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A nurse practitioner-led community palliative care service in Australia
Julie Edwards1, Dawn Hooper1, Gillian Rothwell2
1Palliative Care Nurse Practitioner, Sydney Adventist Hospital.
Background:
Patients want community-based palliative care, but there was no continuity of care for patients at the Sydney Adventist Hospital to receive palliative and end-of-life care within a community setting. A nurse practitioner (NP)-led community palliative care service was developed.
Aims:
To present the background, design, function, and essential elements of the Sydney Adventist Hospital Community Palliative Care Service (SanCPCS).
Methods:
Semi-structured and cyclical discussions with key informants alongside internal document reviews.
Findings:
This is the first description of an NP-led community palliative care service model. The NP role ensured specialist training and extended clinical practice within the community setting. The SanCPCS delivers accessible, continuous, community-based palliative care throughout the patient's palliative and end-of-life journey.
Conclusion:
NP-led models for palliative and end-of-life care in the outpatient or community setting are a logical direction to meet patient need.
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