Factors which influence hospital doctors' Advance Care Plan adherence

Craig, Denise, Ray, Robin, Harvey, Desley, and Shircore, Mandy (2020) Factors which influence hospital doctors' Advance Care Plan adherence. Journal of Pain and Symptom Management, 59 (5). pp. 1109-1126.

[img] PDF (Published Version) - Published Version
Restricted to Repository staff only

View at Publisher Website: https://doi.org/10.1016/j.jpainsymman.20...
 
1


Abstract

Context. Advances in medicine have seen changes in mortality in Western countries. Simultaneously, countries such as Australia, Canada, U.S., New Zealand, U.K., and Germany have encouraged consumer-directed care and advance care plan(ACP) completion, giving patients a voice despite incapacity. Adhering to ACPs relies on the decision-making of treating doctors, making hospital doctors key partners, and their perspectives on ACP adherence critical.

Objectives. The aim of this review was to explore and map existing research on factors associated with hospital doctorsadhering to adult patients' ACPs.

Methods. A scoping review of English language publications within CINAHL, Emcare, Medline, PsycInfo, and Scopus wasconducted, following PRISMA Extension for Scoping Reviews (PRISMA-ScR) guidelines. ACPs were defined as adult patient-generated, written health care directions or values statements. Studies of any design, which reported original researchassociated with hospital doctors adhering to ACPs, were included.

Results. Twenty-seven publications were included in the final analysis. Results suggested ACPs were thought potentially useful; however, adherence has been associated with doctors' attributes (e.g., specialty, seniority), attitudes toward ACP (e.g.,applicability), and legal knowledge.

Conclusion. Current literature suggests doctors hold largely positive attitudes toward ACPs that provide useful patientinformation that enables doctors to make appropriate treatment decisions. Doctors often perceive limitations to ACP applicability due to legal requirements or ambiguity of patient outcome goals.

Item ID: 62947
Item Type: Article (Research - C1)
ISSN: 1873-6513
Keywords: Advance directive, consent, hospital doctors, living will, patient choice, scoping review
Copyright Information: (C) 2019 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.
Date Deposited: 22 Jul 2020 04:01
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1199 Other Medical and Health Sciences > 119999 Medical and Health Sciences not elsewhere classified @ 100%
SEO Codes: 92 HEALTH > 9202 Health and Support Services > 920211 Palliative Care @ 100%
Downloads: Total: 1
Last 12 Months: 1
More Statistics

Actions (Repository Staff Only)

Item Control Page Item Control Page