Four timing patterns of initiation of advance care planning discussions as practiced by home visiting nurses: A qualitative study

IF 2.3 Q2 MEDICINE, GENERAL & INTERNAL

Journal of General and Family Medicine Pub Date : 2024-11-28 DOI:10.1002/jgf2.760

Mitsuko Ushikubo RN, MS, MPH, Dr.PH, PhD, Maho Ishikawa RN, PHN

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Abstract

Background

The purpose of this study was to explore the actual timing of the initiation of advance care planning (ACP) discussions by experienced visiting nurses for older homebound patients.

Methods

Semi-structured interviews were conducted with 12 home visit nurses, followed by a qualitative, inductive analysis.

Results

Four ACP initiation timing patterns were extracted.

Conclusions

Home visit nurses used the following timing patterns differently depending on each patient's situation: “Starting when visiting nurses get to know the patients,” “Waiting for a change in the patient's medical condition,” “Waiting to begin ACP discussions until the patient and nurse are emotionally ready,” and “Starting ACP discussions in a proactive, but non-shocking manner.”

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家访护士进行预先护理计划讨论的四种时间模式：一项定性研究

背景本研究的目的是探讨有经验的访视护士对居家老年患者进行预先护理计划（ACP）讨论的实际时间。方法对12名家访护士进行半结构化访谈，并进行定性归纳分析。结果提取出4种ACP起始时间模式。结论家访护士根据不同病人的情况使用不同的时间模式：“在护士了解病人时开始”，“等待病人病情的变化”，“等待病人和护士在情绪上准备好后开始ACP讨论”，以及“以积极但不令人震惊的方式开始ACP讨论”。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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