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Palliative Nursing Summit: Nurses Leading Change and Transforming Care: The Nurse's Role in Communication and Advance

Barbara Anderson Head1, Mi-Kyung Song, Clareen Wiencek

  • 1Barbara Anderson Head, PhD, CHPN, ACSW, FPCN, is associate professor, University of Louisville School of Medicine, KY. Mi-Kyung Song, PhD, RN, FAAN, is professor and director, Center for Nursing Excellence in Palliative Care, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA. Clareen Wiencek, PhD, ACNP-C, ACHPN, is associate professor, University of Virginia School of Nursing, Charlottesville; and immediate past-president, American Association of Critical-Care Nurses. Brenda Nevidjon, MSN, RN, FAAN, is chief executive officer, Oncology Nursing Society, Pittsburgh PA. Debbie Fraser, MN, RNC-NIC, is associate professor, Athabasca University, Alberta, Canada; and Academy of Neonatal Nursing, Petaluma, CA. Polly Mazanec, PhD, ACNP-C, AOCN, ACHPN, FPCN, is research assistant professor, FPB School of Nursing, Cleveland, OH.

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Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
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Nurses bear specific legal responsibilities under several federal statutes, including: