• Br J Community Nurs · Mar 2016

    Exploring the district nurse role in facilitating individualised advance care planning.

    • Michelle Boot.
    • Senior Lecturer in Cancer and Palliative Care, Buckinghamshire New University, England.
    • Br J Community Nurs. 2016 Mar 1; 21 (3): 144-7.

    AbstractHealth-care policy recognises the importance of engaging people in making decisions related to the management of their health. Advance care planning (ACP) offers a framework for decision making on end-of-life care. There are positive indicators that ACP enables health professionals to meet people's preferences. However, there are reports of insensitive attempts to engage people in end-of-life care decision making. District nurses are in the ideal position to facilitate ACP, as they have the opportunity to build relationships with the people they are caring for--an antecedent to sensitive ACP--and in recognising and fulfilling this role, they could ameliorate the risk of insensitive ACP. Distric nurse leaders also have a role to play in ensuring that organisational and environmental factors support appropriate ACP facilitation including: training, fostering a team culture that empowers district nurses to recognise and meet their ACP role, and advocating for appropriate ACP evaluation outcome measures.

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