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.
机构:
Univ Calif San Francisco, Global Brain Hlth Inst GBHI, San Francisco, CA 94143 USA
Vrije Univ Brussel VUB, End Of Life Care Res Grp, Brussels, Belgium
Ghent Univ Brussels, Brussels, BelgiumUniv Calif San Francisco, Global Brain Hlth Inst GBHI, San Francisco, CA 94143 USA
Gilissen, Joni
Van den Block, Lieve
论文数: 0引用数: 0
h-index: 0
机构:
Vrije Univ Brussel VUB, End Of Life Care Res Grp, Brussels, Belgium
Ghent Univ Brussels, Brussels, Belgium
Vrije Univ Brussel VUB, Dept Family Med & Chron Care, Brussels, BelgiumUniv Calif San Francisco, Global Brain Hlth Inst GBHI, San Francisco, CA 94143 USA
Van den Block, Lieve
Pivodic, Lara
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h-index: 0
机构:
Vrije Univ Brussel VUB, Dept Family Med & Chron Care, Brussels, BelgiumUniv Calif San Francisco, Global Brain Hlth Inst GBHI, San Francisco, CA 94143 USA
机构:
Univ Melbourne, Gen Practice & Primary Hlth Care Acad Ctr, Melbourne, Vic, AustraliaUniv Melbourne, Gen Practice & Primary Hlth Care Acad Ctr, Melbourne, Vic, Australia
Robins-Browne, K.
Palmer, V.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Melbourne, Gen Practice & Primary Hlth Care Acad Ctr, Melbourne, Vic, AustraliaUniv Melbourne, Gen Practice & Primary Hlth Care Acad Ctr, Melbourne, Vic, Australia
机构:
Icahn Sch Med Mt Sinai, Dept Geriatr & Palliat Med, One Gustave Levy Pl,POB 1070, New York, NY 10029 USAIcahn Sch Med Mt Sinai, Dept Geriatr & Palliat Med, One Gustave Levy Pl,POB 1070, New York, NY 10029 USA
Goldstein, Nathan E.
Mather, Harriet
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h-index: 0
机构:
Icahn Sch Med Mt Sinai, Dept Geriatr & Palliat Med, One Gustave Levy Pl,POB 1070, New York, NY 10029 USAIcahn Sch Med Mt Sinai, Dept Geriatr & Palliat Med, One Gustave Levy Pl,POB 1070, New York, NY 10029 USA
机构:
Univ Massachusetts, Coll Nursing & Hlth Sci, 100 William T Morrissey Blvd, Boston, MA 02125 USAUniv Massachusetts, Coll Nursing & Hlth Sci, 100 William T Morrissey Blvd, Boston, MA 02125 USA
Gazarian, Priscilla K.
Cronin, Julie
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h-index: 0
机构:
Univ Massachusetts, Coll Nursing & Hlth Sci, 100 William T Morrissey Blvd, Boston, MA 02125 USAUniv Massachusetts, Coll Nursing & Hlth Sci, 100 William T Morrissey Blvd, Boston, MA 02125 USA
Cronin, Julie
Baker, Kayla M.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Massachusetts, Coll Nursing & Hlth Sci, 100 William T Morrissey Blvd, Boston, MA 02125 USAUniv Massachusetts, Coll Nursing & Hlth Sci, 100 William T Morrissey Blvd, Boston, MA 02125 USA
Baker, Kayla M.
Friel, Barbara J.
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h-index: 0
机构:
Univ Massachusetts, Coll Nursing & Hlth Sci, 100 William T Morrissey Blvd, Boston, MA 02125 USAUniv Massachusetts, Coll Nursing & Hlth Sci, 100 William T Morrissey Blvd, Boston, MA 02125 USA
机构:
Laurentian Univ, Sch Nursing, 935 Ramsey Lake Rd, Sudbury, ON P3C 2C6, CanadaLaurentian Univ, Sch Nursing, 935 Ramsey Lake Rd, Sudbury, ON P3C 2C6, Canada
Rietze, Lori
Hill, Laura
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h-index: 0
机构:
Hlth Sci North, Short Term Assessment & Treatment, Sudbury, ON, CanadaLaurentian Univ, Sch Nursing, 935 Ramsey Lake Rd, Sudbury, ON P3C 2C6, Canada
Hill, Laura
Roles, Stacey
论文数: 0引用数: 0
h-index: 0
机构:
Laurentian Univ, Sch Nursing, 935 Ramsey Lake Rd, Sudbury, ON P3C 2C6, Canada
Northern Ontario Sch Med, Psychiat, Sudbury, ON, CanadaLaurentian Univ, Sch Nursing, 935 Ramsey Lake Rd, Sudbury, ON P3C 2C6, Canada