Measuring the level of implementation of advance care planning - a fidelity-based cross-sectional study.

ABSTRACT:

Introduction

Advance care planning (ACP) is supported by evidence, legal and ethical principles and ACP guidelines. However, this complex intervention is often poorly implemented. This article presents a novel fidelity scale to measure the implementation of ACP and reports the preliminary testing of the scale at baseline in a larger trial aiming at implementing ACP in hospitals in Norway.

Method

The research design conducted was a cross-sectional measurement of fidelity to guidelines, conducted in 12 geriatric hospital units in Norway recruited using purposive sampling. The sample size for the larger trial was determined, based on prior research, to be at least four clusters in each arm. Due to the possibility of unit drop-out during the project period and to secure sufficie

SUBMITTER: Westbye SF 

PROVIDER: S-EPMC12605388 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature