Yvonne: Enhancing palliative care through advance care planning

Change Activity Plan 

Victories: 

• Activities
  1. Conducted baseline surveys to assess staff knowledge and confidence regarding ACP.
  2. Developed educational resources tailored to both staff and clients.
  3. Provided structured ACP education sessions to staff.
  4.  Delivered ACP education to clients during Nurse Practitioner (NP) consultations.
  5. Mentored staff members who are now incorporating ACP conversations into their practice.
• Progress to Date
  1.  Completed education sessions for multiple staff members.
  2.  Ongoing education provided to clients during NP reviews.
  3.  Supporting and mentoring staff who are delivering ACP information in their day-to-day roles

Challenges

• Limited time and competing workload priorities.
• Some staff resistance to change or lack of confidence initiating ACP discussions.
• Staff turnover resulting in the need for repeated training.
• Changeover of staff after education has been provided, impacting continuity.

Lessons

• Ongoing reinforcement and follow-up education are essential to maintain staff confidence.
•  Embedding ACP education into routine workflows increases uptake and sustainability.
• Staff are more engaged when education is practical, relevant, and supports their clinical role.
• Early identification of champions within the team helps drive cultural change.
•  Building ACP literacy among clients improves participation in care planning and supports shared decision-making.

Support

• even though progress is slow, we are going ok

Do you have any questions about the program in general?

• No

What has been your favourite thing about Palliative CATQIP so far?

Post-education, some of the staff members have completed their ACP, and encouraged their families to complete I thought that was very encouraging