The effectiveness of a modified advance care planning programme
Background:Frailty is a natural consequence of the aging process. With the increasing aging population in Mainland China, the quality of life and end-of-life care for frail older people need to be taken into consideration. Advance Care Planning has also been used worldwide in long-term facilities, h...
| Auteurs: | ; ; ; ; ; ; ; ; |
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| Type de support: | Électronique Article |
| Langue: | Anglais |
| Vérifier la disponibilité: | HBZ Gateway |
| Journals Online & Print: | En cours de chargement...
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| Fernleihe: | Fernleihe für die Fachinformationsdienste |
| Publié: |
Sage
2020
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| Dans: |
Nursing ethics
Année: 2020, Volume: 27, Numéro: 7, Pages: 1569-1586 |
| Sujets non-standardisés: | B
Advance Care Planning
B nursing home B Quality of life B frail older people B end-of-life care |
| Accès en ligne: |
Volltext (lizenzpflichtig) |
| Résumé: | Background:Frailty is a natural consequence of the aging process. With the increasing aging population in Mainland China, the quality of life and end-of-life care for frail older people need to be taken into consideration. Advance Care Planning has also been used worldwide in long-term facilities, hospitals and communities to improve the quality of end-of-life care, increase patient and family satisfaction, and reduce healthcare costs and hospital admissions in Western countries. However, it has not been practiced in China.Research objective:This study aimed to evaluate the effectiveness of a modified Advance Care Planning intervention in certainty of end-of-life care, preferences for end-of-life care, quality of life concerns, and healthcare utilization among frail older people.Research design:This study used a quasi-experimental design, with a single-blind, control group, pretest and repeated posttest approach.Participants and research context:A convenience sample of 74 participates met the eligibility criteria in each nursing home. A total of 148 frail older people were recruited in two nursing homes in Zhejiang Province, China.Ethical considerations:The study received ethical approval from the Clinical Research Ethics Committee, the Faculty of Medicine, and The Chinese University of Hong Kong, CREC Ref. No: 2016.059.Findings:The results indicated the Advance Care Planning programme was effective at increasing autonomy in decision making on end-of-life care issues, decreasing decision-making conflicts over end-of-life care issues, and increasing their expression about end-of-life care.Discussion:This study promoted the participants’ autonomy and broke through the inherent custom of avoiding talking about death in China.Conclusion:The modified Advance Care Planning intervention is effective and recommended to support the frail older people in their end-of-life care decision in Chinese society. |
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| ISSN: | 1477-0989 |
| Contient: | Enthalten in: Nursing ethics
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| Persistent identifiers: | DOI: 10.1177/0969733020922893 |