The University of San Francisco USF Scholarship: a digital repository @ Gleeson Library | Geschke Center Doctor of Nursing Practice (DNP) Projects Theses, Dissertations, Capstones and Projects Fall 12-7-2017 Spirituality in Clinical Practice: Recognizing the Importance of Personal Values and Beliefs in Medical Decision-Making katie lutz [email protected] Follow this and additional works at: https://repository.usfca.edu/dnp Part of the Nursing Commons Recommended Citation lutz, katie, "Spirituality in Clinical Practice: Recognizing the Importance of Personal Values and Beliefs in Medical Decision-Making" (2017). Doctor of Nursing Practice (DNP) Projects. 120. https://repository.usfca.edu/dnp/120 This Project is brought to you for free and open access by the Theses, Dissertations, Capstones and Projects at USF Scholarship: a digital repository @ Gleeson Library | Geschke Center. It has been accepted for inclusion in Doctor of Nursing Practice (DNP) Projects by an authorized administrator of USF Scholarship: a digital repository @ Gleeson Library | Geschke Center. For more information, please contact [email protected]. SPIRITUALITY IN CLINICAL PRACTICE: RECOGNIZING THE IMPORTANCE OF VALUES 1 Spirituality in Clinical Practice: Recognizing the Importance of Personal Values and Beliefs in Medical Decision-Making Katie Lutz MSN, RN, CNL University of San Francisco DNP Chair: Prabjot Jodie Sandhu DNP, MSN, FNP-C, PA-C, CNL Director of Clinical Training- Nurse Practitioner Programs Assistant Professor DNP Committee Member: Jo Loomis DNP, FNP-C Assistant Professor SPIRITUALITY IN CLINICAL PRACTICE: RECOGNIZING THE IMPORTANCE OF VALUES 2 Table of Contents Section I. Title and Abstract .........................................................................................................1 Title ..............................................................................................................................................1 Abstract ........................................................................................................................................6 Section II. Introduction .................................................................................................................8 Background Knowledge ...............................................................................................................8 Program Description ...................................................................................................................12 Setting .....................................................................................................................................13 PICOT ........................................................................................................................................17 Review of Evidence ....................................................................................................................18 National Standards ..................................................................................................................18 National Consensus .................................................................................................................19 Available Knowledge..............................................................................................................19 Rationale .....................................................................................................................................25 Specific Aims .............................................................................................................................27 Section II. Methods ......................................................................................................................28 Context .......................................................................................................................................28 Stakeholders ............................................................................................................................28 Preparation for Intervention ....................................................................................................29 Intervention ................................................................................................................................33 Process ....................................................................................................................................33 First Seminar ...........................................................................................................................35 Second Seminar ......................................................................................................................37 Third Seminar .........................................................................................................................40 Gap Analysis ..............................................................................................................................42 Responsibility and Communication Plan ...................................................................................43 Work Breakdown Structure ........................................................................................................44 Project timeline (GANTT) .........................................................................................................46 Strengths, Weaknesses, Opportunities, and Threats (SWOT)....................................................47 Project Budget ............................................................................................................................48 Cost Benefit Analysis .................................................................................................................48 Study of the Intervention ............................................................................................................50 Framework ..............................................................................................................................50 Measures .....................................................................................................................................53 Instruments ..............................................................................................................................53 Outcomes ................................................................................................................................54 SPIRITUALITY IN CLINICAL PRACTICE: RECOGNIZING THE IMPORTANCE OF VALUES 3 Analysis ......................................................................................................................................54 Ethical Considerations ................................................................................................................56 Section IV. Results .......................................................................................................................57 Section V. Discussion ...................................................................................................................59 Summary ....................................................................................................................................59 Interpretation ..............................................................................................................................61 Limitations ..................................................................................................................................63 Conclusions ................................................................................................................................63 Future State .............................................................................................................................64 Improvements .........................................................................................................................67 Section VI. Other Information....................................................................................................69 Funding ...................................................................................................................................69 Section VII. References ...............................................................................................................70 Section VIII. Appendices .............................................................................................................80 A. Definitions .............................................................................................................................80 B. Statement of Determination ...................................................................................................81 C. Evaluation of Evidence ..........................................................................................................85 D. Gap Analysis .........................................................................................................................91 E. Work Breakdown Structure ...................................................................................................92 F. Project Timeline .....................................................................................................................93 G. Communication Matrix .........................................................................................................95 H. SWOT Analysis .....................................................................................................................96