ArticleJournal of research in nursing : JRN2019
Helping hospital professionals to implement Advance Care Planning in daily practice: a European Delphi study from field experts.
Article in Journal of research in nursing : JRN, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- "Hope is strong": a qualitative inquiry into serious illness conversations for patients living with structural vulnerabilities and substance use disorders.BMC palliative care · 2025Article
- Artificial intelligence-based approaches for advance care planning: a scoping review.BMC palliative care · 2025Article
- Translation, cross-cultural adaptation and evaluation of the Iranian Persian version of student survey on writing nursing care plan.Nursing open · 2023Article
- Article
- Barriers and facilitators that hospital clinicians perceive to discuss the personal values, wishes, and needs of patients in palliative care: a mixed-methods systematic review.Palliative care and social practice · 2023Review
- The development and feasibility study of Multidisciplinary Timely Undertaken Advance Care Planning conversations at the outpatient clinic: the MUTUAL intervention.BMC palliative care · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
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Abstract
backgroundAdvance Care Planning (ACP) communication is difficult to implement in hospital. Possibly this has to do with the fact that the concept is not well tuned to the needs of hospital professionals or that they experience implementation barriers in practice.
aimsThe aim of this study was to investigate what is valued in having ACP conversations by hospital professionals (physicians, nurses, psychologists and social workers) and what they experience as barriers and facilitating factors for having ACP conversations with patients.
methodsA Delphi study consisting of two rounds with respectively 21 and 19 multidisciplinary experts from seven European countries was organised. Data were analysed using content analysis and descriptive statistics.
resultsParticipants agreed that ACP is valued mostly because it is seen to improve transmural continuation of care, emotional processing of the loss of a patient, and serenity at the end of life. Reported barriers are patient characteristics blocking patient-centred communication and a lack of knowledge to have these conversations. An important facilitator is multidisciplinary cooperation.
conclusionsThere is consensus by experts from different settings and countries suggesting that these results can theoretically be applied to hospital settings in Europe. This study reveals that hospital professionals value ACP in hospital practice, but that they encounter several barriers to its implementation.
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