Facilitators and barriers to advance care planning implementation in Australian aged care settings : A systematic review and thematic analysis

Journal article

Batchelor, Frances, Hwang, Kerry, Haralambous, Betty, Fearn, Marcia, Mackell, Paulene, Nolte, Linda and Detering, Karen. (2019). Facilitators and barriers to advance care planning implementation in Australian aged care settings : A systematic review and thematic analysis. Australasian Journal on Ageing. 38(3), pp. 173-181. https://doi.org/10.1111/ajag.12639
AuthorsBatchelor, Frances, Hwang, Kerry, Haralambous, Betty, Fearn, Marcia, Mackell, Paulene, Nolte, Linda and Detering, Karen
Abstract

Objectives
There are many studies investigating implementation of advance care planning (ACP) in aged care around the world, but few studies have investigated Australian settings. The objective of this study was to determine facilitators and barriers to implementation of ACP in Australian residential and community aged care.

Methods
Evidence from Australian studies published between 2007 and September 2017 of ACP in residential and community aged care was sourced from electronic databases using predetermined search strategies. Data were extracted and synthesised using thematic analysis, and summarised according to themes.

Results
Nine studies described facilitators and barriers of ACP implementation. Six themes were identified: “Education and Knowledge,” “Skills and Training,” “Procedures and Resources,” “Perceptions and Culture,” “Legislation” and “Systems.”

Conclusions
A whole of systems approach is necessary to facilitate uptake of ACP in residential aged care settings. More research is needed to understand facilitators and barriers to ACP in community aged care.

Keywordsadvance care planning; aging; Australia; nursing homes; review
Year2019
JournalAustralasian Journal on Ageing
Journal citation38 (3), pp. 173-181
PublisherBlackwell Publishing
ISSN1440-6381
Digital Object Identifier (DOI)https://doi.org/10.1111/ajag.12639
Scopus EID2-s2.0-85062998627
Research or scholarlyResearch
Page range173-181
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online14 Mar 2019
Publication process dates
Accepted17 Feb 2019
Deposited11 Jul 2021
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