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Advance care planning as an urgent public health concern

      The American Academy of Nursing extensively engages in the work of policy improvement for better end-of-life care for all Americans. The Academy's work is evident in at least three specific recent activities:
      • Publication in 2011 of a formal Policy Brief (
        AAN on Policy: Advance care planning as an urgent public health concern.
        ) that was widely disseminated and is again provided below.
      • Publication of the Letter to the Editor (

        Tilden, V.P. (2011). Backpedaling, under pressure, on end-of-life talks. Letter to the Editor, The New York Times.

        ) published in 2011 in the New York Times in response to delays in federal legislation that would encourage advance care planning.
      • Delivery of the critical conversation, a national panel presentation, (
        • American Academy of Nursing
        Raise the voice: critical conversations on best practices in advance care planning and decision making, a national panel presentation.
        ) as part of the Academy's Raise the Voice initiative.
      The critical conversation was held on October 7, 2011, at the Henry J. Kaiser Family Foundation in Washington, DC, and simultaneously broadcast nationally via live webcast. The event was designed for policy makers, clinicians, nursing students and the local and national media. National experts on end-of-life care, including Manoj Jain, Amy Berman, Theresa Brown, Cynda Ruston, Suzanne Prevost, Kate O'Malley, and Joseph Prevratil, spoke in panel format on the topic of barriers to achieving meaningful, informed provider-patient/family conversations and on evidence-based solutions for improving advance care planning and treatment decision-making. Going forward, the Academy's policy work continues through ongoing activities of its Palliative and End-of-Life Care Expert Panel.

      References

      1. AAN on Policy: Advance care planning as an urgent public health concern.
        Nursing Outlook. 2011; 59: 55-56
        • American Academy of Nursing
        Raise the voice: critical conversations on best practices in advance care planning and decision making, a national panel presentation.
        Henry J. Kaiser Family Foundation, Washington, DC2011
      2. Tilden, V.P. (2011). Backpedaling, under pressure, on end-of-life talks. Letter to the Editor, The New York Times.