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Tytuł pozycji:

Significance of advance care planning in nursing homes: views from patients with cognitive impairment, their next of kin, health personnel, and managers

Tytuł:
Significance of advance care planning in nursing homes: views from patients with cognitive impairment, their next of kin, health personnel, and managers
Autorzy:
Sævareid TJL
Førde R
Thoresen L
Lillemoen L
Pedersen R
Temat:
qualitative
person-centered care
whole-system approach
implementation
cognitive impairment.
Geriatrics
RC952-954.6
Źródło:
Clinical Interventions in Aging, Vol Volume 14, Pp 997-1005 (2019)
Wydawca:
Dove Medical Press, 2019.
Rok publikacji:
2019
Kolekcja:
LCC:Geriatrics
Typ dokumentu:
article
Opis pliku:
electronic resource
Język:
English
ISSN:
1178-1998
Relacje:
https://www.dovepress.com/significance-of-advance-care-planning-in-nursing-homes-views-from-pati-peer-reviewed-article-CIA; https://doaj.org/toc/1178-1998
Dostęp URL:
https://doaj.org/article/2b21149e44ab40f99009b95b7b99053a  Link otwiera się w nowym oknie
Numer akcesji:
edsdoj.2b21149e44ab40f99009b95b7b99053a
Czasopismo naukowe
Trygve Johannes Lereim Sævareid,1 Reidun Førde,1 Lisbeth Thoresen,1,2 Lillian Lillemoen,1 Reidar Pedersen11Centre for Medical Ethics, University of Oslo, Oslo, Norway; 2Department of Health Sciences, University of Oslo, Oslo, NorwayPurpose: Advance care planning (ACP) performed by regular staff, which also includes patients with cognitive impairment and their next of kin, is scarcely studied. Thus, we planned an implementation study including key stakeholders (patients, next of kin, and health care personnel) using a whole-ward/system approach to ACP. We explored how they experienced ACP and its significance.Patients and methods: This qualitative study is part of a mixed-method implementation study of ACP. In four nursing homes, we did qualitative interviews and audio-recordings of meetings. We completed 20 individual semistructured interviews with participants soon after ACP conversations. The interviews included patients with cognitive impairment, their next of kin, and health care personnel. We also conducted four focus group interviews with staff and managers in the nursing homes and audio-recorded four network meetings with the project teams implementing ACP.Results: All participants appreciated taking part in ACP. Patients and next of kin focused more on the past and present than future treatment preferences. Still, ACP seemed to contribute to a stronger patient focus on end-of-life conversations. More generally, ACP seemed to contribute to valuable information for future decision-making, trusting relations, improved end-of-life communication, and saving time and resources.Conclusion: Safeguarding a strong patient focus on ACP and fostering a person-centered care culture in nursing home wards seem to be achievable through implementation of ACP that includes regular staff, patients with cognitive impairment, and their next of kin.Keywords: qualitative, person-centered care, whole-system approach, implementation, cognitive impairment

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