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Nursing Roles and Strategies in End-of-Life Decision Making in Acute Care: A Systematic Review of the Literature

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  • Judith A. Adams
  • Donald E. Bailey
  • Ruth A. Anderson
  • Sharron L. Docherty

Abstract

The objective of this paper is to analyze the literature concerning nurses' roles and strategies in EOL decision making in acute care environments, synthesize the findings, and identify implications for future research. We conducted searches in CINAHL and PubMed, using a broad range of terms. The 44 articles retained for review had quantitative and qualitative designs and represented ten countries. These articles were entered into a matrix to facilitate examining patterns, themes, and relationships across studies. Three nursing roles emerged from the synthesis of the literature: information broker, supporter, and advocate, each with a set of strategies nurses use to enact the roles. Empirical evidence linking these nursing roles and strategies to patients and family members outcomes is lacking. Understanding how these strategies and activities are effective in helping patients and families make EOL decisions is an area for future research.

Suggested Citation

  • Judith A. Adams & Donald E. Bailey & Ruth A. Anderson & Sharron L. Docherty, 2011. "Nursing Roles and Strategies in End-of-Life Decision Making in Acute Care: A Systematic Review of the Literature," Nursing Research and Practice, Hindawi, vol. 2011, pages 1-15, October.
    • Handle: RePEc:hin:jnlnrp:527834
    DOI: 10.1155/2011/527834
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    Cited by:

    1. Sara Maria Oliveira Pinto & Sílvia Maria Alves Caldeira Berenguer & José Carlos Amado Martins, 2013. "Cancer, Health Literacy, and Happiness: Perspectives from Patients under Chemotherapy," Nursing Research and Practice, Hindawi, vol. 2013, pages 1-8, September.
    2. Jihee Choi & Minkyung Gu & Sunyoung Oh & Sohyune Sok, 2022. "Relationship between End-of-Life Care Stress, Death Anxiety, and Self-Efficacy of Clinical Nurses in South Korea," IJERPH, MDPI, vol. 19(3), pages 1-9, January.
    3. Carmen W. H. Chan & Meyrick C. M. Chow & Sally Chan & Robert Sanson‐Fisher & Amy Waller & Theresa T. K. Lai & Cecilia W. M. Kwan, 2020. "Nurses’ perceptions of and barriers to the optimal end‐of‐life care in hospitals: A cross‐sectional study," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(7-8), pages 1209-1219, April.

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