Current Practices in Advance Care Planning: Implications for Oncology Nurses
Current Practices in Advance Care Planning: Implications for Oncology Nurses
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DOI：
10.1188/11.cjon.547-553
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发表时间：
2011-10-01
影响因子：
1.1
通讯作者：
Nirenberg, Anita
中科院分区：
文献类型：
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作者：
Cohen, Abigail;Nirenberg, Anita
癌症患者及其医生之间关于预先护理计划（ACP）的讨论基本上没有进行。许多癌症患者，甚至是临终患者 (EOL)，都没有制定预设医疗指示 (AD)。缺乏 EOL 讨论以及在 EOL 时接受积极护理导致患者健康状况不佳。相比之下，EOL 讨论和早期姑息治疗为取消患者带来了积极的健康结果：本次审查的目的是确定美国医疗保健提供者及其患者之间 ACP 的当前实践以及 AD 的使用，特别是在癌症患者中。此外，作者还为护士和执业护士提供了如何协助 ACP 患者和建立 AD 的建议。对 2002 年至 2011 年发表的同行评审期刊的研究以及美国专业协会和机构的报告进行了回顾和总结。护士和执业护士在帮助 ACP 患者和建立 AD 方面发挥着关键作用。需要继续对护士和执业护士进行 ACP 方面的教育和培训，并且应该对执业护士在 ACP 中的作用进行更多研究。
Discussions regarding advance care planning (ACP) among patients with cancer and their physicians largely are not happening. Many patients with cancer, even those at the end of life (EOL), have not established an advance directive (AD). Lack of EOL discussions and receipt of aggressive care at the EOL have resulted in poor health outcomes for patients. In contrast, EOL discussions and early palliative care resulted in positive health outcomes for patients with cancel :The purpose of this review is to determine the current practices of ACP between healthcare providers and their patients in the United States and the use of ADs, particularly among patients with cancer. In addition, the authors offer recommendations for nurses and nurse practitioners on how to assist patients in ACP and the establishment of ADs. Research studies from peer-reviewed journals and reports from professional associations and agencies in the United States, published from 2002-2011, were reviewed and summarized. Nurses and nurse practitioners are in key positions to help patients with ACP and establishing ADs. Education and training for nurses and nurse practitioners regarding ACP needs to continue, and more research on the nurse practitioner's role in ACP should be conducted.