ArticlePloS one2025
Nurses' high valuation of palliative care versus patient and family misconceptions: A mixed-approach study of Advanced Care Planning implementation in China.
Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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Who cites it
3 citing papers in PubMed.
- Latent profiles of advance care planning self-efficacy among clinical nurses in China: a cross-sectional study.BMC nursing · 2026Article
- Integrating palliative care principles into systemic sclerosis management.Rheumatology international · 2026Review
- Qualitative study on influencing factors of acceptance of advance care planning in patients with end-stage heart failure based on COM-B theory.Frontiers in public health · 2026Article
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Authors and funding
4 authors.
Funding
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Abstract
objectiveTo assess the implementation and barriers of Advance Care Planning (ACP) from the perspectives of nurses, patients, and family members in a Chinese healthcare setting, providing evidence for targeted interventions to enhance ACP awareness.
methodsA mixed-methods design combined a cross-sectional survey and qualitative interviews. Questionnaires measured ACP-related knowledge, attitudes, practices (KAP), and perceived barriers among 843 nurses, 384 patients, and 857 family members. Based on responses, 15 patients and 20 family members with negative views on ACP were invited for semi-structured interviews and focus groups.
findingsNurses rated ACP as highly important and reported effective palliative care practices, while patients and families showed substantial cognitive gaps. Over 90% of patients valued ACP, but only ~30% believed it was well implemented; many families associated it with treatment abandonment. Multivariable analysis identified hospital type, clinical experience, and information sources as KAP predictors. Qualitative results linked misconceptions to poor communication and insufficient public education.
conclusionNurses endorse ACP, but patients and families often misinterpret it as giving up treatment. Improved communication and tailored education are critical to increasing ACP acceptance in China.
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