (2021). Barriers to the implementation of early advance care planning in acute care settings.Critical Care Medicine, 49(2), 325-333.

In-Text Citation: (Lautrette & Rigal, 2021)

Explanation:

Additional references:

Heyland, D. K., & Dodek, P. M. (2017). The impact of early advanced care planning on the quality of end-of-life care: A systematic review.Critical Care Medicine, 45(1), 5-15.

In-Text Citation: (Heyland & Dodek, 2017)

Singh, J. A., & Stucki, G. (2018). Benefits and challenges of advanced care planning in patients with chronic diseases: A review of the literature.Journal of Chronic Diseases, 110, 1-9.

In-Text Citation: (Singh & Stucki, 2018)

Hirschman, K. B., & Fanning, K. (2020). Advanced care planning in the context of serious illness: A review of the literature and future directions.Journal of Pain and Symptom Management, 60(2), 315-326.

In-Text Citation: (Hirschman & Fanning, 2020)

Sudore, R. L., & Fried, T. R. (2019). Reducing the burden of advanced care planning: A systematic review of interventions.Journal of the American Geriatrics Society, 67(4), 665-672.

In-Text Citation: (Sudore & Fried, 2019)

White, B. P., & Reddy, A. (2018). Exploring barriers and facilitators to early advanced care planning in primary care settings.Journal of General Internal Medicine, 33(6), 956-964.

In-Text Citation: (White & Reddy, 2018)