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The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...

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Updated: May 29, 2025

Oral Health Assessment by Lay Personnel for Older Adults

Oral Health Assessment by Lay Personnel for Older Adults

Published on: February 2, 2020

Advanced Practice Nurses' Roles and Responsibilities in Advance Care Planning for Older Persons-A Mixed Methods

Jan Eilert Pedersen^1,2, Hilde Eide³, Marit Gjone Sandsleth⁴

¹Section for Health and Care, Haugmotun Care Center, Notodden Municipality, Norway.

Journal of Advanced Nursing

|February 2, 2025

Summary

This summary is machine-generated.

Advanced practice nurses (APNs) are vital for advance care planning (ACP) in older adults, facilitating personalized care. However, barriers like time and recognition hinder their full impact, necessitating strategic interventions for improved patient outcomes.

Keywords:

advance care planning advance directives advanced practice nursing frail elderly health services for the aged systematic review task shifting

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Area of Science:

Gerontology
Nursing Science
Health Services Research

Background:

Advance care planning (ACP) is essential for aligning healthcare with older persons' preferences.
Advanced practice nurses (APNs) possess unique skills to facilitate ACP.
Understanding APNs' roles, practices, and challenges in ACP is crucial for optimizing care.

Purpose of the Study:

To systematically review the literature on APNs' roles and responsibilities in ACP for older adults.
To characterize APNs' ACP practices and identify facilitators and barriers to their involvement.

Main Methods:

A mixed-methods systematic review following Joanna Briggs Institute guidelines.
Searched Medline, CINAHL, and Embase (2012-2024) for original research on APNs and ACP in individuals aged 65+.
Used the Mixed Methods Appraisal Tool for quality assessment and a convergent integrated synthesis for data analysis.

Main Results:

Nineteen studies (7 qualitative, 9 quantitative, 3 mixed-methods) were included.
APNs play a key role in ACP, ensuring care aligns with patient preferences through discussions and documentation.
Identified varying APN roles across the US, UK, Canada, and Australia, highlighting the need for standardized approaches.

Conclusions:

APNs are pivotal in facilitating ACP for older persons.
Barriers such as time constraints, lack of role recognition, and insufficient training impede APNs' effectiveness in ACP.
Addressing these barriers is essential to enhance APNs' contribution to person-centred care and improve patient outcomes.