Newton Jenni, Clark Ruth, Ahlquist Pat
Essex Palliative and Supportive Care Network (South Essex locality), United Kingdom.
Int J Palliat Nurs. 2009 Nov;15(11):554-61. doi: 10.12968/ijpn.2009.15.11.45495.
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.
进阶护理计划为患者提供了选择和自主决定权的机会。本文描述了在社区和住院环境中引入进阶护理计划的过程、结果和影响。它展示了该工具的实用性，以及它如何提高人们在其首选护理场所离世的几率，尤其是在社区环境中使用时。它还说明了改善患者、家属和专业人员之间沟通以及由此赋予患者权力对护理实践的影响。它证实了将评估纳入新举措的好处，这有助于向利益相关者提供有用的反馈。
