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- Title
Advance care Planning in Heart Failure: A Narrative synthesis of the Perspectives of Patients, Family Members, and Healthcare Providers.
- Authors
Killackey, Tieghan; Peter, Elizabeth; MacIver, Jane; Mohammed, Shan
- Abstract
Context: Advance care planning (ACP) is a process whereby people articulate personal values and goals and identify a substitute decision-maker to guide future medical treatment or end-oflife care. As rates of heart failure (HF) continue to rise, guidelines recommend ACP be initiated early in the disease trajectory. However, the majority of HF patients do not participate in ACP. Objective: To provide an examination of current ACP literature for nurses working with the HF population and synthesize perspectives of patients, family members, and healthcare providers. Methods: Seven databases were searched. Eligible studies explored ACP or end-of-life (EOL) decision-making for patients with HF. Results: 1,134 articles were identified; 43 articles were included in the final review. Key themes related to ACP in HF included uncertainty, timing, discomfort, relationships, and responsibilities. Conclusion: Most ACP research is exploratory or interventional; future research should examine the social and relational nature of this complex process.
- Subjects
ATTITUDE (Psychology); CINAHL database; DECISION making; DEFIBRILLATORS; HEART failure; HUMAN comfort; PSYCHOLOGY information storage & retrieval systems; INTERPERSONAL relations; MEDICAL personnel; MEDLINE; RESPONSIBILITY; TERMINAL care; TIME; UNCERTAINTY; SYSTEMATIC reviews; ADVANCE directives (Medical care); HEALTH literacy; HEART assist devices; PATIENTS' attitudes; FAMILY attitudes
- Publication
Canadian Journal of Cardiovascular Nursing, 2019, Vol 29, Issue 3, p16
- ISSN
0843-6096
- Publication type
Academic Journal