Understanding of advance care planning in primary care: a gap analysis.
Aust J Prim Health
; 28(4): 344-349, 2022 Aug.
Article
em En
| MEDLINE
| ID: mdl-35605984
ABSTRACT
BACKGROUND:
Although primary care is a well suited context for conducting advance care planning (ACP), there are many barriers to initiating discussions regarding future health preference and end-of-life conversations.METHODS:
This qualitative study conducted 30 detailed individual interviews with senior administrators, medical and nurse practitioners of a local health district, NSW Ambulance, e-Health NSW, general practitioners and practice nurses to find out about barriers to ACP in South Western Sydney.RESULTS:
Thematic analysis was conducted on the interviews. Six major themes were identified Prevalence; Empowerment of roles and responsibilities; Lack of training/knowledge/confidence; Fragmentation of care; Patient/family readiness; and Prognostication. Half of the participants were willing to use a prognostic tool to identify when a patient was likely to be at the end of their life and provide a prompt to initiate ACP.CONCLUSION:
In addition to addressing training and acknowledging resource constraints, these findings suggest that if a prognostic tool was validated and practical in a primary care setting, it may provide valuable assistance to encourage everyone in society to begin discussing this issue and completing ACP.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Planejamento Antecipado de Cuidados
/
Clínicos Gerais
Tipo de estudo:
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
Revista:
Aust J Prim Health
Ano de publicação:
2022
Tipo de documento:
Article