Advance care planning in a community setting

Nurs Stand. 2015 Feb 10;29(23):43-51. doi: 10.7748/ns.29.23.43.e8467.

Abstract

Aim: To evaluate the effects of implementing an advance care planning process within pilot sites in North Ayrshire in 2010, focusing on people with palliative care needs.

Method: Data were collected from participants in advance care planning training using a questionnaire. Semi-structured interviews were conducted and an audit of documentation was undertaken.

Results: Thirty nine questionnaires were returned, a response rate of 16%. Twenty four out of 25 (96%) participants rated the training as having improved their understanding of the advance care planning process. The general consensus in interviews was that advance care planning is a worthwhile process. Participants reported patients achieving their preferred place of end of life care and greater consultation regarding hospitalisation.

Conclusion: Within the pilot sites, advance care planning training enhanced the ability of professionals to implement the advance care planning process and record the wishes of patients and residents.

Keywords: Advance care planning; documentation; palliative care; training.

MeSH terms

  • Advance Care Planning*
  • Documentation
  • Humans
  • Palliative Care
  • Pilot Projects
  • Surveys and Questionnaires*
  • United Kingdom