The focus of this column is the interface between policy and end-of-life care, particularly as provided by advanced nurse practitioners. The complexities of end-of-life along with barriers in practice can diminish quality of life for patients and their families. Changes in policy are needed to enable nurse practitioners their full scope of practice in a way that benefits patients and families at end-of-life. Three areas particularly relevant to policy for nursing practitioners and end-of-life care are addressed: scope of practice, reimbursement, and prescribing practices. Other recommendations for policy and end-of-life care are discussed.
American Medical Association (2011). Collaborative and supervisory relationships between attending physicians and advanced practice nurses in long-term care facilities. (2011). Journal of the American Medical Directors Association, 12(1), 12-18.
5.
AzizN. M.MillerJ. L.CurtisJ. R. (2012). Palliative and end-of-life care research: Embracing new opportunities. Nursing Outlook, 60(6), 384-390.
6.
BookbinderM.GlajchenM.McHughM.HigginsP.BudisJ.SolomonN.. . .PortenoyR. K. (2011). Nurse practitioner-based models of specialist palliative care at home: Sustainability and Evaluation of feasibility. Journal of Pain and Symptom Management, 41(1), 25-34.
7.
CandyB.HolmanA.LeurentB.DavisS.JonesL. (2011). Hospice care delivered at home, in nursing homes and in dedicated hospice facilities: A systematic review of quantitative and qualitative evidence. International Journal of Nursing Studies, 48(1), 121-133.
CarlsonM. D. A.LimB.MeierD. E. (2011). Strategies and innovative models for delivering palliative care in nursing homes. Journal of the American Medical Directors Association, 12(2), 91-98.
10.
CurrowD. C.WheelerJ. L.GlareP. A.KaasaS.AbernethyA. P. (2009). A framework for generalizability in palliative care. Journal of Pain and Symptom Management, 37(3), 373-386.
11.
DennyD., L.GuidoG., W. (2012). Under treatment of pain in older adults: An application of beneficence. Nursing Ethics, 19(6), 800-809.
12.
DiSantostefanoJ. (2011). Hospice certification and recertification. The Journal for Nurse Practitioners, 7(9), 779-780.
13.
FairmanJ.A.RoweJ.W.HassmillerS.ShalalaD.E. (2011). Broadening the Scope of Nursing Practice. The New England Journal of Medicine, 364:193-196.
14.
FerrellB.PaiceJ.KoczywasM. (2008). New standards and implications for improving the quality of supportive oncology practice. Journal Of Clinical Oncology, 26(23), 3824-3831.
LupuD. (2010). Estimate of current hospice and palliative medicine physician workforce shortage. Journal of Pain and Symptom Management, 40(6), 899-911.
23.
MeierD.BeresfordL. (2006). Billing for palliative care: an essential cost of doing business. Journal of Palliative Medicine, 9(2), 250-257.
24.
National Board for Certification of Hospice and Palliative Nurses National Board for Certification of Hospice and Palliative Nurses (2013). Certification for Hospice and Palliative Advanced Practice Registered Nurses. Retrieved from http://www.nbchpn.org/DisplayPage.aspx?Title=APRN%20Overview
25.
National Institute for Health Care Reform (2013). Primary Care Workforce Shortages: Nurse Practitioner Scope-of-Practice Laws and Payment Policies. Retrieved from http://www.nihcr.org/PCP-Workforce-NPs
PhilpotC.TolsonD.MorleyJ. E. (2011). Advanced practice nurses and attending physicians: A collaboration to improve quality of care in the nursing home. Journal of the American Medical Directors Association, 12(3), 161-165.
29.
ReidM., C.BennettD., A.ChenW., G.EldadahB., A.FarrarJ., T.FerrellB.. . .ZacharoffK., L. (2011). Improving the pharmacologic management of pain in older adults: Identifying the research gaps and methods to address them. Pain Medicine, 12(9), 1336-1357.
