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Facilitators and barriers to advance care planning implementation in Australian aged care settings : A systematic review and thematic analysis
Batchelor, Frances Hwang, Kerry Haralambous, Betty Fearn, Marcia Mackell, Paulene Nolte, Linda Detering, Karen
Batchelor, Frances
Hwang, Kerry
Haralambous, Betty
Fearn, Marcia
Mackell, Paulene
Nolte, Linda
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.
Keywords
advance care planning, aging, Australia, nursing homes, review
Date
2019
Type
Journal article
Journal
Australasian Journal on Ageing
Book
Volume
38
Issue
3
Page Range
173-181
Article Number
ACU Department
Collections
Relation URI
Source URL
Event URL
Open Access Status
License
All rights reserved
File Access
Controlled