Date of Award


Degree Name

Nursing (D.N.P.)


College of Nursing

First Advisor

Cynthia Beel-Bates

Second Advisor

Cynthia McCurren

Third Advisor

Simin Beg


Cardiovascular disease is a significant health issue in the US as it is the leading cause of death and most cited reason of hospitalizations in Medicare enrollees (Centers for Disease Control, 2014; Unroe et al., 2011). The American Colleges of Cardiology and the American Heart Association Guidelines recommend palliative care for all patients with heart failure (Yancy et al., 2013). The purpose of the scholarly project was to address the gaps in current practice by creating a standardized palliative care referral process and education for clinicians in an outpatient Advanced Congestive Heart Failure (ACHF) Clinic. A referral tracking process was defined, a pre-test and post-test were used as measures for the education, a referral process was outlined, and the number of palliative care referrals increased from 0.6% to 1.4% during the project work.

Included in

Nursing Commons