Barriers to advance care planning at the end of life: an explanatory systematic review of implementation studies.

ABSTRACT:

Context

Advance Care Plans (ACPs) enable patients to discuss and negotiate their preferences for the future including treatment options at the end of life. Their implementation poses significant challenges.

Objective

To investigate barriers and facilitators to the implementation of ACPs, focusing on their workability and integration in clinical practice.

Design

An explanatory systematic review of qualitative implementation studies.

Data sources

Empirical studies that reported interventions designed to support ACP in healthcare. Web of Knowledge, Ovid MEDLINE, CINAHL, PsycINFO, British Nursing Index and PubMed databases were searched.

Methods

Direct content analysis, using Normalization Process Theory, to identify and characterise relevant components of i

SUBMITTER: Lund S 

PROVIDER: S-EPMC4334528 | biostudies-literature | 2015

REPOSITORIES: biostudies-literature