Improved patient participation through advance care planning in nursing homes—A cluster randomized clinical trial
| Autor: | Reidar Pedersen, Lillian Lillemoen, Lisbeth Thoresen, Trygve Johannes Lereim Sævareid, Elisabeth Gjerberg |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Advance care planning medicine.medical_specialty Next of kin Decision Making Norwegian Disease cluster law.invention Advance Care Planning 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Patient-Centered Care Intervention (counseling) medicine Homes for the Aged Humans Dementia Cognitive Dysfunction 030212 general & internal medicine Patient participation Aged Aged 80 and over Norway business.industry 030503 health policy & services General Medicine medicine.disease language.human_language Nursing Homes Outcome and Process Assessment Health Care Family medicine language Female Patient Participation 0305 other medical science business |
| Zdroj: | Patient Education and Counseling. 102:2183-2191 |
| ISSN: | 0738-3991 |
| Popis: | Objective: To improve patient participation in advance care planning in nursing homes where most patients have some degree of cognitive impairment. Methods: This was a pair-matched cluster randomized clinical trial with eight wards in eight Norwegian nursing homes. We randomized one ward from each of the matched pairs to the intervention group. We included all patients above 70. The primary outcome was prevalence of documented patient participation in end-of-life treatment conversations. The intervention included implementation support using a whole-ward approach where regular staff perform advance care planning and invite all patients and next of kin to participate. Results: In intervention group wards the patients participated more often in end-of-life treatment conversations (p |
| Databáze: | OpenAIRE |
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