TY - JOUR
T1 - Palliative Nursing Summit
T2 - Nurses Leading Change and Transforming Care: The Nurse's Role in Communication and Advance Care Planning
AU - Head, Barbara Anderson
AU - Song, Mi Kyung
AU - Wiencek, Clareen
AU - Nevidjon, Brenda
AU - Fraser, Debbie
AU - Mazanec, Polly
N1 - Publisher Copyright:
© 2018 by The Hospice and Palliative Nurses Association. All rights reserved.
PY - 2018/2/1
Y1 - 2018/2/1
N2 - Advance care planning (ACP) is an essential component of quality palliative care that requires expert communication skills. Nurses are often the health care provider patients and families rely on when exploring their values and preferences and making treatment decisions. Therefore, communication and ACP was one of the 3 areas of practice addressed during the Palliative Nursing Summit. This article summarizes patient outcomes and nursing actions recommended by summit participants related to communication and ACP. Areas addressed included education, clinical care, research, and policy/regulation. Recommended patient outcomes included the honoring of patient/family preferences and the inclusion of ACP discussions during routine care and across the life span. Recommended nursing actions included the following: (1) nursing education (both undergraduates and practicing nurses) and competencies related to communication and ACP be developed and implemented; (2) primary palliative care, including communication and ACP, be included in the practice standards of all nursing specialties; (3) health care systems support conversations about ACP and related documentation; (4) research be conducted related to the implementation of patient/family preferences and related health care utilization; and (5) regulation and reimbursement be crafted to support nursing practice related to ACP and related conversations at the nurses' full level of expertise.
AB - Advance care planning (ACP) is an essential component of quality palliative care that requires expert communication skills. Nurses are often the health care provider patients and families rely on when exploring their values and preferences and making treatment decisions. Therefore, communication and ACP was one of the 3 areas of practice addressed during the Palliative Nursing Summit. This article summarizes patient outcomes and nursing actions recommended by summit participants related to communication and ACP. Areas addressed included education, clinical care, research, and policy/regulation. Recommended patient outcomes included the honoring of patient/family preferences and the inclusion of ACP discussions during routine care and across the life span. Recommended nursing actions included the following: (1) nursing education (both undergraduates and practicing nurses) and competencies related to communication and ACP be developed and implemented; (2) primary palliative care, including communication and ACP, be included in the practice standards of all nursing specialties; (3) health care systems support conversations about ACP and related documentation; (4) research be conducted related to the implementation of patient/family preferences and related health care utilization; and (5) regulation and reimbursement be crafted to support nursing practice related to ACP and related conversations at the nurses' full level of expertise.
KW - advance care planning
KW - communication
KW - palliative nursing
KW - primary palliative care
UR - http://www.scopus.com/inward/record.url?scp=85040774647&partnerID=8YFLogxK
U2 - 10.1097/NJH.0000000000000406
DO - 10.1097/NJH.0000000000000406
M3 - Journal Article
C2 - 30063610
AN - SCOPUS:85040774647
SN - 1522-2179
VL - 20
SP - 23
EP - 29
JO - Journal of Hospice and Palliative Nursing
JF - Journal of Hospice and Palliative Nursing
IS - 1
ER -