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Advance Care Planning in Rural Montana: Exploring the Nurse's Role.

Kara L Christensen1, Charlene A Winters, Yoshiko Colclough

  • 1Kara L. Christensen, DNP, FNP-C, is captain and family nurse practitioner, US Air Force, JBSA-Lackland AFB, Texas. Charlene A. Winters, PhD, RN, is professor, Montana State University College of Nursing, Bozeman. Yoshiko Colclough, PhD, RN, is associate professor, Montana State University College of Nursing, Bozeman. Erin Oley, DNP, FNP-C, is assistant clinical professor, Montana State University College of Nursing, Bozeman. Susan Luparell, PhD, CNS-BC, CNE, is associate professor, Montana State University College of Nursing, Bozeman.

Journal of Hospice and Palliative Nursing : JHPN : the Official Journal of the Hospice and Palliative Nurses Association
|April 2, 2019
PubMed
Summary

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This summary is machine-generated.

Rural nurses need more education and support for advance care planning. Despite confidence in discussions, their knowledge of advance directives is low, impacting end-of-life care quality for rural populations.

Area of Science:

  • Nursing
  • Public Health
  • Gerontology

Background:

  • Rural populations face higher risks of poor quality and costly end-of-life care.
  • Advance care planning is recommended throughout the lifespan.
  • Nurses play a crucial role in facilitating advance care planning.

Purpose of the Study:

  • To assess rural nurses' knowledge, attitudes, and experiences with advance directives.
  • To identify barriers and needs for effective advance care planning in rural settings.
  • To inform recommendations for improving advance care planning support for rural nurses.

Main Methods:

  • A doctoral project surveyed 22 rural nurses using the Knowledge, Attitudinal, and Experimental Surveys on Advance Directives.
  • Descriptive statistics were employed for data analysis.

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  • Participants practiced in home care and hospice settings.

    • Main Results:

    • Nurses demonstrated low knowledge scores regarding advance directives (57%).
    • Nurses expressed confidence in counseling patients and families but felt underutilized in the advance care planning team.
    • Key needs identified include enhanced education, training, resources, mentorship, and support.

    Conclusions:

    • Rural nurses require additional resources, education, and support to effectively implement advance care planning.
    • Workplace education, mentorship, and culturally sensitive training are recommended.
    • Addressing these needs can improve end-of-life care for rural populations.