• J Nurs Manag · Jul 2020

    Implementing advance care planning: A qualitative exploration of nurses' perceived benefits and challenges.

    • Nur Nadhirah Binte Khairuddin, Siew Tiang Lau, Wei How Darryl Ang, Poh Hoon Tan, Zhong Wei Darren Goh, Neo Kim Emily Ang, and Ying Lau.
    • Department of Nursing, Khoo Teck Puat Hospital, Yishun Health Campus, National Healthcare Group, Singapore City, Singapore.
    • J Nurs Manag. 2020 Jul 1; 28 (5): 1080-1087.

    AimTo explore nurses' perspectives on implementing advance care planning (ACP) in an acute setting.BackgroundAdvance care planning can assist patients to achieve peace of mind and a sense of control in decision-making. Nurses are well-positioned to integrate ACP into practice.MethodsA descriptive, qualitative study using face-to-face semi-structured interviews was conducted among 16 nurses. A theoretical sampling strategy was used to inform data collection. Data were analysed using a thematic approach.ResultsThree major themes were found from nurses' narratives of implementing ACP: value of ACP, communicating ACP and barriers to advocating ACP.Implications For Nursing ManagementImplementing ACP will require a multi-pronged approach, which includes specific training and changes in hospital policies. Findings from this study will enable hospital administrators to make informed decisions in preparing training programmes for ACP from nurses' perspectives.ConclusionAdvance care planning provides a clear direction for health care professionals in meeting patients' desired outcomes. However, a lack of understanding and acceptance among the public, as well as systematic clinical routine supporting nurses' roles and responsibilities in ACP, was recognized.© 2020 John Wiley & Sons Ltd.

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