Secondary Logo

Institutional members access full text with Ovid®

Share this article on:

Identifying the Factors Associated With Canadian Registered Nurses' Engagement in Advance Care Planning

Rietze, Lori, RN, MSc; Heale, Roberta, DNP, RN(EC), PHCNP; Roles, Stacey, MScN, RN; Hill, Laura, MScN, NP-Adult

Journal of Hospice & Palliative Nursing: June 2018 - Volume 20 - Issue 3 - p 230–236
doi: 10.1097/NJH.0000000000000423
Feature Articles

Advance care planning (ACP) is a series of discussions in which patient values and wishes for end-of-life care are made known. The purpose of this study was to determine the extent to which registered nurses (RNs) engaged in ACP with their patients and understand the factors associated with this practice decision in Canada. One hundred twenty-five RNs participated in this cross-sectional descriptive survey. Registered nurse participants agreed that end-of-life decision making is an important part of their work; however, the majority of respondents did not participate in ACP, especially those RNs who were employed in community settings. Study respondents cited barriers to implementing ACP into their practice such as limited organizational policy, limited expectations of others to engage in ACP, inadequate educational opportunities to learn about or practice ACP, and a lack of patient and family readiness for the conversation. Study conclusions support recommendations for continuing education topics and the importance of organizational support in ACP.

Lori Rietze, RN, MSc, is assistant professor, Laurentian University, Sudbury, Ontario, Canada.

Roberta Heale, DNP, RN(EC), PHCNP, is associate professor, Laurentian University, Sudbury, Ontario, Canada.

Stacey Roles, MScN, RN, is adjunct professor and lecturer, Laurentian University and Northern Ontario School of Medicine, Sudbury, Ontario, Canada.

Laura Hill, MScN, NP-Adult, is nurse practitioner, Health Sciences North/Horizon Santé Nord, Sudbury, Ontario, Canada.

Address correspondence to Lori Rietze, RN, 935 Ramsey Lake Rd, Sudbury, Ontario, Canada P3E 2C6 (

The authors have no conflicts of interest to disclose.

© 2018 by The Hospice and Palliative Nurses Association.