American Academy of Nursing Expert Panel consensus statement on nursing's roles in ensuring universal palliative care access

William E. Rosa*, Harleah G. Buck, Allison P. Squires, Sharon L. Kozachik, Huda Abu Saad Huijer, Marie Bakitas, Juli Mc Gowan Boit, Patricia K. Bradley, Pamela Z. Cacchione, Garrett K. Chan, Nigel Crisp, Constance Dahlin, Pat Daoust, Patricia M. Davidson, Sheila Davis, Myrna A.A. Doumit, Regina M. Fink, Keela A. Herr, Pamela S. Hinds, Tonda L. HughesViola Karanja, Deborah J. Kenny, Cynthia R. King, Hester C. Klopper, Ann R. Knebel, Ann E. Kurth, Elizabeth A. Madigan, Pamela Malloy, Marianne Matzo, Polly Mazanec, Salimah H. Meghani, Todd B. Monroe, Patricia J. Moreland, Judith A. Paice, J. Craig Phillips, Cynda H. Rushton, Judith Shamian, Mona Shattell, Julia A. Snethen, Connie M. Ulrich, Dorothy Wholihan, Lucia D. Wocial, Betty R. Ferrell

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

Abstract

The purpose of this consensus paper was to convene leaders and scholars from eight Expert Panels of the American Academy of Nursing and provide recommendations to advance nursing's roles and responsibility to ensure universal access to palliative care. Part I of this consensus paper herein provides the rationale and background to support the policy, education, research, and clinical practice recommendations put forward in Part II. On behalf of the Academy, the evidence-based recommendations will guide nurses, policy makers, government representatives, professional associations, and interdisciplinary and community partners to integrate palliative nursing services across health and social care settings. The consensus paper's 43 authors represent eight countries (Australia, Canada, England, Kenya, Lebanon, Liberia, South Africa, United States of America) and extensive international health experience, thus providing a global context for the subject matter. The authors recommend greater investments in palliative nursing education and nurse-led research, nurse engagement in policy making, enhanced intersectoral partnerships with nursing, and an increased profile and visibility of palliative nurses worldwide. By enacting these recommendations, nurses working in all settings can assume leading roles in delivering high-quality palliative care globally, particularly for minoritized, marginalized, and other at-risk populations.

Original languageEnglish (US)
Pages (from-to)961-968
Number of pages8
JournalNursing Outlook
Volume69
Issue number6
DOIs
StatePublished - Nov 1 2021

Funding

This consensus paper represents the work of the Palliative Care & End-ofLife; Global Nursing & Health; Aging; Bioethics; Child, Adolescent & Family; Cultural Competence & Health Equity; LGBTQ Health; and Quality Health Care Expert Panels. The authors acknowledge the assistance provided by all contributing members of the respective Expert Panels, the American Academy of Nursing Board of Directors, the Academy's Senior Director of Policy, Christine Murphy, MA, and the Academy's Policy Assistant, Sonya Desai. Thank you to Professor Julia Downing, PhD, MMedSci, BN (Hons), RGN, Chief Executive, International Children's Palliative Care Network, and Professor, Makerere University, Uganda, for her consultation and guidance. William E. Rosa is funded by the National Cancer Institute (NCI)/NIH Cancer Center Support Grant P30 CA008748 and the NCI award number T32 CA009461.

Keywords

  • Health disparities
  • Health inequity
  • Hospice care
  • Hospice nursing
  • Palliative care
  • Palliative nursing
  • Universal health coverage
  • Universal palliative care access

ASJC Scopus subject areas

  • General Nursing

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