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
Permalink -

https://acuresearchbank.acu.edu.au/item/8w57x/facilitators-and-barriers-to-advance-care-planning-implementation-in-australian-aged-care-settings-a-systematic-review-and-thematic-analysis

Restricted files

Publisher's version

  • 30
    total views
  • 0
    total downloads
  • 1
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Befriending older adults in nursing homes : Volunteer perceptions of switching to remote befriending in the COVID-19 era
Fearn, Marcia, Harper, Robin, Major, Georgia, Bhar, Sunil, Bryant, Christina, Dow, Briony, Dunt, David, Mnatzaganian, George, O’Connor, Daniel, Ratcliffe, Julie, Samuel, Sarah, Bagnall, Anne Marie and Doyle, Colleen. (2021). Befriending older adults in nursing homes : Volunteer perceptions of switching to remote befriending in the COVID-19 era. Clinical Gerontologist. 44(4), pp. 430-438. https://doi.org/10.1080/07317115.2020.1868646
Improving health literacy about dementia among older Chinese and Vietnamese Australians
Haralambous, Betty, Mackell, Paulene, Lin, Xiaoping, Fearn, Marcia and Dow, Briony. (2018). Improving health literacy about dementia among older Chinese and Vietnamese Australians. Australian Health Review. 42(1), pp. 5 - 9. https://doi.org/10.1071/AH17056
The impact of telephone-delivered cognitive behaviour therapy and befriending on mood disorders in people with chronic obstructive pulmonary disease: A randomized controlled trial
Doyle, Colleen, Bhar, Sunil, Fearn, Marcia, Ames, David, Osborne, Debra, You, Emily, Gorelik, Alex and Dunt, David. (2017). The impact of telephone-delivered cognitive behaviour therapy and befriending on mood disorders in people with chronic obstructive pulmonary disease: A randomized controlled trial. British Journal of Health Psychology. 22(3), pp. 542 - 556. https://doi.org/10.1111/bjhp.12245
Befriending to relieve anxiety and depression associated with chronic obstructive pulmonary disease (COPD): A case report
Fearn, Marcia, Bhar, Sunil, Dunt, David, Ames, David, You, Emily and Doyle, Colleen. (2017). Befriending to relieve anxiety and depression associated with chronic obstructive pulmonary disease (COPD): A case report. Clinical Gerontologist. 40(3), pp. 207 - 212. https://doi.org/10.1080/07317115.2017.1292417
Raise the bar: A pilot evaluation of the effect of a residential aged care workforce development model on staff and residents
Williams, Jane, Stolp, Catherine, Roberts, Gail, Fearn, Marcia and Doyle, Colleen Joy. (2016). Raise the bar: A pilot evaluation of the effect of a residential aged care workforce development model on staff and residents. The Journal of Nursing Home Research. 2, pp. 50 - 56. https://doi.org/10.14283/jnhrs.2016.7
Study protocol for a randomized controlled trial of telephone-delivered cognitive behavior therapy compared with befriending for treating depression and anxiety in older adults with COPD
Doyle, Colleen, Dunt, David, Ames, David, Fearn, Marcia, You, Chuanmei and Bhar, Sunil. (2016). Study protocol for a randomized controlled trial of telephone-delivered cognitive behavior therapy compared with befriending for treating depression and anxiety in older adults with COPD. The International Journal of Chronic Obstructive Pulmonary Disease. 11, pp. 327 - 334. https://doi.org/10.2147/COPD.S100859
Development and initial testing of the person-centred health care for older adults survey
Dow, Briony, Fearn, Marcia, Haralambous, Betty, Tinney, Jean, Hill, Keith and Gibson, Stephen. (2013). Development and initial testing of the person-centred health care for older adults survey. International Psychogeriatrics. 25(7), pp. 1065 - 1076. https://doi.org/10.1017/S1041610213000471
Outcomes from the implementation of a facility-specific evidence-based falls prevention intervention program in residential aged care
Nitz, Jennifer, Cyarto, Elizabeth V., Andrews, Sharon, Fearn, Marcia, Fu, Stephanie, Haines, Terrence, Haralambous, Betty, Hill, Keith, Hunt, Susan, Lea, Emma, Moore, Kirsten J., Renehan, Emma and Robinson, Andrew. (2012). Outcomes from the implementation of a facility-specific evidence-based falls prevention intervention program in residential aged care. Geriatric Nursing. 33(1), pp. 41 - 50. https://doi.org/10.1016/j.gerinurse.2011.11.002
Evaluation of the Victorian Government heatwave framework
Taylor, Penny, Cruise, Gwen, Doyle, Colleen, Fearn, Marcia, Access Economics Pty Ldt, , National Ageing Research Institute, , Access Economics Pty Ldt and National Ageing Research Institute. (2011). Evaluation of the Victorian Government heatwave framework Australia: Access Economics Pty Ltd.