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Incorporating Professional Literature

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Literature: Evidence Summary The next step was to gather information from creditable sources such as EBSCO or Cochrane to support or refute the health care issue. Incorporating professional literature that supports ideas is important because basing your practice on knowledge and research rather than on a feeling, tradition or old textbook results in better patient outcomes (American Sentinel University, 2011). After reviewing the literature, the six evidence-based practice articles supported the need for staff education. These studies confirmed that nurses' greatest challenges with ACP were lack of knowledge, skills and confidence in having discussions with their patients. According to Rambottom and Kelley (2014) various long term care settings …show more content…
Nurses spend a great amount of time with patients and are viewed as highly trusted health care professionals and patient advocates. Since nurses have a significant influence on their patients' care, it is important for them to participate and stay involved in health care reform to improve patient health outcomes. In the short term nurses can prepare their patients and reduce family stress, anxiety, and depression (Rambottom & Kelley, 2014). Nurses have the capability to educate the public and raise awareness about ACP. This increased awareness and preparation can avoid moral, ethical and economic issues in the long term. Cohen and Nirenberg (2011) reported the aging population in the United States is growing quickly and the total cost of end-of-life care is about $20 billion (p. 551). The authors' proposed that educating and training all health care professionals on communicating and delivering optimum end-of-life care to their patients and continuing to dedicate themselves to ACP research would ultimately reduce health care spending (Cohen & Nirenberg, 2011, p. 551). In the United States there is a social stigma about death and dying. Nurses can change these views by acknowledging and overcoming patient fears, determining their health care wishes and developing a plan when patients are young and healthy versus during a health crisis which is prevalent in our culture. The number of Americans that have completed an advance directive is still relatively low. Research has shown that individuals are more comfortable and open to having ACP discussions when the staff initiates the conversation (Ramsbottom & Kelley, 2014). Patients should be given the correct information and necessary tools to make healthcare decisions; this is the nurse's

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