The Knowledge and Attitude Towards Advance Care Planning Among Chinese Patients with Advanced Cancer

Hou, Xiaoting; Lu, Yuhan; Yang, Hong; Guo, R. S.; Wang, Yun; Wen, Lihong; Zhang, Yaru; Sun, Hongyu

doi:10.1007/s13187-019-01670-8

Cited by 12 publications

(29 citation statements)

References 30 publications

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“…Patients' knowledge. Patients who lacked awareness of their disease severity and prognosis 25,30,36,44,55,57,58 and/or Patients' belief that ACP is not necessary or beneficial…”

Section: Conceptual Framework For Patients' Willingness To Engage In Advance Care Planningmentioning

confidence: 99%

“…Patients' belief that talking about ACP would make their relatives sad 55 Patients' concern that ACP would cause distress or burden for family members 41,42,48,50,58 Patients' concern of implications of ACP Patients' concern that ACP would cause conflict within their family members 44,50,58 Patients' concern of the psychological discomfort produced when thinking about a terminal illness 33 Patients' wish to entrust decision-making to family members 25,36,[41][42][43][44]50,57,58 Patients' preference for passive involvement in decision-making…”

Section: Behavioral Beliefsmentioning

confidence: 99%

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Asian patients’ perspectives on advance care planning: A mixed-method systematic review and conceptual framework

et al. 2021

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Background: Asian healthcare professionals hold that patients’ families play an essential role in advance care planning. Aim: To systematically synthesize evidence regarding Asian patients’ perspectives on advance care planning and their underlying motives. Design: Mixed-method systematic review and the development of a conceptual framework (PROSPERO: CRD42018099980). Data sources: EMBASE, MEDLINE, Web of Science, and Google Scholar were searched for studies published until July 27, 2020. We included studies concerning seriously-ill Asian patients’ perspectives on advance care planning or their underlying motives for engaging or not engaging in it. Results: Thirty-six articles were included; 22 were quantitative and 27 were from high-income countries. Thirty-nine to ninety percent of Asian patients were willing to engage in advance care planning. Our framework highlighted that this willingness was influenced not only by their knowledge of their disease and of advance care planning, but also by their beliefs regarding: (1) its consequences; (2) whether its concept was in accordance with their faith and their families’ or physicians’ wishes; and (3) the presence of its barriers. Essential considerations of patients’ engagement were their preferences: (1) for being actively engaged or, alternatively, for delegating autonomy to others; (2) the timing, and (3) whether or not the conversations would be documented. Conclusion: The essential first step to engaging patients in advance care planning is to educate them on it and on their diseases. Asian patients’ various beliefs about advance care planning should be accommodated, especially their preferences regarding their role in it, its timing, and its documentation.

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“…Patients' knowledge. Patients who lacked awareness of their disease severity and prognosis 25,30,36,44,55,57,58 and/or Patients' belief that ACP is not necessary or beneficial…”

Section: Conceptual Framework For Patients' Willingness To Engage In Advance Care Planningmentioning

confidence: 99%

Section: Behavioral Beliefsmentioning

confidence: 99%

Asian patients’ perspectives on advance care planning: A mixed-method systematic review and conceptual framework

et al. 2021

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“…However, when facing the terminal stage of a disease in their patients, medical staff may apply active medical treatment due to family pressure, which enables patients to stay alive and prolong the process of dying due to the use of life support medical interventions. In this process, patients often experience a lot of physical and psychological pain [1]. Under the influence of Chinese traditional culture, most Taiwanese do not talk about death, which is considered a taboo.…”

Section: Introductionmentioning

confidence: 99%

“…Thus, patients cannot fully express their wishes while still aware and awake. Consequently, their family members often make medical decisions in the terminal stage, rather than the patients themselves, which leads to regrets that patients could not have a good death [1].…”

Section: Introductionmentioning

confidence: 99%

“…It can also reduce the pressure and anxiety of family members facing the medical treatment and decision-making process of terminally ill patients, and improve the quality of life [5][6][7]. Prior studies have investigated KAP-ACP behaviors of nurses [1,[8][9][10]. However, some of these studies focused on the population of oncology or emergency nurses, and most of them explored the related factors of KAP-ACP.…”

Section: Introductionmentioning

confidence: 99%

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Effects of Dispositional Resilience and Self-Efficacy on Practice in Advanced Care Planning of Terminally Ill Patients among Taiwanese Nurses: A Study Using Path Modeling

Pan

Chang

et al. 2021

IJERPH

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This study aimed to expand on previous research elucidating the effects of dispositional resilience and self-efficacy on practice in advanced care planning (ACP) of terminally ill patients among Taiwanese nurses using path modeling. This cross-sectional study was conducted using cluster sampling. Data were collected using demographics, nurses’ knowledge, attitude, and practice of ACP (KAP-ACP) inventory, Dispositional Resilience Scale, and General Self-Efficacy Scale. A total of 266 nurses from a tertiary medical center in northern Taiwan participated in this study in 2019. The results showed that gender and ward were significant K-ACP predictors among nurses. The ACP knowledge, ward, and experience of caring for terminally ill friends or relatives were significant A-ACP predictors, whereas ACP attitudes, dispositional resilience, self-efficacy, ward, and the frequency of caring for terminally ill patients were the key predictors of P-ACP. The path modeling showed that dispositional resilience; self-efficacy; medical, surgical, hematology and oncology wards; previous experience in caring for terminally ill friends or relatives; participating in the do-not-resuscitate signature; and the frequency of caring for terminally ill patients directly influenced ACP practices. We recommend that nurses enhance their dispositional resilience and self-efficacy, which may encourage them to appreciate the value of ACP practice of terminally ill patients and improve the quality of care.

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Barriers to initiate a discussion about advance care planning among older Taiwanese residents of nursing homes and their families: A qualitative study

Lee,

Yang,

Leu

et al. 2024

Applied Nursing Research

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The Knowledge and Attitude Towards Advance Care Planning Among Chinese Patients with Advanced Cancer

Cited by 12 publications

References 30 publications

Asian patients’ perspectives on advance care planning: A mixed-method systematic review and conceptual framework

Asian patients’ perspectives on advance care planning: A mixed-method systematic review and conceptual framework

Effects of Dispositional Resilience and Self-Efficacy on Practice in Advanced Care Planning of Terminally Ill Patients among Taiwanese Nurses: A Study Using Path Modeling

Barriers to initiate a discussion about advance care planning among older Taiwanese residents of nursing homes and their families: A qualitative study

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