• Gomes SouzaLucasLDepartment of Social and Preventive Medicine (L.G.S., D.A.B.), Faculty of Medicine, Université Laval, Québec, Canada, and VITAM, Centre de recherche en santé durable, Centre intégré universitaire de santé et de services sociaux de la Capi, Dalil Asmaou Bouba, Roberta de Carvalho Corôa, Suélène Georgina Dofara, Vincent Robitaille, Virginie Blanchette, Kathy Kastner, Fréderic Bergeron, Sabrina Guay-Bélanger, Shigeko Seiko Izumi, Annette M Totten, Patrick Archambault, and France Légaré.
• Department of Social and Preventive Medicine (L.G.S., D.A.B.), Faculty of Medicine, Université Laval, Québec, Canada, and VITAM, Centre de recherche en santé durable, Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale, Québec, QC, Canada.
• J Pain Symptom Manage. 2024 Feb 1; 67 (2): 173187173-187.

ContextAdvance care planning (ACP) improves care for patients with chronic illnesses and reduces family stress. However, the impact of ACP interventions on healthcare professionals' well-being remains unknown.ObjectiveTo systematically review the literature evaluating the impact of ACP interventions on healthcare professionals' well-being.MethodsWe followed the Joanna Briggs Institute methodology for systematic reviews and registered the protocol in PROSPERO (CRD42022346354). We included primary studies in all languages that assessed the well-being of healthcare professionals in ACP interventions. We excluded any studies on ACP in psychiatric care and in palliative care that did not address goals of care. Searches were conducted on April 4, 2022, and March 6, 2023 in Embase, CINAHL, Web of Science, and PubMed. We used the Mixed Methods Appraisal Tool for quality analysis. We present results as a narrative synthesis because of their heterogeneity.ResultsWe included 21 articles published in English between 1997 and 2021 with 17 published after 2019. All were conducted in high-income countries, and they involved a total of 1278 participants. Three reported an interprofessional intervention and two included patient partners. Studies had significant methodological flaws but most reported that ACP had a possible positive impact on healthcare professionals' well-being.ConclusionThis review is the first to explore the impact of ACP interventions on healthcare professionals' well-being. ACP interventions appear to have a positive impact, but high-quality studies are scarce. Further research is needed, particularly using more rigorous and systematic methods to implement interventions and report results.Copyright © 2023 The Authors. Published by Elsevier Inc. All rights reserved.

14 keywords...

hide…