ArticleBMC geriatrics2025
Proxy, nurse, and physician needs regarding advance care planning by proxy for aged care residents lacking decision making capacity: an exploratory study.
Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
1 citing paper in PubMed.
- Advance care planning by proxy for residential aged care facility residents: results of a pilot interventional study.Innovation in aging · 2026Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWorldwide, populations are ageing. Together with improved home care and limited places in residential aged care facilities (RACF), this leads to people being admitted to RACF at more advanced ages and in increasingly fragile states of health, often with cognitive impairment. Advance directive completion rates are low, so many people are admitted to RACFs without having formally stated their wishes for care. Guidelines for advance care planning (ACP) in nursing homes exist, however they focus primarily on residents who maintain decision-making capacity. Programs are needed for people lacking decision-making capacity. We aimed to investigate the essential elements needed for ACP by proxy programs (ACPbp) for RACF contexts.
methodsWe conducted a qualitative exploratory study into health care proxy, RACF nurse and physician needs for ACPbp programs. We conducted semi-structured interviews with 18 health care proxies of 16 RACF residents lacking decision-making capacity, 3 focus groups with 23 RACF nurses and 3 focus groups with 13 physicians working in 9 RACFs.
resultsHealth care proxies expressed the need for structured, accompanied communication about residents’ health state and potential future situations requiring decision-making. Nurses echoed this need, adding that they need specific training along with standardised processes and discussion guides for conducting ACPbp discussions, and standardised documentation. Physicians also evoked the need for standardised processes and documentation to ensure efficient transfers between facilities and comprehensive documents in case of medical emergency. Such documents should be as short as possible, but also provide space to describe the resident’s values, life history and presumed will. Specifically trained personnel and time allocated specifically to ACPbp are key for implementation.
conclusionsThis study underscores the need for ACPbp in RACFs, provides guidelines for such programs and identifies the specific aspects necessary for the development of ACPbp programs in this context.
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