A Collaborative Agenda Will Drive Action
Nurses across most nursing specialties incorporate basic elements of primary palliative care into their practice. Nursing has a unique opportunity to work collectively, to develop a shared framework and consensus agenda to the integration of primary palliative care across all nursing specialties.
The Palliative Nursing Summit focused on three aspects of primary palliative care:
- Communication and advance care planning. The facilitation of advance care planning discussions is inherent in palliative nursing practice, through which nurses advocate for patients, support self-determination, and integrate patient and family values into the plan of care.
- Coordination/transition of care. The deliberate organization of patient care activities to facilitate the appropriate delivery and transition of health care services across disciplines and settings.
- Pain and symptom management. Prevention and treatment of pain and symptoms of disease, including side effects of treatment and psychological, social, and spiritual care related to a disease or its treatment.
The summit participants worked in small groups led by a nursing content expert in each of the three focus areas. These national nursing experts included Mi-Kyung Song, PhD, RN, FAAN (communication/advance care planning), Gerri Lamb, PhD, RN, FAAN (coordination/transitions of care), and Judith Paice, PhD, RN (pain and symptom management). The work and findings of the summit were disseminated through publications and presentations, with four articles published in the February 2018 issue of the Journal of Hospice and Palliative Nursing
(JHPN). The September 2017 HPNA Clinical Practice Forum (advancingexpertcare.org/clinical-practice-forum
) also featured a session on the findings of the summit.
The steering committee will be actively seeking funding to support the implementation plan. HPNA appreciates the support of the Milbank Foundation
, Hospice and Palliative Credentialing Center
, and Hospice and Palliative Nurses Foundation