Advance Care Planning Complexities for Nurse Practitioners

被引：12

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

页码：766 / 773

页数：8

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