Nurse-led patient-centred intervention to increase written advance directives for outpatients in early-stage palliative care: study protocol for a randomised controlled trial with an embedded explanatory qualitative study.

ABSTRACT:

Introduction

Discussing the evolution of life-threatening diseases and end-of-life issues remains difficult for patients, relatives and professionals. Helping people discuss and formalise their preferences in end-of-life care, as planned in the Go Wish intervention, could reduce health-related anxiety in the advance care planning (ACP) and advance directive (AD) process. The aims of this study are (1) to test the effectiveness of the Go Wish intervention among outpatients in early-stage palliative care and (2) to understand the role of defence mechanisms in end-of-life discussions among nurses, patients and relatives.

Methods and analysis

A mixed-methods study will be performed. A cluster randomised controlled trials with three parallel arms will be conducted with 45 patient

SUBMITTER: Iglesias K 

PROVIDER: S-EPMC7511622 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature