The gap between expectations and reality in advance care planning in long-term care settings.
| Autor: | Tam, Kuai In, Che, Sok Leng, Leong, Sok Man, Lau, Wing Sze |
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| Předmět: |
ADVANCE directives (Medical care) -- Law & legislation
COMMUNITY health services INTELLECT SOCIAL workers DEFENSE mechanisms (Psychology) QUALITATIVE research SELF-efficacy LONG-term health care QUESTIONNAIRES JUDGMENT sampling DESCRIPTIVE statistics DECISION making THEMATIC analysis RESEARCH methodology TERMINALLY ill TERMINAL care EXTENDED families DATA analysis software ADVANCE directives (Medical care) PSYCHOSOCIAL factors |
| Zdroj: | International Journal of Palliative Nursing; Sep2024, Vol. 30 Issue 9, p474-484, 11p |
| Abstrakt: | Background: Advance care planning (ACP) is an integral part of good quality end-of-life care. This study aimed to explore the role and practice of ACP among health and social care professionals (HSCPs) in a community long-term care facility. Methods: This was a mixed-methods study. The study purposefully sampled 12 HSCPs from one community long-term care facility in Macao, China. All data were collected in November 2022. Results: Some participants had discussed with terminally ill residents or with families in terms of end-of-life care preferences, the average correct rate of ACP knowledge was 67.4%. Interview data showed that HSCPs were primarily concerned with information-giving. The responsibility of decision-making was found to have been placed predominantly on family members of the residents. Conclusion: Study findings raised awareness in that the execution of ACP has remained in discord with the expectations in practicing ACP. The study illuminated that the perceived sense of responsibility among HSCPs was influenced by the potential legal risks involved and consequentially impacted on the adherence to individual's decisions. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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