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Developing competencies and training to enable senior nurses to take on full responsibility for DNACPR processes
Michele Booth1, Tracey Courtnell
1St Wilfrid's Hospice, Chichester, West Sussex, England.
International Journal of Palliative Nursing
|May 16, 2012
Summary
Senior nurses can now make decisions and sign do not attempt cardiopulmonary resuscitation (DNACPR) forms. This UK study outlines the competencies and training developed, highlighting benefits and cost savings.
Area of Science:
- Health Policy
- Nursing Practice
- Medical Ethics
Background:
- Growing interest in do not attempt cardiopulmonary resuscitation (DNACPR) policies within UK health and social care.
- Need for clear guidelines and trained personnel for DNACPR decision-making.
Purpose of the Study:
- To describe the development of a competency framework and training course for senior nurses regarding DNACPR forms.
- To present agreed competencies and explore the benefits of nurses completing DNACPR forms.
Main Methods:
- Agreement of a competency framework for senior nurses.
- Devising a training course to enable nurses as DNACPR decision-makers and signatories.
- Exploration of benefits, including financial costing.
Main Results:
- A defined set of competencies for nurses undertaking DNACPR decision-making.
- Identification of benefits associated with nurses completing DNACPR forms.
- Costing analysis indicating financial advantages.
Conclusions:
- The developed framework and training enable senior nurses to effectively manage DNACPR forms.
- Sharing this practice development is crucial to prevent duplication of effort during health service restructuring.
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