Date of Award


Document Type

Restricted Access Thesis

Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Lisa VanGetson APRN, DNP, FNP-C

Second Advisor

Briana Darcy APRN, DNP, FNP-C


This project is dedicated to teaching providers about the benefits of early initiation of palliative care for patients with heart failure. The extensive literature review provides the scientific foundation for the project and outlines the barriers, facilitators, and future research needs of palliative care for these patients. Through the literature review, Newman’s (1999) Health As Expanding Consciousness (HEC) theory, Newman’s concept of transformation, and Mezirow’s (1978) interpretation of transformative learning theory, a scholarly project was designed and implemented to both teach and receive experiential data from current and future primary care providers. The project was implemented at a primary care clinic in Southwest Minnesota and in a classroom setting at a University. The scholarly project consisted of an educational session followed by a focus group discussion. Data was collected through pre and post-surveys completed by each participant. Through the data collected, it became apparent that both providers and future providers had a desire for more education on palliative care, initiating end-of-life conversations, and had a lot of insight into the resources necessary for successful, consistent implementation of palliative care for patients with chronic diseases in the primary care setting. Continued work, education, and resources for palliative care for chronic diseases, including heart failure, is needed and this project will continue to impact the future of advanced nursing practice as more and more people are diagnosed with multiple comorbidities and chronic diseases.


SC 11.DNP.2021.Tetlie.A