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dc.contributor.authorSeymour, Jane
dc.contributor.authorAlmack, Kathryn
dc.contributor.authorKennedy, Sheila
dc.date.accessioned2017-04-03T15:24:48Z
dc.date.available2017-04-03T15:24:48Z
dc.date.issued2010-04-08
dc.identifier.citationSeymour , J , Almack , K & Kennedy , S 2010 , ' Implementing advance care planning : A qualitative study of community nurses' views and experiences ' , BMC Palliative Care , vol. 9 , no. 4 , pp. 1-9 . https://doi.org/10.1186/1472-684X-9-4
dc.identifier.issn1472-684X
dc.identifier.otherPURE: 11353889
dc.identifier.otherPURE UUID: 7dca016c-30b6-42ac-8289-78835a197483
dc.identifier.otherScopus: 85040653774
dc.identifier.otherORCID: /0000-0002-4342-241X/work/32213501
dc.identifier.urihttp://hdl.handle.net/2299/17755
dc.description© Seymour et al; licensee BioMed Central Ltd. 2010 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Jane Seymour, Kathryn Almack and Sheila Kennedy, 'Implementing advance care planning: a qualitative study of community nurses' views and experiences', BMC Palliative Care, Vol. 9 (4), April 2010, DOI: 10.1186/1472-684X-9-4
dc.description.abstractBackground: Advance care planning (ACP) is a process of discussion about goals of care and a means of setting on record preferences for care of patients who may lose capacity or communication ability in the future. Implementation of ACP is widely promoted by policy makers. This study examined how community palliative care nurses in England understand ACP and their roles within ACP. It sought to identify factors surrounding community nurses' implementation of ACP and nurses' educational needs. Methods: An action research strategy was employed. 23 community nurses from two cancer networks in England were recruited to 6 focus group discussions and three follow up workshops. Data were analysed using a constant comparison approach. FINDINGS: Nurses understood ACP to be an important part of practice and to have the potential to be a celebration of good nursing care. Nurses saw their roles in ACP as engaging with patients to elicit care preferences, facilitate family communication and enable a shift of care focus towards palliative care. They perceived challenges to ACP including: timing, how to effect team working in ACP, the policy focus on instructional directives which related poorly to patients' concerns; managing differences in patients' and families' views. Perceived barriers included: lack of resources to; lack of public awareness about ACP; difficulties in talking about death. Nurses recommended the following to be included in education programmes: design of realistic scenarios; design of a flow chart; practical advice about communication and documentation; insights into the need for clinical supervision for ACP practice. Conclusions: Nurses working in the community are centrally involved with patients with palliative care needs who may wish to set on record their views about future care and treatment. This study reveals some important areas for practice and educational development to enhance nurses' use and understanding of ACP.en
dc.format.extent9
dc.language.isoeng
dc.relation.ispartofBMC Palliative Care
dc.subjectMedicine(all)
dc.titleImplementing advance care planning : A qualitative study of community nurses' views and experiencesen
dc.contributor.institutionSchool of Health and Social Work
dc.contributor.institutionCentre for Research in Public Health and Community Care
dc.contributor.institutionCommunities, Young People and Family Lives
dc.description.statusPeer reviewed
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=77950641423&partnerID=8YFLogxK
rioxxterms.versionVoR
rioxxterms.versionofrecordhttps://doi.org/10.1186/1472-684X-9-4
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue


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