Advance Care Planning Among Elderly Acquired Immunodeficiency Syndrome Patients

Abstract

Complications arising from human immunodeficiency virus may affect the ability of elderly AIDS patients to communicate and make decisions about future medical care. It is important for elderly AIDS patients to be able to express effectively their preferences for future treatments and care. This study explored preferences and influencing factors of advance care planning among elderly AIDS patients. A semistructured interview outline was developed based on the theory of planned behavior. A qualitative preference interview was conducted among 16 eligible elderly AIDS patients. Using thematic analysis, the data were analyzed and categorized into 3 themes and 9 subthemes that were classified under the theory of planned behavior framework. The 3 themes were as follows: a positive attitude toward advance care planning, a strong desire for family and social support, and some obstacles to discussing advance care planning in the current environment. These themes provided valuable insights to advance care planning educators and practitioners from different work environments and units to aid them in constructing future ACP intervention models for elderly AIDS patients.

Development and validation of the advance care planning practice preference scale for clinical nurses

“…According to the theory of planned behaviour, individuals will consider the behavioural preference, which is determined by their behavioural attitude, subjective norms and perceived behavioural control before trying to produce a certain behaviour (Young et al, 1991). As shown in Figure 1, these three variables, which have been widely validated in understanding individual behaviour (Takeshita et al, 2021; Yang et al, 2022), are further influenced by the corresponding underlying cognitive basis. The attitude of clinical nurses towards ACP clinical practice can directly affect their preference, which is the basis of clinical nurses' ACP clinical practice.…”

“…According to the theory of planned behaviour, individuals will consider the behavioural preference, which is determined by their behavioural attitude, subjective norms and perceived behavioural control before trying to produce a certain behaviour (Young et al, 1991). As shown in Figure 1, these three variables, which have been widely validated in understanding individual behaviour (Takeshita et al, 2021;Yang et al, 2022) Clinical nurses with a low ACP practice preference may be reluctant to lead or participate in ACP discussions with patients and surrogate decision makers, or to expend effort in developing ACP skills and addressing barriers to ACP discussions (Gilissen et al, 2020).…”

Psychometric evaluation of the Chinese version of advance care planning self-efficacy scale among clinical nurses

“…Advance care planning (ACP) refers to a process in which individuals can communicate with their surrogate decision-makers and healthcare providers to express future medical care preferences according to their own experiences or values when they are conscious and have the ability to make decisions [1,2]. ACP circumvented the limitations of advance directives (ADs) as a written document and more flexibly emphasized the process of multi-party communication rather than signing the specific legal document [3].…”