Advance care planning in the oncology settings

Abstract

The study findings were disappointing, but this first audit is significant to provide insights for future dissemination and implementation of ACP interventions. An ongoing mandatory professional development programme in ACP for healthcare staff is promising to promote the uptake of ACP in healthcare settings.

Advance care planning for cancer patients: a systematic review of perceptions and experiences of patients, families, and healthcare providers

“…Thirteen studies addressed the initiation of ACP [27,28,34,35,39,41,42,44,49,50,46,52]. In almost all studies, participants expected an individual or group other than themselves to initiate ACP, with most believing that physicians were responsible for initiating discussions regarding ACP.…”

“…The majority of studies [21,22,24,25,29,[34][35][36][37][38][39][40][41][42][43][44] addressed the relationship between patients and health professionals in some way with 16 studies describing the perspectives of patients or caregivers and six describing the views of health professionals.…”

“…Samara J, et al [44] 2013 Australia QN 45% QL 55% Mixed methods study-cross-sectional qualitative plus pre-implementation and post-implementation audit Method: focus group plus delivery of an education program on ACP either in face-to-face sessions or via an e-learning package plus presession and post-session written questionnaires.…”

Quality of Care for Older Patients with Non-Cancer Diagnoses under the End-of-Life Care Program

“…Adequate training, education and resources should be offered to the frontline clinical staff on top of provision of guidelines with a view to increasing their motivation and self-efficacy in adopting the LCP, as well as enhancing the communication with the patients and their carers. [16][17][18] Moreover, the attending physicians should document clearly the decision and treatment plan in advance, after discussing with patients and/or their family members, so the on-call colleagues were able to deliver a consistent care.…”

“…Professional development program in ACP for healthcare staff would be in place to promote their uptake of ACP. 18 In addition, a detailed and clear documentation in the corporate electronic patient record about the EOL care plan could facilitate a better communication among healthcare providers even if the patients were admitted to different hospitals in Hong Kong.…”