title: Crossing over: transforming palliative care nursing services for the 21st century.
abstract: Over the next decades, as the baby boomers age, there will be a considerable demand and need for 'end-of-life care'. At the same time, there are numerous efforts to reform health care systems with a growing emphasis on evidence-based and patient-centred care. The current dominant model of palliative nursing is not sufficient. A model of palliative care nursing service delivery nested with a chronic condition management model epitomised by collaboration, communication and values-sensitive decision support is proposed. Multiple antecedents impacting palliative care delivery for the future are explored. A description of how the conceptual framework could be used to guide implementation and evaluation of nursing services is included. Specific implications for planning and outcomes measurement are discussed.
authors.affiliation: University of Ottawa, Ottawa, Ontario, Canada. maryannmurray@rogers.com
authors.forename: Mary Ann
authors.initials: MA
authors.lastname: Murray
mesh_terms: D000368:Aged; D002170:Canada; D002908:Chronic Disease / Q000451:nursing*; D003657:Decision Making; D003695:Delivery of Health Care / Q000458:organization & administration*; D006284:Health Plan Implementation; D006801:Humans; D016294:Models, Nursing; D017146:Models, Organizational; D010166:Palliative Care / Q000458:organization & administration*; D011788:Quality of Life; D013041:Specialties, Nursing / Q000458:organization & administration*