Refinement of an Emergency Department-Based, Advance Care Planning Intervention for Nurses

Rubin, Batsheva R.; Chung, Michelle; Hasdianda, Mohammad Adrian; Gray, Tamryn F.; Aaronson, Emily; Dundin, Andrew; Egorova, Natasha; Revette, Anna; Berry, Donna L.; Ouchi, Kei

doi:10.1089/jpm.2021.0398

Cited by 3 publications

(2 citation statements)

References 24 publications

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“…32 Recent studies exploring ED nurse led initiated conversations at the end of life showed improved communications between patients and clinicians. 9,28,33,34 Results of these studies indicate that nurses in ED have an expressed interest in taking an active role in helping patients at the end of life clarify their preferences. 35,36 A recent scoping review of articles exploring nurse led ACD training showed that there were numerous training modules available for nurses and doctors.…”

Section: Discussionmentioning

confidence: 99%

“…ED staff have skills in communication with a marked ability to develop rapport and therapeutic interactions with patients and families 32 . Recent studies exploring ED nurse led initiated conversations at the end of life showed improved communications between patients and clinicians 9,28,33,34 . Results of these studies indicate that nurses in ED have an expressed interest in taking an active role in helping patients at the end of life clarify their preferences 35,36 .…”

Section: Discussionmentioning

confidence: 99%

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Experiences of Australian emergency doctors and nurses using advance care directives in the provision of care at the end of life

Omoya,

De Bellis,

Breaden

2023

Emerg Medicine Australasia

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ObjectiveAn advance care directive is a legal document outlining the wishes made by a person about treatment options. However, there is increasing evidence that an advance care directive that has previously been documented may not always benefit the current prognosis of the patient. Therefore, the aim of the present study was to explore the experiences of Australian emergency doctors and nurses concerning the use of previously documented advance care directives at the point of care for patients and their families.MethodsA qualitative study guided by a phenomenological interpretive approach was employed. Semi‐structured interviews were conducted with ED doctors and nurses across Australia. Data were thematically analysed using a seven‐stage data analysis framework.ResultsAn analysis of the interview data resulted in four major themes: (i) Benefits of Advance Care Directives; (ii) Knowledge and Awareness; (iii) Communication; and (iv) Availability of Advance Care Directive Information.ConclusionsFrom the findings, advance care directives were believed to be beneficial in decision making when patients, families, and ED staff agreed with the decisions made. Advance care directives were often made a long time ago but were useful to start conversations around goals of care and end‐of‐life care relevant to the patient's current situation. Findings in the present study further reinforced that an advance care directive was beneficial when used alongside goals of care at the point of care in EDs.

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