What do renal health‐care professionals in Singapore think of advance care planning for patients with end‐stage renal disease?

Yee, Alethea; Seow, Ying Ying; Tan, Sze Huey; Goh, Cynthia; Qu, Limin; Lee, Grace

doi:10.1111/j.1440-1797.2010.01401.x

Cited by 31 publications

(70 citation statements)

References 28 publications

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“…Of the included studies, twenty-six were conducted in the US and the remaining five were conducted in South Korea [19, 20], Singapore [21], and Israel [22, 23], respectively. Twenty studies used cross-sectional surveys, three used qualitative interviews [24–26], and the remaining eight were interventional studies [27–34].…”

Section: Resultsmentioning

confidence: 99%

“…Of them, four included social workers recruited from hospitals, additional four included social workers from nursing homes, two included social worker students, and the remaining six included a mixed sample of social workers (Table 1). Seven descriptive studies [21, 23, 26, 45–48] included a mixed sample of multidisciplinary care professionals, in which social workers were compared with nurses and/or physicians (Table 2). In the eight interventional studies, including three randomized controlled trials, one retrospective cohort study, one quasi-experimental study and three uncontrolled studies, the ACP interventions were implemented or facilitated by social workers, whilst the patients or residents were employed for outcome assessment (Table 3).…”

Section: Resultsmentioning

confidence: 99%

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Social workers’ involvement in advance care planning: a systematic narrative review

2017

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BackgroundAdvance care planning is a process of discussion that enables competent adults to express their wishes about end-of-life care through periods of decisional incapacity. Although a number of studies have documented social workers’ attitudes toward, knowledge about, and involvement in advance care planning, the information is fragmented. The purpose of this review was to provide a narrative synthesis of evidence on social workers’ perspectives and experiences regarding implementation of advance care planning.MethodsSix databases were searched for peer-reviewed research papers from their respective inception through December 2016. All of the resulting studies relevant to both advance care planning and social worker were examined. The findings of relevant studies were synthesized thematically.ResultsThirty-one articles met the eligibility criteria. Six research themes were identified: social workers’ attitudes toward advance care planning; social workers’ knowledge, education and training regarding advance care planning; social workers’ involvement in advance care planning; social workers’ perceptions of their roles; ethical issues relevant to advance care planning; and the effect of social work intervention on advance care planning engagement. The findings suggest that there is a consensus among social workers that advance care planning is their duty and responsibility and that social workers play an important role in promoting and implementing advance care planning through an array of activities.ConclusionsThis study provides useful knowledge for implementing advance care planning through illustrating social workers’ perspectives and experiences. Further studies are warranted to understand the complexity inherent in social workers’ involvement in advance care planning for different life-limiting illnesses or within different socio-cultural contexts.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Social workers’ involvement in advance care planning: a systematic narrative review

2017

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“…Prior studies of provider perspectives on ACP among patients with advanced kidney disease were conducted almost exclusively among nephrologists and renal or dialysis unit staff (13,(18)(19)(20)(21)(22)(23)(24). Because many of these patients have other serious health conditions and may be cared for by a range providers in a variety of settings during the course of illness (25), these earlier studies may have failed to capture and address the complexity of care for this patient population.…”

Section: Introductionmentioning

confidence: 99%

“…Patients with kidney disease report being open to engaging in ACP but expect health care providers to initiate these conversations (13)(14)(15)(16)(17). Barriers to ACP among renal providers include inadequate knowledge and training in communication, belief that ACP may be distressing for patients, concerns that ACP is too time consuming, difficulty estimating prognosis, and uncertainty about their role in ACP (18)(19)(20)(21)(22).…”

Section: Introductionmentioning

confidence: 99%

Provider Perspectives on Advance Care Planning for Patients with Kidney Disease: Whose Job Is It Anyway?

O’Hare

Szarka

McFarland

et al. 2016

CJASN

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Background and objectives There is growing interest in efforts to enhance advance care planning for patients with kidney disease. Our goal was to elicit the perspectives on advance care planning of multidisciplinary providers who care for patients with advanced kidney disease.Design, setting, participants, & measurements Between April and December of 2014, we conducted semistructured interviews at the Department of Veterans Affairs Puget Sound Health Care System with 26 providers from a range of disciplines and specialties who care for patients with advanced kidney disease. Participants were asked about their perspectives and experiences related to advance care planning in this population. Interviews were audiotaped, transcribed, and analyzed inductively using grounded theory.Results The comments of providers interviewed for this study spoke to significant system-level barriers to supporting the process of advance care planning for patients with advanced kidney disease. We identified four overlapping themes: (1) medical care for this population is complex and fragmented across settings and providers and over time; (2) lack of a shared understanding and vision of advance care planning and its relationship with other aspects of care, such as dialysis decision making; (3) unclear locus of responsibility and authority for advance care planning; and (4) lack of active collaboration and communication around advance care planning among different providers caring for the same patients. ConclusionsThe comments of providers who care for patients with advanced kidney disease spotlight both the need for and the challenges to interdisciplinary collaboration around advance care planning for this population. Systematic efforts at a variety of organizational levels will likely be needed to support teamwork around advance care planning among the different providers who care for patients with advanced kidney disease.

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“…[14][15][16] Nevertheless, challenges remain in prioritising communication training in busy renal units and identifying funding to provide high-quality training with adequate follow-up.…”

Section: Resultsmentioning

confidence: 99%

The development and piloting of the REnal specific Advanced Communication Training (REACT) programme to improve Advance Care Planning for renal patients

et al. 2013

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What do renal health‐care professionals in Singapore think of advance care planning for patients with end‐stage renal disease?

Abstract: Training of renal health-care professionals in ACP should aim to correct misunderstandings surrounding ACP, address potential barriers and impart communication skills. In particular, renal nurses will need encouragement to initiate discussions and be equipped with the skills to do so.

Cited by 31 publications

References 28 publications

Social workers’ involvement in advance care planning: a systematic narrative review

Social workers’ involvement in advance care planning: a systematic narrative review

Provider Perspectives on Advance Care Planning for Patients with Kidney Disease: Whose Job Is It Anyway?

The development and piloting of the REnal specific Advanced Communication Training (REACT) programme to improve Advance Care Planning for renal patients

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