'Not yet' and 'Just ask': barriers and facilitators to advance care planning--a qualitative descriptive study of the perspectives of seriously ill, older patients and their families
| Autor: | Jessica Simon, Pat Porterfield, Shelley Raffin Bouchal, Daren K. Heyland |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Advance care planning
Male Canada Health Knowledge Attitudes Practice Interview media_common.quotation_subject Health Status Population Decision Making Medicine (miscellaneous) Health Services Accessibility Advance Care Planning Documentation Nursing Surveys and Questionnaires Medicine Humans Terminally Ill Quality (business) Relevance (information retrieval) Family Prospective Studies education Qualitative Research media_common Aged Aged 80 and over education.field_of_study Physician-Patient Relations Oncology (nursing) business.industry Communication Barriers General Medicine Middle Aged Medical–Surgical Nursing Ask price Female business Qualitative research |
| Zdroj: | BMJ supportivepalliative care. 5(1) |
| ISSN: | 2045-4368 |
| Popis: | Objectives To explore seriously ill, older hospitalised patients’ and their family members’ perspectives on the barriers and facilitators of advance care planning (ACP). Methods We used qualitative descriptive study methodology to analyse data from an interviewer administered, questionnaire-based, Canadian multicentre, prospective study of this population. Results Three main categories described these barriers and facilitators: (1) person (beliefs, attitudes, experiences, health status), (2) access (to doctors and healthcare providers, information, tools and infrastructure to communicate ACP preferences) and (3) the interaction with the doctor (who and how initiated, location, timing, quality of communication, relationship with doctor). Conclusions Based on the findings, we suggest strategies for both healthcare systems and individual healthcare providers to improve the quality and quantity of ACP with this population. These include assessing readiness for participation in ACP and personalising relevance of ACP to each individual, routinely offering scheduled family meetings for exploring a person’s own goals and sharing information, ensuring systems and policies are in place to access previous ACP documentation and ensuring doctors’ education includes ACP communication skills. |
| Databáze: | OpenAIRE |
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