Toward Hospital Implementation of Advance Care Planning: Should Hospital Professionals Be Involved?

Author:

Vanderhaeghen Birgit1,Bossuyt Inge1,Opdebeeck Sybille1,Menten Johan1,Rober Peter2

Affiliation:

1. University Hospitals Leuven, Leuven, Belgium

2. KU Leuven, Leuven, Belgium

Abstract

In Belgium, Advance Care Planning (ACP) is not well implemented in hospital practice. One of the premises for successful implementation is involving the adopters in the implementation process. In hospital, important adopters of ACP are physicians, nurses, social workers, and psychologists. First, this study wants to understand what the characteristics are of ACP in hospital, according to professionals. Second, this study aims to give an insight in the experienced value of ACP. Third, the experienced barriers to have ACP conversations are explored. Twenty-four interviews were taken and analyzed with Content Analysis based on Grounded Theory. Three independent external auditors surveilled the analysis. ACP in hospital exists by the grace of the initiative of the actors involved in the case. Professionals perceive fields of tension between one another; barriers to ACP communication. ACP is mainly considered valuable because it is a process that creates time for exploration and reflection.

Publisher

SAGE Publications

Subject

Public Health, Environmental and Occupational Health

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