The perception of Israeli oncology staff members regarding advance care planning

Bar-Sela, Gil; Bagon, Shlomit; Mitnik, Inbal; Baziliansky, Svetlana; Bar‐Sella, Avigail; Vornicova, Olga; Tzuk-Shina, Tzahala

doi:10.1007/s00520-019-05253-7

Cited by 7 publications

(9 citation statements)

References 27 publications

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“…Previously, professionals could not distinguish between ACP and day‐to‐day care planning (Kuusisto et al, 2020). In their study, Bar‐Sela et al (2020) described confusion between ADs and durable power of attorney, and that physicians talked more about ADs with patients than with nurses. Similarly, Kermel‐Schiffman and Werner (2017) found that participants knew some aspects of ACP (such as ADs), but did not know others (such as the Patient Self‐Determination Act).…”

Section: Discussionmentioning

confidence: 99%

“…Emotions like fear (Boddy et al, 2013, Bar‐Sela et al 2020) and anxiety or denial of terminal illness are connected with ACP use (Bernacki & Block, 2014). Oncology staff mentioned communication difficulties between patients and family members as the main reasons for not completing ACP forms (Bar‐Sela et al 2020). Other barriers to ACP have been lack of education and time among nursing professionals (Blackwood et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

“…American Nurses Association 2015; National Association of Social Workers 2020) and clinical guidelines (Institute of Medicine, 2015, National Institute for Health and Care Excellence 2019). However, in practice, the ACP concept and terminology have been considered confusing (Boddy et al, 2013; Kermel‐Schiffman & Werner, 2017, Bar‐Sela et al 2020). Based on a systematic review, the absence of a clear definition of ACP may prevent the advancement and understanding of the topic (Kermel‐Schiffman & Werner, 2017).…”

Section: Introductionmentioning

confidence: 99%

“…Based on a systematic review, the absence of a clear definition of ACP may prevent the advancement and understanding of the topic (Kermel‐Schiffman & Werner, 2017). Previous studies report different types of ACP, such as communication about end‐of‐life care in general (Granek et al, 2013; Myers et al, 2018), or more specific types of ACP, like instruments to document patients’ advance care wishes, such as advance directives (AD) (Zhou et al, 2010) and typically, living wills (Bar‐Sela et al 2020). Healthcare professionals’ knowledge (Kermel‐Schiffman & Werner, 2017) and the facilitators of (Rietjens et al, 2017; Rietze & Stajduhar, 2015) and barriers (Toguri et al, 2020; De Vleminck et al, 2013) to ACP have been studied especially in oncology (e.g.…”

Section: Introductionmentioning

confidence: 99%

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Healthcare professionals’ perceptions of advance care planning in palliative care unit: a qualitative descriptive study

Kuusisto

Santavirta

Saranto

et al. 2020

Journal of Clinical Nursing

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Aims and objectives To describe healthcare professionals’ perceptions of advance care planning (ACP) in palliative care unit in hospital ward or outpatient clinic. Background Clinical guidelines recommend timely ACP as a central component of patient‐centred palliative care. However, the ACP concept and terminology have been judged to be confusing, and practices are not established. Professionals’ views are needed for ACP adoption and usage. Design Qualitative descriptive design. Methods The study used purposive sampling. The data were collected through focus group interviews with registered nurses and practical nurses and individual or couple interviews with physicians and social workers. The data (n = 33) were analysed by inductive content analysis. The study complied with the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist. Results Three main categories emerged: Information content of ACP, coordination of care activities through ACP, and support for patients’ and family members’ coping. The information content of ACP included assessment of need for patient care, preparing for changes in patient's state of health and proactive medication. Coordination of care activities through ACP contained ACP care planning, cooperation and work practices between healthcare professionals. Support for patients’ and family members’ coping included communication between patient, family members and professionals and promoting patient self‐care. Conclusions ACP is a useful and proactive tool for integrating patient‐centred information, care and services as well as support for patients’ and family members’ coping. Palliative care activities can be coordinated through ACP in a multidisciplinary manner. ACP is significant and relevant for both professionals’ work and patient care throughout the service system. Relevance to clinical practice Results highlight the importance of proactive, concrete and holistic ACP. ACP should be up to date to reflect patient's current wishes. Raising professional awareness and implementing ACP into work processes are essential. Results can be utilised in planning and implementing interprofessional in‐service training.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Healthcare professionals’ perceptions of advance care planning in palliative care unit: a qualitative descriptive study

Kuusisto

Santavirta

Saranto

et al. 2020

Journal of Clinical Nursing

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“…Suffering depends on very individual factors and therefore it is impossible to provide high-quality palliative care without effective communication with patients, families, and caregivers regarding their needs. In decision-making in this stage of life, communication may act as a facilitator or as an obstacle [ 4 , 5 ]. Formal conversations about advanced care directives (ACD) are increasingly used in high-income settings and seem to improve the quality of life and quality of dying by prioritizing goals and reducing unnecessary treatments [ 6 – 8 ].…”

Section: Introductionmentioning

confidence: 99%

Knowledge of end-of-life wishes by physicians and family caregivers in cancer patients

et al. 2021

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Objectives To describe communication regarding cancer patient’s end-of-life (EoL) wishes by physicians and family caregivers. Methods An online questionnaire and telephone-based surveys were performed with physicians and family caregivers respectively in three teaching hospitals in Colombia which had been involved in the EoL care of cancer patients. Results For 138 deceased patients we obtained responses from physicians and family caregivers. In 32 % physicians reported they spoke to the caregiver and in 17 % with the patient regarding EoL decisions. In most cases lacking a conversation, physicians indicated the treatment option was “clearly the best for the patient” or that it was “not necessary to discuss treatment with the patient”. Twenty-six percent of the caregivers indicated that someone from the medical team spoke with the patient about treatment, and in 67% who had a conversation, caregivers felt that the provided information was unclear or incomplete. Physicians and family caregivers were aware if the patient had any advance care directive in 6% and 26% of cases, respectively, with low absolute agreement (34%). Conclusions There is a lack of open conversation regarding EoL in patients with advanced cancer with their physicians and family caregivers in Colombia. Communication strategies are urgently needed.

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Perceptions and experiences of onco-haematology professionals in relation to advance care planning: a qualitative study

Lasmarías,

Aradilla-Herrero,

Silva Fontana Rosa

et al. 2024

Support Care Cancer

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The perception of Israeli oncology staff members regarding advance care planning

Cited by 7 publications

References 27 publications

Healthcare professionals’ perceptions of advance care planning in palliative care unit: a qualitative descriptive study

Healthcare professionals’ perceptions of advance care planning in palliative care unit: a qualitative descriptive study

Knowledge of end-of-life wishes by physicians and family caregivers in cancer patients

Perceptions and experiences of onco-haematology professionals in relation to advance care planning: a qualitative study

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