Roles and Responsibilities of Nurses in Advance Care Planning in Palliative Care in the Acute Care Setting-A Scoping Review.

Fliedner, Monika; Halfens, Ruud J G; King, Cynthia R; Eychmüller, Steffen; Lohrmann, Christa; Schols, Jos M G A (2021). Roles and Responsibilities of Nurses in Advance Care Planning in Palliative Care in the Acute Care Setting-A Scoping Review. Journal of hospice and palliative nursing, 23(1), pp. 59-68. The Hospice and Palliative Nurses Association 10.1097/NJH.0000000000000715

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Palliative care focuses on symptom management, discussion of treatment and care decisions, network organization, and support of the family. As part of the advance care planning (ACP) process, staff nurses in the acute care setting are often involved in all of the above areas. It is yet unclear what nurses' roles and responsibilities are and what skills are needed in the ACP process. The themes that staff nurses and advanced practice registered nurses (APRNs) discuss in relationship to ACP are manifold. This scoping review demonstrates that staff nurses' core role is advocating for the wishes and values of patients with any life-limiting disease. Staff nurses also serve as facilitators, educators, and advocates to help start ACP conversations and ease patients' transitions between settings based on well-discussed decisions. To be able to engage in ACP discussions, APRNs must have excellent communication skills. Continuous training to improve these skills is mandatory. In the future, clarifying the contribution of staff nurses and APRNs in the ACP process in relation to other members of the interprofessional team can lay the groundwork for improved interprofessional collaboration.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Haematology, Oncology, Infectious Diseases, Laboratory Medicine and Hospital Pharmacy (DOLS) > Clinic of Radiation Oncology
04 Faculty of Medicine > Department of Haematology, Oncology, Infectious Diseases, Laboratory Medicine and Hospital Pharmacy (DOLS) > Clinic of Medical Oncology

UniBE Contributor:

Fliedner, Monika and Eychmüller, Steffen

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1539-0705

Publisher:

The Hospice and Palliative Nurses Association

Language:

English

Submitter:

Beatrice Scheidegger

Date Deposited:

04 Jan 2021 10:02

Last Modified:

06 Jan 2021 01:34

Publisher DOI:

10.1097/NJH.0000000000000715

PubMed ID:

33284145

BORIS DOI:

10.48350/149448

URI:

https://boris.unibe.ch/id/eprint/149448

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