title: Evaluation of the introduction of an advanced care plan into multiple palliative care settings.
abstract: Advanced care plans provide an opportunity for patient choice and self-determination. This article describes the process, outcome and impact of the introduction of an advanced care plan into community and inpatient settings. It demonstrates the usefulness of the tool, and the way in which it improves the chances of people dying in their preferred place of care, particularly when used in the community. It also illustrates the effect on nursing practice of improved patient, family and professional communication, and through that, patient empowerment. It confirms the benefits of integrating evaluation into new initiatives, which facilitates useful feedback to stakeholders.
authors.affiliation: Essex Palliative and Supportive Care Network (South Essex locality), United Kingdom. jenni.newton@virgin.net
authors.forename: Jenni
authors.initials: J
authors.lastname: Newton
authors.forename: Ruth
authors.initials: R
authors.lastname: Clark
authors.forename: Pat
authors.initials: P
authors.lastname: Ahlquist
mesh_terms: D032722:Advance Care Planning / Q000458:organization & administration*; D001291:Attitude of Health Personnel; D002755:Choice Behavior; D004059:Diffusion of Innovation; D004282:Documentation; D004739:England; D019983:Guideline Adherence; D006801:Humans; D009042:Motivation; D015403:Nursing Evaluation Research; D009740:Nursing Staff / Q000193:education / Q000458:organization & administration / Q000523:psychology; D010043:Outcome and Process Assessment, Health Care; D010166:Palliative Care / Q000458:organization & administration* / Q000523:psychology; D010358:Patient Participation / Q000379:methods / Q000523:psychology; D010865:Pilot Projects; D017410:Practice Guidelines as Topic; D011446:Prospective Studies; D012189:Retrospective Studies