Integrating nurse-facilitated advance care planning for patients newly diagnosed with advanced lung cancer.

To access publisher's full text version of this article click on the hyperlink below Advance care planning (ACP) is well recognised as an important component of palliative care. However, there is still a need to explore ways in which it can become a part of routine practice, ensuring a timely a...

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Bibliographic Details
Published in:International Journal of Palliative Nursing
Main Authors: Ólafsdóttir, Kristin Lara, Jónsdóttir, Helga, Fridriksdóttir, Nanna, Sigurdardóttir, Valgerdur, Haraldsdóttir, Erna
Other Authors: 1 RN, Hospital Palliative Care Consulting Team at Landspitali, National University Hospital of Iceland. 2 Professor, Faculty of Nursing, University of Iceland, Reykjavík, Iceland. 3 Clinical Nurse Specialist, Department of Oncology, National University Hospital of Iceland. 4 Head of Palliative Care, Palliative Care Unit, National University Hospital of Iceland. 5 Director of Education and Senior Lecturer, St Columba's Hospice and Queen Margaret University, Scotland; Adjunct-Assistant Professor, University of Iceland, Reykjavík, Iceland.
Format: Article in Journal/Newspaper
Language:English
Published: Mark Allen Group 2018
Subjects:
Lungnakrabbamein
Líknarmeðferð
ONC12
MAO12
CAD12
Palliative Care
Lung Neoplasms
Advance Care Planning
Iceland
Online Access:http://hdl.handle.net/2336/620582
https://doi.org/10.12968/ijpn.2018.24.4.170
Description
Summary:To access publisher's full text version of this article click on the hyperlink below Advance care planning (ACP) is well recognised as an important component of palliative care. However, there is still a need to explore ways in which it can become a part of routine practice, ensuring a timely and person-centred discussion. To explore patients newly diagnosed with advanced lung cancer and their family members' experiences of engaging in a person-centred and structured ACP discussion facilitated by palliative care nurses in an outpatient oncology clinic at the University Hospital of Iceland. An exploratory qualitative design employing semi-structured interviews and thematic analysis. The intervention included a structured ACP discussion, aided by a booklet. Key themes emerged describing families' and patients' experiences and highlighted that the timing and approach of the ACP discussion was appropriate and helpful, even though the discussion was sensitive and difficult. Using a routine approach with a flexible structure normalised the discussion and made it easier for the patients to take the lead in the discussion. ACP discussion can be part of an integrated palliative care and oncology service if implemented in a systematic way.

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