1. Facilitating advance care planning in community palliative care: conversation starters across the client journey.
- Author
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Blackford, Jeanine and Street, Annette F.
- Subjects
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ACTION research , *COMMUNICATION , *CONCEPTUAL structures , *CONTENT analysis , *DO-not-resuscitate orders , *EMPLOYEES , *EXPERIENCE , *FOCUS groups , *HOSPITAL admission & discharge , *INTERVIEWING , *RESEARCH methodology , *MEDICAL cooperation , *MEDICAL referrals , *NURSE-patient relationships , *NURSING practice , *NURSING specialties , *PARTICIPANT observation , *PATIENTS , *PERSONNEL management , *RESEARCH , *TERMINALLY ill , *ADVANCE directives (Medical care) , *HOSPICE nurses , *NARRATIVES , *THEMATIC analysis , *DISCHARGE planning , *DATA analysis software - Abstract
This paper describes the development of a tool for palliative care nurses to initiate and facilitate advance care planning (ACP) conversations in community palliative care practice. Seven community palliative care services located across Australia participated in a multi-site action research project. Data included participant observation, individual and focus group interviews with palliative care health professionals, and medical record audit. A directed content analysis used a pre-established palliative care practice framework of referral, admission, ongoing management, and terminal/discharge care. From this framework a Conversation Starter Tool for ACP was developed.The Tool was then used in orientation and continuing nurse education programmes. It provided palliative care nurses the opportunity to introduce and progress ACP conversations. [ABSTRACT FROM AUTHOR]
- Published
- 2013
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