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THE ROLE OF THE ACUTE CARE NURSE PRACTITIONER IN THE DEVELOPMENT OF AN IN PATIENT PALLIATIVE CARE PROGRAM IN A RURAL SETTING AN INTERDISCIPLINARY COLLABORATIVE APPROACH TO PATIENT AND FAMILY CENTERED CARE FOR THOSE WITH ADVANCED ILLNESS By Julie Anne Hilton A Graduate Project Submitted to the Faculty of the COLLEGE OF NURSING In Partial Fulfillment of the Requirements For the Degree of MASTER OF SCIENCE In the Graduate College THE UNIVERSITY OF ARIZONA 2008 2 STATEMENT BY AUTHOR This graduate project has been submitted in partial fulfillment of requirements for an advanced degree at The University of Arizona and is deposited in the University Library to be made available to borrowers under rules of the Library Brief quotations from this project are allowable without special permission provided that accurate acknowledgement of source is made Requests for permission for extended quotation from or reproduction of this manuscript in whole or in part may be granted by the head of the major department or the Dean of the Graduate College when in his or her judgment the proposed use of the material is in the interests of scholarship In all other instances however permission must be obtained from the author SIGNED APPROVAL BY GRADUATE PROJECT COMMITTEE CHAIR Shu Fen Wung PhD MS RN ACNP BC FAHA FAAN Date Associate Professor of Nursing 3 ACKNOWLEDGEMENTS I would like to thank Dr Shu Fen Wung and Virgina LeBaron for the time and energy in guiding me with this project I would also like to thank my fellow classmates without whom I never would have survived the past few years Each has constantly challenged and encouraged me Each of you will be a dynamic force to be reckoned with as you enter the Advanced Practice Nursing professional setting Thank you to all my dear friends at Northern Cochise Community Hospital for always being in my corner constantly telling me there is nothing I cannot do There have been times when without you quietly urging me forward I would have certainly



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