ACP conversations in clinical practice: impact of an education initiative

British Journal of Community Nursing
Elaine Colville, Catriona Kennedy

Abstract

This article reports on participants' experiences of facilitating advanced care planning (ACP) conversations in their clinical practice following an ACP study day. NHS Education for Scotland commissioned an educational package to be delivered by designated facilitators across all health boards in Scotland as part of the implementation of 'Living and Dying Well in Scotland' (2008). The reported impact of this programme on the practice of six nurses is the focus of this paper. Six nurses from both community (n=3) and acute care settings (n=3 ) were interviewed on a one-to-one basis 10-12 months after attendance at an ACP study day. Data were transcribed verbatim and analysed using a comparative approach to thematic analysis. The training was found to have increased participants' awareness of ACP, validated their knowledge and skills, and in turn had a positive impact on their clinical practice. However, some barriers to providing this approach were identified, including time, planning and resource constraints. Educational programmes can be beneficial and impact on clinical care. However, education is only one way to encourage ACP in health care. The complex and transactional nature of ACP should be recognised, alongside the need ...Continue Reading

References

Dec 1, 1991·Nurse Education Today·P Burnard
Dec 1, 1993·ANS. Advances in Nursing Science·M Sandelowski
Dec 11, 2002·Journal of Advanced Nursing·Catriona M Kennedy
Feb 6, 2004·Journal of Advanced Nursing·Catriona M Kennedy
May 1, 2004·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Zoë Lawrence
May 26, 2006·International Journal of Palliative Nursing·Gillian HorneKaren Shepherd
May 27, 2006·Applied Nursing Research : ANR·Laurie A BadzekLaura Friend
Aug 8, 2006·Geriatric Nursing·Kathy Black, Cathy Emmet
Sep 23, 2006·BMJ : British Medical Journal·Sara N Davison, Christy Simpson
Dec 16, 2006·Palliative Medicine·Kelly BarnesMichael King
Dec 2, 2008·Journal of Psychosocial Oncology·Cecilia RunkleRichard Frankel
Dec 2, 2008·Journal of Social Work in End-of-life & Palliative Care·Janna C Heyman
Jan 28, 2009·Journal of the American Geriatrics Society·Adam D SchickedanzRebecca L Sudore
Aug 18, 2009·Journal of the American Geriatrics Society·Terri R FriedJohn R O'Leary
Jan 19, 2010·International Journal of Palliative Nursing·Jenni NewtonPat Ahlquist
May 27, 2010·Journal of Clinical Nursing·Sarah Yeun-Sim JeongMargaret McMillan

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Citations

Mar 14, 2018·The American Journal of Hospice & Palliative Care·Jeff MyersTara Walton
Aug 26, 2014·International Journal of Palliative Nursing·Deborah RaphaelMerryn Gott
Nov 23, 2019·International Journal of Palliative Nursing·Angela Thavaraj, Karen Gillett
Jun 27, 2019·International Journal of Palliative Nursing·Christine FretwellAoife Gleeson
Jun 2, 2020·Journal of Nursing Management·Nur Nadhirah Binte KhairuddinYing Lau
Jan 13, 2021·The Journal of Continuing Education in the Health Professions·Wendy PearseFlorin Oprescu

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