Advance Care Planning Among Older Adults of Turkish Origin in Belgium: Exploratory Interview Study

Demirkapu, Hakki; Block, Lieve Van den; Maesschalck, Sophie De; Vleminck, Aline De; Colak, F. Zehra; Devroey, Dirk

doi:10.1016/j.jpainsymman.2020.12.017

Cited by 12 publications

(29 citation statements)

References 24 publications

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“…‘I can’t see any disadvantage. I want to speak about my wishes, so when I get older, it would be more comfortable’ (Demirkapu et al (2021, p. 255).…”

Section: Resultsmentioning

confidence: 99%

“…‘If you tell in advance, the relatives of the older people will feel comfortable honoring their [ACP] wishes’ (Demirkapu et al, 2021, p. 256).…”

Section: Resultsmentioning

confidence: 99%

“…‘It's better to talk now when you have a clear mind … So we will not depend on the machine (ventilator) and do not suffer’ (Demirkapu et al, 2021, p. 255).…”

Section: Resultsmentioning

confidence: 99%

“…‘The disadvantage is that we may not want the decision that we made in the past, because when time passes, the wishes and ideas of the human being may change. Talking before about it (ACP) doesn’t mean anything … It is useful to talk about such issues when you become sick’ (Demirkapu et al, 2021, p. 256).…”

Section: Resultsmentioning

confidence: 99%

“…‘If I end up in a bad situation, my children will take care of me … I cannot make that decision or say anything about connecting to the machine [ventilator] or not. I leave the decision to my children’ (Demirkapu et al, 2021, p. 256).…”

Section: Resultsmentioning

confidence: 99%

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A meta‐synthesis on the older adults' perspective of advance care planning

Tang

Cher

Lim

et al. 2023

Journal of Clinical Nursing

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Aim To synthesise the evidence regarding older adults' perception of advance care planning in preparation for end‐of‐life care. Background Advance care planning involves continuous communication of end‐of‐life care goals involving an individual's medical treatment preferences. However, its uptake among older adults remains low. Design The meta‐synthesis was conducted according to the Enhancing Transparency in Reporting the Synthesis of Qualitative research (ENTREQ) guidelines and thematic synthesis was employed to synthesise the qualitative findings in an inductive manner. Data Source A search was completed on six electronic databases (PubMed, EMBASE, CINAHL, PsycINFO, Web of Science, Scopus), for publications from 1 January 2000 to 4 December 2021. Review Method The certainty of the evidence was assessed using the Grading of Recommendations Assessment, Development and Evaluation and Confidence (GRADE‐CERQual) in the Evidence from Reviews of Qualitative research. Two independent reviewers conducted this process, and disagreements were resolved through discussions. Results Fourteen studies were analysed. Four major themes and eleven subthemes emerged from the thematic synthesis: (1) psychosocial preparedness, (2) medical preparedness, (3) psychological barriers towards advance care planning and (4) extrinsic barriers towards advance care planning. Discussion These themes consolidated older adults' views of advance care planning and how engagement in this planning affected their end‐of‐life preparedness. Conclusion This review suggested psychological and extrinsic factors were barriers to the uptake of advance care planning and provided directions for future research to achieve a holistic understanding of the impact of advance care planning on end‐of‐life preparedness. Relevance to Clinical Practice Healthcare professionals could maintain close communication with older adults and families periodically to evaluate their readiness to discuss advance care planning to improve their preparedness. Healthcare professionals could also provide psychological support during the discussion of clinical decision‐making to enhance readiness and confidence among older adults and their families.

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“…‘I can’t see any disadvantage. I want to speak about my wishes, so when I get older, it would be more comfortable’ (Demirkapu et al (2021, p. 255).…”

Section: Resultsmentioning

confidence: 99%

“…‘If you tell in advance, the relatives of the older people will feel comfortable honoring their [ACP] wishes’ (Demirkapu et al, 2021, p. 256).…”

Section: Resultsmentioning

confidence: 99%

“…‘It's better to talk now when you have a clear mind … So we will not depend on the machine (ventilator) and do not suffer’ (Demirkapu et al, 2021, p. 255).…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations