Managing in the Trenches of Consumer Care: The Challenges of Understanding and Initiating the Advance Care Planning Process

Baughman, Kristin R.; Aultman, Julie M.; Hazelett, Susan; Palmisano, Barbara; O'Neill, Anne; Ludwick, Ruth; Sanders, Margaret

doi:10.1080/01634372.2012.708389

Cited by 18 publications

(38 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Meanwhile, some studies claim AD should be part of nurses’ practice, but it should not be a priority when caring for patients [28]. In other studies, nurses viewed the AD application as a task for a multidisciplinary team, but the sharing of responsibility was not clear so far [29–31]. Accordingly, more than half of the respondents in our study indicated the management of AD as the sharing of moral responsibility between health professional and the patient.…”

Section: Discussionmentioning

confidence: 99%

Are advance directives helpful for good end of life decision making: a cross sectional survey of health professionals

Peičius

Blaževičienė

2017

BMC Med Ethics

View full text Add to dashboard Cite

BackgroundThis paper joins the debate over changes in the role of health professionals when applying advance directives to manage the decision-making process at the end of life care. Issues in relation to advance directives occur in clinical units in Lithuania; however, it remains one of the few countries in the European Union (EU) where the discussion on advance directives is not included in the health-care policy-making agenda. To encourage the discussion of advance directives, a study was designed to examine health professionals’ understanding and preferences related to advance directives. In addition, the study sought to explore the views of health care professionals of the application of Advance Directives (AD) in clinical practice in Lithuania.MethodsA cross-sectional survey was conducted by interviewing 478 health professionals based at major health care centers in Kaunas district, Lithuania. The design of the study included the use of a questionnaire developed for this study and validated by a pilot study. The collected data were analyzed using standard descriptive statistical methods.ResultsThe analysis of knowledge about AD revealed some statistically significant differences when comparing the respondents’ profession and gender. The analysis also indicated key emerging themes among respondents including tranquility of mind, the longest possible life expectancy and freedom of choice.Further, the study findings revealed that more than half of the study participants preferred to express their will while alive by using advance directives.ConclusionsThe study findings revealed a low level of knowledge on advance directives among health professionals. Most health professionals agreed that AD’s improved end-of-life decision making while the majority of physicians appreciated AD as the best tool for sharing responsibilities in clinical practice in Lithuania. More physicians than nurses preferred the presence of advance directives to support their decision making in end-of-life situations.

show abstract

Section: Discussionmentioning

confidence: 99%

Are advance directives helpful for good end of life decision making: a cross sectional survey of health professionals

Peičius

Blaževičienė

2017

BMC Med Ethics

View full text Add to dashboard Cite

show abstract

“…Training and education in ACP is important. With increased training and policies tailored for community needs, US health professionals reported higher levels of confidence and comfort (Baughman et al 2012) and, for rural Victorian physicians, selfconfidence in ACP was enhanced after training (Detering et al 2014).…”

Section: Discussionmentioning

confidence: 99%

A self-reported survey on the confidence levels and motivation of New South Wales practice nurses on conducting advance-care planning (ACP) initiatives in the general-practice setting

Fan

Rhee

2017

Aust. J. Prim. Health

View full text Add to dashboard Cite

Nurses are well positioned to initiate and conduct advance-care planning (ACP) conversations; however, there has been limited research on practice nurses performing this role in Australia. The aim of the present study was to understand the beliefs, attitudes, perceptions, confidence, training and educational needs of New South Wales practice nurses with regards to involvement in ACP. A cross-sectional online survey was conducted in August to October 2014. Nurses were recruited through nursing organisations and Medicare Locals. There were 147 completed surveys (n=147). Participants were mostly female registered nurses, with a median age of 50, and 6 years of practice-nurse experience. Practice nurses were generally positive towards their involvement in ACP and believed it would be beneficial for the community. Their confidence in initiating ACP increased as their familiarity with patients increased. They showed a high level of interest in participating in training and education in ACP. Barriers to their involvement in ACP included the lack of a good documentation system, limited patient-education resources and unclear source of remuneration. Nurses were also concerned over legalities of ACP, ethical considerations and their understanding of end-of-life care options. Nevertheless, they were highly receptive of integrating ACP discussions and were willing to enhance their skills. These findings uncover a need for further training and development of practice nurses for ACP discussions.

show abstract

“…This study is an expansion of our previous work examining ACP performed in the home and initiated by care managers (CMs) with expertise as registered nurses or social workers. In the past, we have used, separately, quantitative data to determine CM and consumer factors that influence the decision to initiate ACP conversations (Baughman et al., ), and qualitative data to explore how CMs define ACP and their role in the process (Baughman et al., ) and the narrative stories they told about ACP (Baughman, Aultman, Ludwick, & O'Neil, ). We did not analyse how merging and comparing the qualitative and quantitative data might better inform the diversity of attitudes, beliefs and perspectives of CM participants as they engage in ACP discussions.…”

Section: Introductionmentioning

confidence: 99%

A broader understanding of care managers’ attitudes of advance care planning: A concurrent nested design

Aultman

Baughman

Ludwick

2018

Journal of Clinical Nursing

Self Cite

View full text Add to dashboard Cite

show abstract

Managing in the Trenches of Consumer Care: The Challenges of Understanding and Initiating the Advance Care Planning Process

Cited by 18 publications

References 15 publications

Are advance directives helpful for good end of life decision making: a cross sectional survey of health professionals

Are advance directives helpful for good end of life decision making: a cross sectional survey of health professionals

A self-reported survey on the confidence levels and motivation of New South Wales practice nurses on conducting advance-care planning (ACP) initiatives in the general-practice setting

A broader understanding of care managers’ attitudes of advance care planning: A concurrent nested design

Contact Info

Product

Resources

About