International consensus-based policy recommendations to advance universal palliative care access from the American Academy of Nursing Expert Panels

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

Research output: Contribution to journalArticlepeer-review


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. On behalf of the Academy, these 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. Through improved palliative nursing education, nurse-led research, nurse engagement in policy making, enhanced intersectoral partnerships with nursing, and an increased profile and visibility of palliative care nurses worldwide, nurses can assume leading roles in delivering high-quality palliative care globally, particularly for minoritized, marginalized, and other at-risk populations. Part II herein provides a summary of international responses and policy options that have sought to enhance universal palliative care and palliative nursing access to date. Additionally, we provide ten policy, education, research, and clinical practice recommendations based on the rationale and background information found in Part I. 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.
Original languageEnglish (US)
Pages (from-to)36-46
Number of pages11
JournalNursing outlook
Issue number1
StatePublished - Jan 1 2022


  • Hospice
  • Palliative care
  • Palliative care policy
  • Palliative nursing
  • Serious health-related suffering
  • Universal health coverage
  • Societies, Nursing
  • Evidence-Based Nursing/trends
  • Global Health
  • Palliative Care/standards
  • Humans
  • Universal Health Care
  • Consensus
  • Stakeholder Participation
  • Hospice and Palliative Care Nursing
  • Health Services Accessibility/standards
  • Health Policy
  • Expert Testimony

ASJC Scopus subject areas

  • General Nursing


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