Slam Bam, Thank you, Ma’am: The Challenges of Advance Care Planning Engagement in Long-Term Care

This interpretative, qualitative study explored residents’ and families’ perspectives on advance care planning (ACP) in long-term care (LTC). Perspectives on when, how, and with whom ACP discussions should be introduced and barriers and solutions to improving ACP engagement were examined. Fifty-one...

Full description

Saved in:
Bibliographic Details
Published in:Canadian journal on aging 2022-09, Vol.41 (3), p.443-450
Main Authors: Sussman, Tamara, Mintzberg, Susan, Sinai-Glazer, Hagit, Venturato, Lorraine, Strachan, Patricia H., Kaasalainen, Sharon
Format: Article
Language:English
Subjects:
Advance directives
Care plans
Data collection
Death & dying
End of life decisions
Families & family life
Focus groups
Long term health care
Nursing
Older people
Organizational structure
Sympathy
Verbal communication
Work organization
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:This interpretative, qualitative study explored residents’ and families’ perspectives on advance care planning (ACP) in long-term care (LTC). Perspectives on when, how, and with whom ACP discussions should be introduced and barriers and solutions to improving ACP engagement were examined. Fifty-one residents and families participated in seven focus groups. The findings revealed that residents and families prioritized caring connections over professional rank when reflecting on staff involvement in ACP. The findings further revealed that the caring and compassionate environment considered to be a critical pre-condition for ACP engagement was more typically enacted at end of life when ACP was no longer an option. Our findings suggest that work practices and organizational structures within LTC play an important role in inhibiting ACP engagement.
ISSN:0714-9808
1710-1107
DOI:10.1017/S0714980821000738