Understanding of advance care planning in primary care: a gap analysis

• DOI: 10.1071/py21253
• Publication Date: 2022-05-24T00:06:41Z
• Authors: Josephine Chow; Ann Harley; Danielle Ni Chroinin; Friedbert Kohler; Janeane Harlum; Kim Jobburn; Pamela Keech; Rachael Williams; Susan Fraser; Ken Hillman
• Keywords: Thematic Analysis; Population Health; Advance Care Planning; End-of-Life Care

Although primary care is a well suited context for conducting advance planning (ACP), there are many barriers to initiating discussions regarding future health preference and end-of-life conversations.This qualitative study conducted 30 detailed individual interviews with senior administrators, medical nurse practitioners of local district, NSW Ambulance, e-Health NSW, general practice nurses find out about ACP in South Western Sydney.Thematic analysis was on the interviews. Six major themes were identified: Prevalence; Empowerment roles responsibilities; Lack training/knowledge/confidence; Fragmentation care; Patient/family readiness; Prognostication. Half participants willing use prognostic tool identify when patient likely be at end their life provide prompt initiate ACP.In addition addressing training acknowledging resource constraints, these findings suggest that if validated practical setting, it may valuable assistance encourage everyone society begin discussing this issue completing ACP.