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Which Way from Here? Navigation Competencies for the Care of Older Rural Adults at the End of Life

Researchers: Wendy Duggleby, PhD, RN, AOCN, Faculty of Nursing, University of Alberta; Jennifer Anderson, MN, RN; Sharon Baxter, MSW; Patricia H. Berry, PhD, APRN, ACHPN, FAAN; Dan Cooper, MDiV; Robin L. Fainsinger, MB, ChB, LMCC, CCFP; Konrad Fassbender, PhD Kimberly Fraser, PhD, RN; Karen Gayman, RN; Sunita Ghosh, PhD, P.Stat.; Donna Goodridge, PhD, RN; Lars Hallstrom, PhD; Sharon Kaasalainen, PhD, RN; Sandra Kary; Norah Keating, PhD; Kathy Kenmore, LPN; Rob MacLeod, PhD, FAChPM; Anna Mann; Cheryl Nekolaichuk, PhD; Barbara Pesut, PhD, RN; Michelle Peterson Fraser, RN; Carole Robinson, PhD, RN; Anna Santos Salas, PhD, RN; Signe Swanson, MSW; Jennifer Swindle, PhD; Sharon Watanabe, MD, FRCPC; Linda Watson, PhD, RN; Kyle Whitfield, PhD; Allison Williams, PhD; Terri Woytkiw, RN, MN, CHPCN(c).

Purpose: The purpose of this study was to bring together experts in rural aging, rural palliative care and navigation and decision makers, knowledge users, researchers and rural community members to develop a preliminary set of navigation competencies for the care of older rueral adults at the end of life.

Procedures: The activities included the writing of a discussion paper that was a preliminary synthesis of the relevant literature and a 4-phase delphi consensus building activity to develop the navigation competencies. These activities focused on improving the care and quality of life of rural older Canadians at the end of life.

Findings: The undertaking of a discussion paper was essential in ensuring an evidence based approach to develop the navigation competencies. The information provided in the paper provided the basis, framework and definition for the development of navigation competencies for rural older adults at the end of life.

Acknowledgements: Funding for this initiative was provided by a Canadian Institutes of Health Research Planning Grant.

Publications:

Final Report: Which Way from Here? Navigation Competencies for the Care of Older Rural Adults at the End of Life. January 7, 2014.

Duggleby W, Robinson C, Kaasalainen S, Pesut B, Nekolaichuk C, MacLeod R, Keating N, Santos Salas A, Hallstrom L, Fraser KD, Williams A, Struthers-Montford K, Swindle J. (2016). Developing Navigation Competencies to Care for Older Rural Adults with Advanced Illness. Canadian Journal on Aging, 35(2); 206-214.


Canadian Institutes of Health Research