Crossing over: transforming palliative care nursing services for the 21st century.
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.
Murray
Mary Ann
MA
University of Ottawa, Ottawa, Ontario, Canada. maryannmurray@rogers.com
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*