Nurses' Perceptions of Facilitating Advance Care Planning Conversations in the Emergency Department.
| Autor: | Hasdianda MA; Department of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.; Department of Emergency Medicine, Harvard Medical School, Boston, Massachusetts, USA., Gray TF; Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.; Phyllis F. Cantor Center for Research in Nursing and Patient Care Services, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.; Department of Medicine, Division of Palliative Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.; Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA., Bello JL; University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA., Ballaron B; Department of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA., Egorova NA; Department of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA., Berry DL; Phyllis F. Cantor Center for Research in Nursing and Patient Care Services, Dana-Farber Cancer Institute, Boston, Massachusetts, USA., Ouchi K; Department of Emergency Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.; Department of Emergency Medicine, Harvard Medical School, Boston, Massachusetts, USA.; Serious Illness Care Program, Ariadne Labs, Boston, Massachusetts, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Palliative medicine reports [Palliat Med Rep] 2021 Mar 12; Vol. 2 (1), pp. 65-70. Date of Electronic Publication: 2021 Mar 12 (Print Publication: 2021). |
| DOI: | 10.1089/pmr.2020.0116 |
| Abstrakt: | Background: Nurses are well positioned to initiate advance care planning (ACP) conversations because of their unique strength in communication and central patient-facing role in the interdisciplinary team. Nurse-led ACP conversations have demonstrated promising results in settings outside of the emergency department (ED). Understanding ED nurses' perspectives regarding ACP conversations is needed before implementing similar practices in the ED. Objective: To explore ED nurses' perception of facilitating ACP conversations. Design: We conducted a cross-sectional survey to assess ED nurses' perceptions of facilitating ACP conversations in the ED. Setting: ED nurses at one academic hospital and one community hospital located within the northeastern region of the United States. Results: Seventy-seven (53.1%) out of 145 eligible ED nurses completed the survey. All participants perceived ACP conversations in the ED as at least somewhat important. Forty (51.9%) felt somewhat comfortable in facilitating these conversations. The majority of participants (77.9%) agreed that a specially trained nurse consultation model might be helpful in the ED. We found a correlation between total clinical experience and interest in facilitating ACP conversations in the ED ( p = 0.045). Conclusion: ED nurses are well positioned to help patients clarify their goals-of-care and end-of-life care preferences. They perceived ACP conversations to be important and felt comfortable to facilitate them in the ED. Additional studies are needed to empirically test its implementation. Competing Interests: No competing financial interests exist. (© Mohammad Adrian Hasdianda et al., 2021; Published by Mary Ann Liebert, Inc.) |
| Databáze: | MEDLINE |
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