Evidence map›Paper›PMID 40146422›Full record

ArticleIrish journal of medical science2025

Attitudes and knowledge relating to advance healthcare directives among psychiatry staff in Ireland.

Maria Redahan, Catherine Rock, Michal Grudzien, Brendan D Kelly

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Article in Irish journal of medical science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

4 authors.

Maria RedahanDepartment of Psychiatry, Trinity College Dublin, Trinity Centre for Health Sciences, Tallaght University Hospital, Dublin 24, Tallaght, D24 NR0A, Ireland.
Catherine RockDepartment of Psychiatry, Trinity College Dublin, Trinity Centre for Health Sciences, Tallaght University Hospital, Dublin 24, Tallaght, D24 NR0A, Ireland.
Michal GrudzienDepartment of Psychiatry, Trinity College Dublin, Trinity Centre for Health Sciences, Tallaght University Hospital, Dublin 24, Tallaght, D24 NR0A, Ireland.
Brendan D KellyDepartment of Psychiatry, Trinity College Dublin, Trinity Centre for Health Sciences, Tallaght University Hospital, Dublin 24, Tallaght, D24 NR0A, Ireland. brendan.kelly@tcd.ie.ORCID http://orcid.org/0000-0002-6113-1384

Funding

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6 · The paper itself

Abstract

backgroundAdvance healthcare directives are the subject of increased interest in psychiatry. A new legislative framework for advance healthcare directives came into effect in Ireland in 2023 in the Assisted Decision Making (Capacity) Act, 2015.

aimTo investigate levels of knowledge about, and attitudes towards, advance healthcare directives among multidisciplinary psychiatry inpatient staff in Ireland one year after commencement of the new legislation.

methodsA survey was completed among psychiatry inpatient staff (n = 51) in Tallaght University Hospital, Dublin, Ireland between June and August 2024.

resultsMajorities of psychiatry inpatient staff have heard of advance healthcare directives (84.3%), think they are a good idea (90.2%), and recommend involving medical staff (84.3%) and/or family and friends (68.6%) in writing them. There are high levels of confidence that staff would respect and be able to access advance healthcare directives when needed, but divided opinions on whether patients understand enough about advance healthcare directives. A majority of staff members (74.5%) would prefer an advance care plan that was not legally binding but still included the patient's will and preferences.

conclusionsPsychiatry inpatient staff are largely supportive of advance healthcare directives but identify needs for more patient education and an explicit option for non-binding, rather than binding, advance healthcare directives.

Indexed as

Advance DirectivesAttitude of Health PersonnelHealth Knowledge, Attitudes, PracticePsychiatryAdultFemaleHumansIrelandMaleMiddle AgedSurveys and QuestionnairesAdvance healthcare directivesAutonomyFuture care planningPsychiatry

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