Barriers to Advance Care Planning Implementation in Health care: An Umbrella Review with Implications for Evidence‐Based Practice.
Background: Advance care planning (ACP) refers to a process of discussions between professionals, patients, and their families, which allows the patient to define and communicate their care and treatment preferences. Understanding the barriers to advance care planning is the first step on the way to...
| Publicado en: | Worldviews on Evidence-Based Nursing (John Wiley & Sons, Inc.) Vol. 18; no. 5; pp. 254 - 264 |
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| Autores principales: | , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
John Wiley & Sons, Inc.
Oct2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=152706869&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 152706869 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17416787 NRNX jtl: Worldviews on Evidence-Based Nursing (John Wiley & Sons, Inc.) issn: 17416787 maglogo: N pubinfo: dt: Oct2021 vid: 18 iid: 5 pid: 52269 pub: John Wiley & Sons, Inc. artinfo: ui: 152706869 152706869 152706869 10.1111/wvn.12530 152706869 ppf: 254 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Barriers to Advance Care Planning Implementation in Health care: An Umbrella Review with Implications for Evidence‐Based Practice. aug: au: Poveda‐Moral, Silvia Falcó‐Pegueroles, Anna Ballesteros‐Silva, Mónica Patricia Bosch‐Alcaraz, Alejandro affil: Escola Universitària d'Infermeria i Teràpia Ocupacional de Terrassa, School of Nursing, Faculty of Medicine and Health Sciences, Universitat Autònoma de Barcelona, University of Barcelona, Barcelona, Spain sug: subj: Advance Care Planning Attitude of Health Personnel Evaluation Patient Attitudes Evaluation Family Attitudes Evaluation Implementation Science Professional Practice, Evidence-Based Human Systematic Review CINAHL Database Cochrane Library Embase Medline Checklists Data Analysis Software Descriptive Statistics Patient Centered Care Nursing Role ab: Background: Advance care planning (ACP) refers to a process of discussions between professionals, patients, and their families, which allows the patient to define and communicate their care and treatment preferences. Understanding the barriers to advance care planning is the first step on the way to overcoming them and to improving person‐centred care and attention. Aims: To identify the barriers perceived by professionals, patients, and family members when implementing ACP in a clinical context and to analyse the methodological quality of the evidence. Methods: An umbrella review guided by the Joanna Briggs Institute and a systematic review in accordance with PRISMA 2015 were utilized. Data were obtained from MEDLINE, Cochrane Library, The Joanna Briggs Institute, CINAHL, Scopus, and EMBASE in November 2018. Results: Fourteen systematic reviews were included. The main barriers reported by professionals were lack of knowledge and skills to carry out ACP, a certain fear of starting conversations about ACP, and a lack of time for discussions. Patients and family members considered that the main barriers were fear of discussing their relative's end of life, lack of ability to carry out ACP, and not knowing who was responsible for initiating conversations about ACP. Linking Evidence to Action: This review has examined the barriers presented by health professionals, patients, and family members, so that future lines of research can develop preventive or decisive measures that encourage the implementation of ACP in health care. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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