Implementing advance care planning in Swedish healthcare settings - a qualitative study of professionals' experiences

Advance care planning (ACP) is a process involving conversations about values and preferences regarding future care at the end-of-life. ACP has led to positive outcomes, both in relation to quality of life and with increased use of palliative care, less life-sustaining treatment and fewer hospital a...

Full description

Saved in:
Bibliographic Details
Published in:Scandinavian journal of primary health care 2023, Vol.41 (1), p.23-32
Main Authors: Beck, Simon, Lundblad, Lina, Göras, Camilla, Eneslätt, Malin
Format: Article
Language:English
Subjects:
Advance Care Planning
Advance directives
Attitude of Health Personnel
Care plans
Content analysis
End of life decisions
Health care
health plan implementation
Hospitalization
Humans
Implementation
implementation science
Life sustaining treatment
long-term care
Medical personnel
Nursing
Nursing Homes
Omvårdnad
Palliative care
Patient admissions
Patient-centered care
patient-centred care
Psychosocial factors
Quality of Life
Snowball sampling
Sustainability
Sweden
Talking
Uptake
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!
cited_by cdi_FETCH-LOGICAL-c711t-5e3be1a0be0c1746a0e9e2178db5be895d348cea7cbf7301e5f1cbaf166464c53
cites cdi_FETCH-LOGICAL-c711t-5e3be1a0be0c1746a0e9e2178db5be895d348cea7cbf7301e5f1cbaf166464c53
container_end_page 32
container_issue 1
container_start_page 23
container_title Scandinavian journal of primary health care
container_volume 41
creator Beck, Simon
Lundblad, Lina
Göras, Camilla
Eneslätt, Malin
description Advance care planning (ACP) is a process involving conversations about values and preferences regarding future care at the end-of-life. ACP has led to positive outcomes, both in relation to quality of life and with increased use of palliative care, less life-sustaining treatment and fewer hospital admissions. Sweden has yet to embrace the practice systematically, but scattered initiatives exist. To study implementation of a routine for ACP in NH settings in Sweden by exploring healthcare professionals' experiences of engaging in ACP following this implementation. The study followed a qualitative inductive design with convenience and snowball sampling. Semi-structured group and individual interviews with registered healthcare professionals were analysed using qualitative content analysis. Organisational support for sustainable ACP implementation was found to be essential. This included sufficient training, facilitation, collaboration and uniform work routines across providers and professionals. Engaging in ACP conversations following the implemented routine was found to be a process of preparing, being, talking, deciding and sharing. Successful implementation of ACP in NHs requires a carefully planned implementation strategy. ACP in NHs tend to be medically focused at the expense of residents' psychosocial care-planning needs. Widespread uptake of ACP in Sweden could be useful in the national effort to adopt more person-centred care in Swedish healthcare. KEY POINTS  While advance care planning has been implemented in many other countries, Sweden lacks a national strategy on advance care planning and Swedish healthcare settings have yet to systematically implement this practice.   * This study is the first to report on professionals' experiences of engaging in sustainable advance care planning, following top-down implementation of the practice in one Swedish region.   * Successful implementation of advance care planning in nursing homes requires a system-level approach, and shortcomings of the implementation process are highlighted.
doi_str_mv 10.1080/02813432.2022.2155456
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2754856898</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_3b2e71866cd649a7bc7e320498d60587</doaj_id><sourcerecordid>2942018880</sourcerecordid><originalsourceid>FETCH-LOGICAL-c711t-5e3be1a0be0c1746a0e9e2178db5be895d348cea7cbf7301e5f1cbaf166464c53</originalsourceid><addsrcrecordid>eNqNkluP0zAQRiMEYpeFnwCKxANIkMV2fH2C1XKrtBIPXF4tx5m0LmmctZOW_nuctruiSFxekmjmzOexcrLsMUbnGEn0ChGJS1qSc4JIemDGKON3slPMECmEIPRudjoxxQSdZA9iXCKEJVLl_eyk5AwroehpNs5WfQsr6AbXzXNTr01nIbcmQN63puumquvyzxuoXVzkCzDtsNi1IwzTTMyL3OTXo2ndYAa3To1hrLe5b_I--AZidL4zbXyWw48egoOUHx9m95pUg0eH91n29f27L5cfi6tPH2aXF1eFFRgPBYOyAmxQBchiQblBoIBgIeuKVSAVq0sqLRhhq0aUCANrsK1MgzmnnFpWnmWzfW7tzVL3wa1M2GpvnN4VfJhrEwZnW9BlRUBgybmtOVVGVFZASRBVsuaISZGyin1W3EA_Vkdph9L39AWaUoUQTfzLP_Jv3beL3entMGrFECr_D1-4uaZI8mmbF__G6zEtwylJ9Os9ndAV1Db97mDao6HjTucWeu7XGiMkpcIyJTw_JAR_PUIc9MpFC21yBPwYNRGMSsalmtCnv6FLP4bJAU0UJUlCKVGi2J6ywccYoLndBiM9Ga5vDNeT4fpgeJp78utVbqdulE7Amz3gusaHldn40NZ6MNvWhyYkvV3U5d_P-AlQlA2i</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2942018880</pqid></control><display><type>article</type><title>Implementing advance care planning in Swedish healthcare settings - a qualitative study of professionals' experiences</title><source>Applied Social Sciences Index &amp; Abstracts (ASSIA)</source><source>Taylor &amp; Francis Open Access</source><source>Publicly Available Content Database</source><source>PubMed Central</source><creator>Beck, Simon ; Lundblad, Lina ; Göras, Camilla ; Eneslätt, Malin</creator><creatorcontrib>Beck, Simon ; Lundblad, Lina ; Göras, Camilla ; Eneslätt, Malin</creatorcontrib><description>Advance care planning (ACP) is a process involving conversations about values and preferences regarding future care at the end-of-life. ACP has led to positive outcomes, both in relation to quality of life and with increased use of palliative care, less life-sustaining treatment and fewer hospital admissions. Sweden has yet to embrace the practice systematically, but scattered initiatives exist. To study implementation of a routine for ACP in NH settings in Sweden by exploring healthcare professionals' experiences of engaging in ACP following this implementation. The study followed a qualitative inductive design with convenience and snowball sampling. Semi-structured group and individual interviews with registered healthcare professionals were analysed using qualitative content analysis. Organisational support for sustainable ACP implementation was found to be essential. This included sufficient training, facilitation, collaboration and uniform work routines across providers and professionals. Engaging in ACP conversations following the implemented routine was found to be a process of preparing, being, talking, deciding and sharing. Successful implementation of ACP in NHs requires a carefully planned implementation strategy. ACP in NHs tend to be medically focused at the expense of residents' psychosocial care-planning needs. Widespread uptake of ACP in Sweden could be useful in the national effort to adopt more person-centred care in Swedish healthcare. KEY POINTS  While advance care planning has been implemented in many other countries, Sweden lacks a national strategy on advance care planning and Swedish healthcare settings have yet to systematically implement this practice.   * This study is the first to report on professionals' experiences of engaging in sustainable advance care planning, following top-down implementation of the practice in one Swedish region.   * Successful implementation of advance care planning in nursing homes requires a system-level approach, and shortcomings of the implementation process are highlighted.</description><identifier>ISSN: 0281-3432</identifier><identifier>ISSN: 1502-7724</identifier><identifier>EISSN: 1502-7724</identifier><identifier>DOI: 10.1080/02813432.2022.2155456</identifier><identifier>PMID: 36519794</identifier><language>eng</language><publisher>United States: Taylor &amp; Francis</publisher><subject>Advance Care Planning ; Advance directives ; Attitude of Health Personnel ; Care plans ; Content analysis ; End of life decisions ; Health care ; health plan implementation ; Hospitalization ; Humans ; Implementation ; implementation science ; Life sustaining treatment ; long-term care ; Medical personnel ; Nursing ; Nursing Homes ; Omvårdnad ; Palliative care ; Patient admissions ; Patient-centered care ; patient-centred care ; Psychosocial factors ; Quality of Life ; Snowball sampling ; Sustainability ; Sweden ; Talking ; Uptake</subject><ispartof>Scandinavian journal of primary health care, 2023, Vol.41 (1), p.23-32</ispartof><rights>2022 The Author(s). Published by Informa UK Limited, trading as Taylor &amp; Francis Group. 2022</rights><rights>2022 The Author(s). Published by Informa UK Limited, trading as Taylor &amp; Francis Group. This work is licensed under the Creative Commons Attribution License http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 The Author(s). Published by Informa UK Limited, trading as Taylor &amp; Francis Group. 2022 The Author(s)</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c711t-5e3be1a0be0c1746a0e9e2178db5be895d348cea7cbf7301e5f1cbaf166464c53</citedby><cites>FETCH-LOGICAL-c711t-5e3be1a0be0c1746a0e9e2178db5be895d348cea7cbf7301e5f1cbaf166464c53</cites><orcidid>0000-0002-0883-4072 ; 0000-0002-7029-7845 ; 0000-0002-0050-4853</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10088918/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2942018880?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,4010,12825,25731,27479,27900,27901,27902,30976,36989,36990,44566,53766,53768,59116,59117</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36519794$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:du-44642$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-40867$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:ltu:diva-95003$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:151458230$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Beck, Simon</creatorcontrib><creatorcontrib>Lundblad, Lina</creatorcontrib><creatorcontrib>Göras, Camilla</creatorcontrib><creatorcontrib>Eneslätt, Malin</creatorcontrib><title>Implementing advance care planning in Swedish healthcare settings - a qualitative study of professionals' experiences</title><title>Scandinavian journal of primary health care</title><addtitle>Scand J Prim Health Care</addtitle><description>Advance care planning (ACP) is a process involving conversations about values and preferences regarding future care at the end-of-life. ACP has led to positive outcomes, both in relation to quality of life and with increased use of palliative care, less life-sustaining treatment and fewer hospital admissions. Sweden has yet to embrace the practice systematically, but scattered initiatives exist. To study implementation of a routine for ACP in NH settings in Sweden by exploring healthcare professionals' experiences of engaging in ACP following this implementation. The study followed a qualitative inductive design with convenience and snowball sampling. Semi-structured group and individual interviews with registered healthcare professionals were analysed using qualitative content analysis. Organisational support for sustainable ACP implementation was found to be essential. This included sufficient training, facilitation, collaboration and uniform work routines across providers and professionals. Engaging in ACP conversations following the implemented routine was found to be a process of preparing, being, talking, deciding and sharing. Successful implementation of ACP in NHs requires a carefully planned implementation strategy. ACP in NHs tend to be medically focused at the expense of residents' psychosocial care-planning needs. Widespread uptake of ACP in Sweden could be useful in the national effort to adopt more person-centred care in Swedish healthcare. KEY POINTS  While advance care planning has been implemented in many other countries, Sweden lacks a national strategy on advance care planning and Swedish healthcare settings have yet to systematically implement this practice.   * This study is the first to report on professionals' experiences of engaging in sustainable advance care planning, following top-down implementation of the practice in one Swedish region.   * Successful implementation of advance care planning in nursing homes requires a system-level approach, and shortcomings of the implementation process are highlighted.</description><subject>Advance Care Planning</subject><subject>Advance directives</subject><subject>Attitude of Health Personnel</subject><subject>Care plans</subject><subject>Content analysis</subject><subject>End of life decisions</subject><subject>Health care</subject><subject>health plan implementation</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Implementation</subject><subject>implementation science</subject><subject>Life sustaining treatment</subject><subject>long-term care</subject><subject>Medical personnel</subject><subject>Nursing</subject><subject>Nursing Homes</subject><subject>Omvårdnad</subject><subject>Palliative care</subject><subject>Patient admissions</subject><subject>Patient-centered care</subject><subject>patient-centred care</subject><subject>Psychosocial factors</subject><subject>Quality of Life</subject><subject>Snowball sampling</subject><subject>Sustainability</subject><subject>Sweden</subject><subject>Talking</subject><subject>Uptake</subject><issn>0281-3432</issn><issn>1502-7724</issn><issn>1502-7724</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>0YH</sourceid><sourceid>7QJ</sourceid><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNqNkluP0zAQRiMEYpeFnwCKxANIkMV2fH2C1XKrtBIPXF4tx5m0LmmctZOW_nuctruiSFxekmjmzOexcrLsMUbnGEn0ChGJS1qSc4JIemDGKON3slPMECmEIPRudjoxxQSdZA9iXCKEJVLl_eyk5AwroehpNs5WfQsr6AbXzXNTr01nIbcmQN63puumquvyzxuoXVzkCzDtsNi1IwzTTMyL3OTXo2ndYAa3To1hrLe5b_I--AZidL4zbXyWw48egoOUHx9m95pUg0eH91n29f27L5cfi6tPH2aXF1eFFRgPBYOyAmxQBchiQblBoIBgIeuKVSAVq0sqLRhhq0aUCANrsK1MgzmnnFpWnmWzfW7tzVL3wa1M2GpvnN4VfJhrEwZnW9BlRUBgybmtOVVGVFZASRBVsuaISZGyin1W3EA_Vkdph9L39AWaUoUQTfzLP_Jv3beL3entMGrFECr_D1-4uaZI8mmbF__G6zEtwylJ9Os9ndAV1Db97mDao6HjTucWeu7XGiMkpcIyJTw_JAR_PUIc9MpFC21yBPwYNRGMSsalmtCnv6FLP4bJAU0UJUlCKVGi2J6ywccYoLndBiM9Ga5vDNeT4fpgeJp78utVbqdulE7Amz3gusaHldn40NZ6MNvWhyYkvV3U5d_P-AlQlA2i</recordid><startdate>2023</startdate><enddate>2023</enddate><creator>Beck, Simon</creator><creator>Lundblad, Lina</creator><creator>Göras, Camilla</creator><creator>Eneslätt, Malin</creator><general>Taylor &amp; Francis</general><general>Taylor &amp; Francis LLC</general><general>Taylor &amp; Francis Group</general><scope>0YH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QJ</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>7X8</scope><scope>5PM</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D8T</scope><scope>ZZAVC</scope><scope>ALQMA</scope><scope>D8W</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-0883-4072</orcidid><orcidid>https://orcid.org/0000-0002-7029-7845</orcidid><orcidid>https://orcid.org/0000-0002-0050-4853</orcidid></search><sort><creationdate>2023</creationdate><title>Implementing advance care planning in Swedish healthcare settings - a qualitative study of professionals' experiences</title><author>Beck, Simon ; Lundblad, Lina ; Göras, Camilla ; Eneslätt, Malin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c711t-5e3be1a0be0c1746a0e9e2178db5be895d348cea7cbf7301e5f1cbaf166464c53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Advance Care Planning</topic><topic>Advance directives</topic><topic>Attitude of Health Personnel</topic><topic>Care plans</topic><topic>Content analysis</topic><topic>End of life decisions</topic><topic>Health care</topic><topic>health plan implementation</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Implementation</topic><topic>implementation science</topic><topic>Life sustaining treatment</topic><topic>long-term care</topic><topic>Medical personnel</topic><topic>Nursing</topic><topic>Nursing Homes</topic><topic>Omvårdnad</topic><topic>Palliative care</topic><topic>Patient admissions</topic><topic>Patient-centered care</topic><topic>patient-centred care</topic><topic>Psychosocial factors</topic><topic>Quality of Life</topic><topic>Snowball sampling</topic><topic>Sustainability</topic><topic>Sweden</topic><topic>Talking</topic><topic>Uptake</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Beck, Simon</creatorcontrib><creatorcontrib>Lundblad, Lina</creatorcontrib><creatorcontrib>Göras, Camilla</creatorcontrib><creatorcontrib>Eneslätt, Malin</creatorcontrib><collection>Taylor &amp; Francis Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Freely available online</collection><collection>SwePub Articles full text</collection><collection>SWEPUB Högskolan i Gävle full text</collection><collection>SWEPUB Högskolan i Gävle</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Scandinavian journal of primary health care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Beck, Simon</au><au>Lundblad, Lina</au><au>Göras, Camilla</au><au>Eneslätt, Malin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Implementing advance care planning in Swedish healthcare settings - a qualitative study of professionals' experiences</atitle><jtitle>Scandinavian journal of primary health care</jtitle><addtitle>Scand J Prim Health Care</addtitle><date>2023</date><risdate>2023</risdate><volume>41</volume><issue>1</issue><spage>23</spage><epage>32</epage><pages>23-32</pages><issn>0281-3432</issn><issn>1502-7724</issn><eissn>1502-7724</eissn><abstract>Advance care planning (ACP) is a process involving conversations about values and preferences regarding future care at the end-of-life. ACP has led to positive outcomes, both in relation to quality of life and with increased use of palliative care, less life-sustaining treatment and fewer hospital admissions. Sweden has yet to embrace the practice systematically, but scattered initiatives exist. To study implementation of a routine for ACP in NH settings in Sweden by exploring healthcare professionals' experiences of engaging in ACP following this implementation. The study followed a qualitative inductive design with convenience and snowball sampling. Semi-structured group and individual interviews with registered healthcare professionals were analysed using qualitative content analysis. Organisational support for sustainable ACP implementation was found to be essential. This included sufficient training, facilitation, collaboration and uniform work routines across providers and professionals. Engaging in ACP conversations following the implemented routine was found to be a process of preparing, being, talking, deciding and sharing. Successful implementation of ACP in NHs requires a carefully planned implementation strategy. ACP in NHs tend to be medically focused at the expense of residents' psychosocial care-planning needs. Widespread uptake of ACP in Sweden could be useful in the national effort to adopt more person-centred care in Swedish healthcare. KEY POINTS  While advance care planning has been implemented in many other countries, Sweden lacks a national strategy on advance care planning and Swedish healthcare settings have yet to systematically implement this practice.   * This study is the first to report on professionals' experiences of engaging in sustainable advance care planning, following top-down implementation of the practice in one Swedish region.   * Successful implementation of advance care planning in nursing homes requires a system-level approach, and shortcomings of the implementation process are highlighted.</abstract><cop>United States</cop><pub>Taylor &amp; Francis</pub><pmid>36519794</pmid><doi>10.1080/02813432.2022.2155456</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-0883-4072</orcidid><orcidid>https://orcid.org/0000-0002-7029-7845</orcidid><orcidid>https://orcid.org/0000-0002-0050-4853</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0281-3432
ispartof Scandinavian journal of primary health care, 2023, Vol.41 (1), p.23-32
issn 0281-3432
1502-7724
1502-7724
language eng
recordid cdi_proquest_miscellaneous_2754856898
source Applied Social Sciences Index & Abstracts (ASSIA); Taylor & Francis Open Access; Publicly Available Content Database; PubMed Central
subjects Advance Care Planning
Advance directives
Attitude of Health Personnel
Care plans
Content analysis
End of life decisions
Health care
health plan implementation
Hospitalization
Humans
Implementation
implementation science
Life sustaining treatment
long-term care
Medical personnel
Nursing
Nursing Homes
Omvårdnad
Palliative care
Patient admissions
Patient-centered care
patient-centred care
Psychosocial factors
Quality of Life
Snowball sampling
Sustainability
Sweden
Talking
Uptake
title Implementing advance care planning in Swedish healthcare settings - a qualitative study of professionals' experiences
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-06T20%3A10%3A14IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Implementing%20advance%20care%20planning%20in%20Swedish%20healthcare%20settings%20-%20a%20qualitative%20study%20of%20professionals'%20experiences&rft.jtitle=Scandinavian%20journal%20of%20primary%20health%20care&rft.au=Beck,%20Simon&rft.date=2023&rft.volume=41&rft.issue=1&rft.spage=23&rft.epage=32&rft.pages=23-32&rft.issn=0281-3432&rft.eissn=1502-7724&rft_id=info:doi/10.1080/02813432.2022.2155456&rft_dat=%3Cproquest_cross%3E2942018880%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c711t-5e3be1a0be0c1746a0e9e2178db5be895d348cea7cbf7301e5f1cbaf166464c53%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2942018880&rft_id=info:pmid/36519794&rfr_iscdi=true