dc.contributor.author | Nortje, Nico | |
dc.contributor.author | Finly, Zachariah | |
dc.contributor.author | Reddy, Akhila | |
dc.date.accessioned | 2024-08-12T11:04:41Z | |
dc.date.available | 2024-08-12T11:04:41Z | |
dc.date.issued | 2023 | |
dc.identifier.citation | Nortje, N., Zachariah, F. and Reddy, A., 2023. Advance Care Planning conversations: What constitutes best practice and the way forward: ACP-Gespräche: Was Best Practice ausmacht und wie es weitergehen kann. Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen. | en_US |
dc.identifier.issn | 18659217 | |
dc.identifier.issn | 18659217 | |
dc.identifier.uri | http://hdl.handle.net/10566/9416 | |
dc.description.abstract | Background: Advance Care Planning (ACP) conversations are a cornerstone of modern health care and
need to be supported. However, research indicates that the uptake thereof is limited, regardless of various
campaigns. ACP conversations are complex and specific elements thereof should be discussed at various
timepoints during the illness trajectory.
Objective: This narrative review delineates what ACP conversation should entail, and a way forward.
Methods: A PEO (Population, Exposure, Outcome) search was performed using relevant keywords, and
615 articles were identified. Through screening and coding, this number was reduced to 24 articles. All
the authors were involved in the final selection of the articles.
Results: Various themes developed throughout the review which include timing early on in the disease
trajectory; incorporating beliefs and culturally relevant contexts; conversations needing to be iterative
and short; involving surrogates and family; applying various media formats.
Discussion: ACP conversations are relevant. ACP is not static and needs to be dynamic as patients’ illness
trajectories and goals change. The care team needs to guard themselves against having ACP conversations
to satisfy a metric and should instead be guided by the patient’s expressed values and wishes. A systemwide operational plan will help alleviate common barriers in having appropriate ACP conversations. | en_US |
dc.language.iso | en | en_US |
dc.publisher | Elsevier GmbH | en_US |
dc.relation.ispartofseries | http://dx.doi.org/10.1016/j.zefq.2023.05.008; | |
dc.subject | ACP conversations | en_US |
dc.subject | Cancer | en_US |
dc.subject | Improving goal concordant care initiative | en_US |
dc.title | Advance Care Planning conversations: What constitutes best practice and the way forward | en_US |
dc.type | Article | en_US |