Advance Care Planning Complexities for Nurse Practitioners

被引:11
|
作者
Dube, Monica [1 ]
McCarron, Amy [2 ]
Nannini, Angela [2 ]
机构
[1] Lahey Hlth Syst, Lexington, MA 02421 USA
[2] Univ Massachusetts Lowell, Sch Nursing, Lowell, MA USA
来源
JNP-JOURNAL FOR NURSE PRACTITIONERS | 2015年 / 11卷 / 08期
关键词
advance care planning; advance directives; barriers; end of life; nurse practitioners; LIFE CARE; DIRECTIVES; END; COMPLETION; IMPACT;
D O I
10.1016/j.nurpra.2015.05.011
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Patients and families are often asked to make critical decisions about end-of-life (EOL) care without any warning or knowledge of the patient's wishes. EOL decisions may cause significant anxiety for all involved. A study was conducted to assess the prevalence of advance care planning (ACP) discussions and to identify barriers and facilitators to these discussions by nurse practitioners: Educational, time, and systems factors were found to impact these discussions. Developing educational programs and influencing policies surrounding ACP may increase the number of discussions and promote advocacy for the patient and improve health care.
引用
收藏
页码:766 / 773
页数:8
相关论文
共 50 条
  • [1] Advance Care Planning by Nurse Practitioners
    Dube, Monica
    [J]. NURSING RESEARCH, 2015, 64 (02) : E36 - E36
  • [2] Complexities and Outcomes of Advance Care Planning
    Gilissen, Joni
    Van den Block, Lieve
    Pivodic, Lara
    [J]. JAMA INTERNAL MEDICINE, 2021, 181 (01) : 142 - 143
  • [3] An unequivocal good? Acknowledging the complexities of advance care planning
    Robins-Browne, K.
    Palmer, V.
    Komesaroff, P.
    [J]. INTERNAL MEDICINE JOURNAL, 2014, 44 (10) : 957 - 960
  • [4] The Complexities of Advance Care Planning in Individuals With Advanced Dementia
    Goldstein, Nathan E.
    Mather, Harriet
    [J]. JAMA INTERNAL MEDICINE, 2018, 178 (07) : 969 - 970
  • [5] Advance Care Planning: practicalities, legalities, complexities and controversies
    Horridge, Karen A.
    [J]. ARCHIVES OF DISEASE IN CHILDHOOD, 2015, 100 (04) : 380 - 385
  • [6] NURSE IDENTIFIED BARRIERS TO ADVANCE CARE PLANNING
    Koraiban, Christine
    [J]. ONCOLOGY NURSING FORUM, 2020, 47 (02)
  • [7] Advance Care Planning: The Nurse's Role
    Izumi, Shigeko
    [J]. AMERICAN JOURNAL OF NURSING, 2017, 117 (06) : 56 - 61
  • [8] IF YOU SEE SOMETHING, SAY SOMETHING; ONCOLOGY NURSE PRACTITIONERS' CONFIDENCE AND COMPETENCE IN ADVANCE CARE PLANNING
    Bressler, Toby
    Shelton, Gary
    Smith, Cardinale
    [J]. ONCOLOGY NURSING FORUM, 2019, 46 (02)
  • [9] Patient and nurse perspectives on advance care planning in acute care
    Gazarian, Priscilla K.
    Cronin, Julie
    Baker, Kayla M.
    Friel, Barbara J.
    [J]. APPLIED NURSING RESEARCH, 2019, 50
  • [10] Development of Nurse Practitioner Competencies for Advance Care Planning
    Heale, Roberta
    Rietze, Lori
    Hill, Laura
    Roles, Stacey
    [J]. JOURNAL OF HOSPICE & PALLIATIVE NURSING, 2018, 20 (02) : 166 - 171