Electronic Advance Care Planning in Community: Nurses’ role

Abstract

Advance care planning implementation occurs across the world using different legislative frameworks, different language to describe both the process and the outcome, and different models to develop these plans. Many countries are in the process of developing personally controlled electronic health records. Including advance care plans as part of this record is proposed in Australia. The eACP in Community project aims to develop a model that will engage community dwelling older adults with chronic life-limiting illnesses in the process of advance care planning that is person-centred, evidence-based and has a focus of dignity of life. A systematic review was conducted to identify models of advance care planning and to examine the nurses’ role.  A realist review comprising metasynthesis of 8 qualitative studies and 9 quantitative studies informed the Dignity of Life Advance Care Planning Inventory Model.