ArticleSAGE open nursing
Advance Care Planning for Intensive Care Patients During the Perioperative Period: A Qualitative Study.
Article in SAGE open nursing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- Shared decision making and advance care planning: a systematic literature review and novel decision-making model.BMC medical ethics · 2023Pooled it
- Patient Perspectives on Repeat Intubation Following Mechanical Ventilation: A Pilot Retrospective Survey Study.Cureus · 2026Article
- How prognostic information influences care planning in adult intensive care units: protocol for a realist review.BMJ open · 2026Article
- Patient, family, and healthcare provider experiences in advance care planning: a qualitative study.BMC palliative care · 2026Article
- Feasibility of a Patient Decision Aid for Advance Care Planning Among Adults With a History of Intensive Care Admission: A Pilot Randomized Trial.Journal of patient experience · 2026Article
- Families' Experiences of Surrogate Decision-Making and Challenges of Shared Decision-Making: A Cross-Sectional Study.Cureus · 2025Article
- Medical Professionals' Treatment Decisions for Critical Patients With Ambiguous Treatment Wishes: A Cross-Sectional Study.Health science reports · 2025Article
- Impact of Advance Care Planning Support on Patients Treated in the Intensive Care Unit After High-Risk Surgery.Cureus · 2024Article
- Implementation of advance care planning decision aids for patients undergoing high-risk surgery: a field-testing study.BMC palliative care · 2022Article
- Healthcare providers' perception of advance care planning for patients with critical illnesses in acute-care hospitals: a cross-sectional study.BMC palliative care · 2022Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionPatients in intensive care units (ICUs) may transition into an end-of-life phase during treatment. Advance care planning (ACP) for this population has not been studied comprehensively, and support for its implementation is insufficient.
objectiveThis study aims to clarify the ACP support needs among critical perioperative patients.
methodsIn this qualitative descriptive study, semistructured interviews were conducted with patients previously admitted to the ICU. The survey was conducted from September to November 2019. Participants comprised 13 individuals, who were admitted to the ICU for a period of 3 months to 2 years after surgery.
resultsThe average age of the participants was 63.8 years. The average mechanical ventilation duration following surgery was 24.5 h. The interviews focused on the ACP needs from the preoperative period to discharge. About 90% of the patients thought about the possibility of death before surgery and considered giving advance orders (e.g., "I don't want life-sustaining treatment"). The participants discussed inheritance, work-related matters, and household issues with their families but rarely spoke about treatment and care. Although they examined the content of the advance directives, the medical staff was not informed about them. Patients revealed that they wanted to understand the distinction between life-prolonging and life-saving treatments and discuss it with the medical staff, apart from being educated on ACP. Many patients previously admitted to the ICU are unclear about the difference between life-prolonging and life-saving treatments; this is also true for medical staff.
conclusionPatients who had been admitted to the ICU after high-risk surgery thought they needed help with ACP before surgery. Therefore, patients have the right to know about treatment risks; however, medical staff believes that this is difficult to communicate. Thus, medical staff should consider ways to communicate clearly with patients, including discussing the risks associated with surgery.
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