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Experiences with advance care planning: nurses' perspective.

Sarah Yeun-Sim Jeong¹, Isabel Higgins, Margaret McMillan

¹School of Nursing & Midwifery, University of Newcastle, University Drive, Newcastle, NSW, Australia. Sarah.Jeong@newcastle.edu.au

International Journal of Older People Nursing

|October 15, 2011

Summary

Registered Nurses in Australian residential care find advanced care planning rewarding when supported by families and colleagues. Barriers include time constraints and a reluctance to discuss end-of-life care.

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Area of Science:

Gerontology
Nursing Practice
Healthcare Management

Background:

Effective engagement with residents and families is crucial for successful advanced care planning (ACP) and advance care directives (ACDs).
Nurses require specific skills to navigate these sensitive conversations and documentation processes.

Purpose of the Study:

To explore Registered Nurses' experiences with ACP and ACDs in Australian residential care settings.
To identify factors influencing nurses' engagement with ACP and ACDs.

Main Methods:

A qualitative case study approach was employed.
Data collection involved participant observation, field notes, semi-structured interviews, and document analysis over seven months.
Thematic content analysis was used for data analysis.

Main Results:

Enhancing factors for nurses included the personal significance of ACP and support from family and colleagues.
Inhibiting factors comprised time limitations, a 'do everything' culture, and insufficient family involvement.

Conclusions:

Findings highlight the positive impact of ACP on older adults, families, and nurses.
Evidence supports improved implementation and practice of ACP in residential care.