Huckle Tilman, Silies Katharina, Kirchner Änne, Berg Almuth, Meyer Gabriele, Schnakenberg Rieke, Hoffmann Falk, Köberlein-Neu Juliane, Köpke Sascha
Institut für Sozialmedizin und Epidemiologie, Sektion für Forschung und Lehre in der Pflege, Universität zu Lübeck, Deutschland.
Institut für Gesundheits- und Pflegewissenschaft, Medizinische Fakultät, Martin-Luther-Universität Halle-Wittenberg, Deutschland.
Pflege. 2022;35(6):327-335. doi: 10.1024/1012-5302/a000903. Epub 2022 Aug 4.
Nurses' perspectives on their potential role in advance care planning in home care: A qualitative study Advance Care Planning (ACP) in long-term care in Germany has been identified as a potential area of nurses' responsibility. In the StAdPlan study (DRKS0016886), an ACP intervention in outpatient care was implemented and evaluated: Trained nurses conducted ACP conversations with patients. A comprehensive process evaluation was part of the study. A partial result of the process evaluation was analysing the perspective of nurses on their potential role as ACP facilitators for outpatients. Semi-structured interviews with nursing professionals and nursing service managers ( = 42) were carried out prior to the implementation of the ACP intervention. A qualitative content analysis of the recorded interviews was performed. Participants described the importance of ACP in outpatient care, their personal motivation and competence as well as necessary contextual conditions. Nursing professionals are motivated to offer ACP to patients to be able to care for them according to their wishes. For effective ACP conversations, nurse professionals considered in-depth knowledge of ACP, conversational skills and sufficient time resources as necessary. ACP consultations can be a suitable field of action for nurses as they have access and an established relationship of trust with patients. Under certain conditions, nurses' role in offering guidance on ACP in outpatient care was seen as feasible and beneficial. Prerequisites for implementation are financial resources and training for nurses for this service.
一项定性研究 德国长期护理中的预先护理计划（ACP）已被确定为护士职责的一个潜在领域。在StAdPlan研究（DRKS0016886）中，对门诊护理中的ACP干预措施进行了实施和评估：经过培训的护士与患者进行ACP对话。全面的过程评估是该研究的一部分。过程评估的一个部分结果是分析护士对其作为门诊患者ACP促进者的潜在作用的看法。在实施ACP干预之前，对护理专业人员和护理服务经理（n = 42）进行了半结构化访谈。对记录的访谈进行了定性内容分析。参与者描述了ACP在门诊护理中的重要性、他们的个人动机和能力以及必要的背景条件。护理专业人员有动力向患者提供ACP，以便能够按照患者的意愿为他们提供护理。对于有效的ACP对话，护理专业人员认为深入了解ACP、对话技巧和充足的时间资源是必要的。ACP咨询对于护士来说可能是一个合适的行动领域，因为他们能够接触到患者并与患者建立了信任关系。在某些条件下，护士在门诊护理中提供ACP指导的作用被认为是可行和有益的。实施的前提条件是财政资源和为护士提供此项服务的培训。
