IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v28y2019i23-24p4276-4297.html
   My bibliography  Save this article

Barriers to advance care planning with patients as perceived by nurses and other healthcare professionals: A systematic review

Author

Listed:
  • Douglas H. Blackwood
  • David Walker
  • Monty G. Mythen
  • Rachel M. Taylor
  • Cecilia Vindrola‐Padros

Abstract

Introduction Advance care planning is a means for patients to communicate their wishes, fears and desires for future health decisions should they lose the ability to consider or communicate these. Despite being supported by governments and healthcare leaders, uptake amongst the general population remains low. Nurses play a crucial role in promoting and engaging with these discussions given their close relationship with patients and families in a range of clinical settings. Aim To describe the barriers that nurses and healthcare professionals believe prevent them from exploring advance care planning with their patients. Method We carried out a systematic review of peer‐reviewed journal articles from the databases MEDLINE, Embase, CINAHL Plus, Web of Science and ProQuest Central, guided by the PRISMA checklist. Results Eleven articles were identified: all were self‐reporting surveys using a mix of open and closed questions. They originated in the USA, Canada, Australia and Ireland. The participants included various healthcare professionals, with the majority of studies focussing on nurses. The two most important barriers to advance care planning are lack of education and insufficient time. Advance care planning appears to be well supported, and nurses and healthcare professionals report themselves to be comfortable and confident to take on the responsibility. Conclusion There is a need for greater education and training for nurses and healthcare professionals. In particular, there needs to be better understanding of professional and legal responsibilities. The need for sufficient time to be made available to allow these conversations, in often busy settings, will need institutional and financial support. Relevance to clinical practice Increased training and knowledge are likely to lead to more positive attitudes and greater confidence for nurses, and other healthcare professionals, which should help support and encourage patient engagement with advance care planning.

Suggested Citation

  • Douglas H. Blackwood & David Walker & Monty G. Mythen & Rachel M. Taylor & Cecilia Vindrola‐Padros, 2019. "Barriers to advance care planning with patients as perceived by nurses and other healthcare professionals: A systematic review," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(23-24), pages 4276-4297, December.
    • Handle: RePEc:wly:jocnur:v:28:y:2019:i:23-24:p:4276-4297
    DOI: 10.1111/jocn.15049
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/jocn.15049
    Download Restriction: no
    File URL: https://libkey.io/10.1111/jocn.15049?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Esther‐Ruth Beck & Sonja McIlfatrick & Felicity Hasson & Gerry Leavey, 2017. "Nursing home manager's knowledge, attitudes and beliefs about advance care planning for people with dementia in long‐term care settings: a cross‐sectional survey," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(17-18), pages 2633-2645, September.
    2. Li‐Shan Ke & Xiaoyan Huang & Margaret O'Connor & Susan Lee, 2015. "Nurses' views regarding implementing advance care planning for older people: a systematic review and synthesis of qualitative studies," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(15-16), pages 2057-2073, August.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Anne Kuusisto & Jenni Santavirta & Kaija Saranto & Elina Haavisto, 2021. "Healthcare professionals’ perceptions of advance care planning in palliative care unit: a qualitative descriptive study," Journal of Clinical Nursing, John Wiley & Sons, vol. 30(5-6), pages 633-644, March.
    2. Suet Ying Ng & Eliza Lai-Yi Wong, 2021. "The Role Complexities in Advance Care Planning for End-of-Life Care—Nursing Students’ Perception of the Nursing Profession," IJERPH, MDPI, vol. 18(12), pages 1-13, June.
    3. Hsueh-Hsing Pan & Li-Fen Wu & Li-Fang Chang & Yu-Chun Hung & Chin Lin & Ching-Liang Ho, 2021. "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," IJERPH, MDPI, vol. 18(3), pages 1-12, January.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Mohammad Rababa & Ammar M. Hammouri & Issa M. Hweidi & Julie L. Ellis, 2020. "Association of nurses' level of knowledge and attitudes to ageism toward older adults: Cross‐sectional study," Nursing & Health Sciences, John Wiley & Sons, vol. 22(3), pages 593-601, September.
    2. I-Hui Chen & Shu-Fen Kuo & Yen-Kuang Lin & Tsai-Wei Huang, 2022. "Knowledge of and Barriers to Palliative Care Perceived by Healthcare Providers before and after Promotion of the Patient Autonomy Act: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(7), pages 1-13, March.
    3. Anne Kuusisto & Jenni Santavirta & Kaija Saranto & Elina Haavisto, 2021. "Healthcare professionals’ perceptions of advance care planning in palliative care unit: a qualitative descriptive study," Journal of Clinical Nursing, John Wiley & Sons, vol. 30(5-6), pages 633-644, March.
    4. Rebecca Carabez & Megan Scott, 2016. "‘Nurses don't deal with these issues’: nurses’ role in advance care planning for lesbian, gay, bisexual and transgender patients," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(23-24), pages 3707-3715, December.
    5. Julie Aultman & Kristin R Baughman & Ruth Ludwick, 2018. "A broader understanding of care managers’ attitudes of advance care planning: A concurrent nested design," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(19-20), pages 3572-3582, October.
    6. Suet Ying Ng & Eliza Lai-Yi Wong, 2021. "The Role Complexities in Advance Care Planning for End-of-Life Care—Nursing Students’ Perception of the Nursing Profession," IJERPH, MDPI, vol. 18(12), pages 1-13, June.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:28:y:2019:i:23-24:p:4276-4297. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.