Advance Care Planning (ACP): The nurse as ‘broker’ in residential aged care facilities
Sarah Yeun-Sim Jeong
Lecturer, School of Nursing & Midwifery, Faculty of Health, University of Newcastle, NSW
Isabel Higgins
Clinical Nurse Consultant (OPAC), Research and Practice Dev; School of Nursing and Midwifery, University of Newcastle; Center for Practice Opportunity and Dev, John Hunter Hospital, Hunter New England Health, Newcastle NSW
Margaret McMillan
Professor and Deputy Executive Dean, Faculty of Health, University of Newcastle, Newcastle NSW
PP: 184 - 195
Abstract
This paper describes one aspect of a study that investigated how Advance Care Planning (ACP) was implemented in residential care facilities (RACFs) in Australia and the role of a Clinical Nurse Consultant (CNC) for ACP. Three RACFs were included in the study. This paper focuses on the implementation process of ACP by the CNC in the RACFs.
The preliminary findings highlight the need to dispel the myths about ACP and Advanced Care Directives (ACDs), and how the CNC acted as a broker for ACP. The CNC's role is represented by a Nursing Brokerage Model. By revealing how ACP is implemented the research contributes to the limited existing knowledge of options that are currently available to older adults and their families in order to help them make care choices about the end of their lives.
Keywords
advanced care planning, advanced care directives, clinical nurse consultant, nursing, roles and functions
References
Andersen BM (1978) A basic nurse-education curriculum evaluation project incorporating an investigation into the cognitive aspects of clinical judgment. Sydney, NSW College of Nursing.
Australian Nursing and Midwifery Council Incorporated ANMCI (2006) Competency Standards for Registered Nurses, accessed at http://www.anmc.org.au/docs/Competency_standards_RN.pdf on 31 May 2007.
Caplan GA, Meller A, Squires B, Chan S and Willett W (2006) Advance care planning and hospital in the home. Age and Ageing 36: 581-585.
Cartwright CM, Steinberg M, Williams G, Najman J and William G (1997) Issues of death and dying: The perspective of critical care nurses, Australian Critical Care 10(3): 81-87.
Crego P and Lipp EJ (1998) Nurses' knowledge of advance directives. American Journal of Critical Care 7(2): 218-223.
Duffield P (1998) Advance directives in primary care, American Journal of Nursing 98(4): 16CCC-DDD.
Hawkins H and Cartwright C (2000) Advance health care planning and the GP, Australian Family Physician 29(7): 704-707.
Ingleton C (1998) Populations and samples: Identifying the boundaries of research. In P Crookes and S Davies (eds) Research into practice: Essential skills for reading and applying research in nursing and health care, London, Bailliere Tindall: 181-203.
Kirmse J (1998) Aggressive implementation of advance directives, Critical Care Nursing Quarterly 21(1): 83-89.
Mador J (2001) Advance care planning: Should we be discussing it with our patients? Australasian Journal on Ageing 20(2): 89-91.
Mogg M (2006) Advance care planning: The right to decide. Australian Nursing Journal 13(8): 18-21.
Morse J (1991) Qualitative nursing research: A contemporary dialogue. Newbury Park, Calif: SAGE Publications.
Morse J and Field P (1995) Qualitative research methods for health professionals. London: SAGE Publications.
Nair B, Kerridge I, Dobson A, McPhee J and Saul P (2000) Advance care planning in residential care, Australian & New Zealand Journal of Medicine 30(3): 339-343.
National Health and Medical Research Council NHMRC (1999) National Statement on Ethical Conduct in Human Research, accessed at http://www.nhmrc.gov.au/publications/synopses/e72syn.htm on 31 May 2007.
NSW Department of Health (2004) Using advance care directives, Sydney, NSW Department of Health.
Ott B (1999) Advance directive: The emerging body of research. American Journal of Critical Care 8(1): 514-519.
Singer PA, Roberston G and Roy DJ (1996) Bioethics for clinicians: Advance care planning, CMAJ 15(12): 1689-1692.
Respecting patient choices RPC (2002) accessed at http://www.respectingpatientchoices.org.au/professional/whatisadvcare.php on 31 May 2007.
Stake RE (2005) Qualitative case studies. In NK Denzin and YS Lincoln (eds) The Sage Handbook of Qualitative Research. London, SAGE Publications.
Stewart K and Bowker L (1998) Advance directives and living wills, Postgraduate Medical Journal 74(869): 151-156.
Strauss A and Corbin J (1990) Basics of qualitative research: Grounded theory procedures and techniques. Newbury Park, SAGE Publications.
Taylor D and Cameron P (2002) Advance care planning in Australia: Overdue for improvement, Internal Medicine Journal 32(9/10): 475-480.
Waddell C, Clarnette R, Smith M, Oldham L and Lellehear A (1996) Treatment decision-making at the end of life: A survey of Australian doctors' attitudes towards patients' wishes and euthanasia, Medical Journal of Australia 165(10): 540-544.
Yin RK (1993) Applications of case study research. London, SAGE Publications.
Yin RK (2003) Case study research design and methods: applied social research methods series, London, SAGE Publications.
eContent Home
