Description of an advance care planning intervention in nursing homes: outcomes of the process evaluation.

ABSTRACT:

Background

Advance Care Planning (ACP) is the repeated communication and decision-making process between the patient, family, and healthcare professionals. This study describes an ACP intervention in nursing homes and evaluates the outcomes of the implementation process.

Methods

The ACP intervention was part of a 4-month complex, cluster randomized controlled trial (COSMOS). 37 Norwegian nursing homes with 72 units (1 cluster = 1 unit) and 765 patients were invited to participate and eligible units were randomised to the intervention group or control. Nursing home staff in the intervention group was offered a standardized education programme to learn early and repeated communication with patients and families and to implement ACP in their units. We used a train-the-trainer a

SUBMITTER: Aasmul I 

PROVIDER: S-EPMC5785831 | biostudies-literature | 2018 Jan

REPOSITORIES: biostudies-literature