Ontology highlight
ABSTRACT: Background
Initially developed in the intensive care unit (ICU) at St. Joseph's Healthcare Hamilton (SJHH) the 3 Wishes Project (3WP) provides personalized, compassionate care to dying patients and their families. The objective of this study was to develop and evaluate 3WP expansion strategies for patients cared for on General Internal Medicine (GIM) wards in our hospital.Methods
From January 2020-November 2021, we developed a phased, multicomponent approach for program expansion. We enrolled patients on the GIM wards who had a high probability of dying in hospital, then elicited, implemented, and documented wishes for them or their families. Data were analyzed descriptively.Results
From March 2020 to November 2020, we implemented staff education and engagement activities, created an Expansion Coordinator position, held strategic consultations, and offered enabling resources. From March 2020 to November 2021, we enrolled 62 patients and elicited 281 wishes (median [1st, 3rd quartiles] 4 [4, 5] wishes/patient). The most common wish categories were personalizing the environment (67 wishes, 24%), rituals and spiritual support (42 wishes, 15%), and facilitating connections (39 wishes, 14%). The median [1st, 3rd] cost/patient was $0 [0, $10.00] (range $0 to $86); 91% of wishes incurred no cost to the program.Conclusions
The formal expansion of the 3WP on GIM wards has been successful despite COVID-19 pandemic disruptions. While there is still work ahead, these data suggest that implementing the 3WP on the GIM wards is feasible and affordable. Increased engagement of the clinical team during the pandemic suggests that it is positively received.
SUBMITTER: Reid JC
PROVIDER: S-EPMC9925934 | biostudies-literature | 2023 Feb
REPOSITORIES: biostudies-literature
Reid Julie C JC Dennis Brittany B Hoad Neala N Clarke France F Hanmiah Rajendar R Vegas Daniel Brandt DB Boyle Anne A Toledo Feli F Rudkowski Jill C JC Soth Mark M Heels-Ansdell Diane D Cheung Andrew A Willison Kathleen K Neville Thanh H TH Cheung Jason J Woods Anne A Cook Deborah D
BMC palliative care 20230214 1
<h4>Background</h4>Initially developed in the intensive care unit (ICU) at St. Joseph's Healthcare Hamilton (SJHH) the 3 Wishes Project (3WP) provides personalized, compassionate care to dying patients and their families. The objective of this study was to develop and evaluate 3WP expansion strategies for patients cared for on General Internal Medicine (GIM) wards in our hospital.<h4>Methods</h4>From January 2020-November 2021, we developed a phased, multicomponent approach for program expansion ...[more]