Factors related to patients’ readiness for advance care planning: a systematic review
Abstract Background Advance care planning can help to align the care provided with the values, goals and preferences of patients at the end of life. Therefore, readiness for advanced care planning is considered a prerequisite and predictor of the patient’s willingness to participate in the end of li...
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| Format: | Article |
| Language: | English |
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BMC
2025-01-01
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| Series: | BMC Public Health |
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| Online Access: | https://doi.org/10.1186/s12889-024-21209-x |
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| author | Milad Asghardoust Rezaei Ali Zahiri Toktam Kianian Elahe Hashemi Ali Askari Mobina Golmohammadi Amir Mirsadeghi Salman Barasteh |
| author_facet | Milad Asghardoust Rezaei Ali Zahiri Toktam Kianian Elahe Hashemi Ali Askari Mobina Golmohammadi Amir Mirsadeghi Salman Barasteh |
| author_sort | Milad Asghardoust Rezaei |
| collection | DOAJ |
| description | Abstract Background Advance care planning can help to align the care provided with the values, goals and preferences of patients at the end of life. Therefore, readiness for advanced care planning is considered a prerequisite and predictor of the patient’s willingness to participate in the end of life conversation. The present study was conducted with the aim of investigating the factors affecting patients’ readiness for advance care planning (RACP). Methods This systematic review was searched in 4 databases: PubMed, Scopus, Web of science, ProQuest using relevant keywords. No time limit was considered. The quality of the articles was assessed using Joanna Briggs Institute tool for qualitative studies and the Appraisal Tool for cross-sectional Studies. The data was analyzed based on the directed content analysis approach guided by the theory of planned behavior (TPB). Results 3227 primary article titles were identified. After removing duplicates, screening and final selection, 22 relevant articles remained for analysis. Factors affecting RACP were extracted based on the TPB. Attitude factors include “ACP training”, “perceived experiences of health status”, “Socio-demographic factors”, and “psycho-spiritual readiness”. Subjective norms include “social support and family participation” and “accessibility to health services”. The perceived behavioral control includes “dialogue about ACP”, “readiness actions”, and “determining a proxy decision maker.” Conclusion In this study, according to the theory of planning behavior, various factors have an effect on the RACP. Therefore, according to the collaborative and multifactorial nature of the factors affecting preparation for ACP, it is suggested that different effective dimensions should be considered according to the specific conditions of each patient and the stage of the disease. Therefore, health service providers should first measure the level of readiness of patients and families, and by understanding the factors affecting their readiness, they should conduct training or dialogue in the field of ACP. |
| format | Article |
| id | doaj-art-06dac0b28c0e44d79a23d77ee93cdc85 |
| institution | Kabale University |
| issn | 1471-2458 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj-art-06dac0b28c0e44d79a23d77ee93cdc852025-01-12T12:42:26ZengBMCBMC Public Health1471-24582025-01-0125111310.1186/s12889-024-21209-xFactors related to patients’ readiness for advance care planning: a systematic reviewMilad Asghardoust Rezaei0Ali Zahiri1Toktam Kianian2Elahe Hashemi3Ali Askari4Mobina Golmohammadi5Amir Mirsadeghi6Salman Barasteh7Student Research Committee, Baqiyatallah University of Medical SciencesStudent Research Committee, Baqiyatallah University of Medical SciencesDepartmentof Community Health and Geriatrics Nursing, School of Nursing and Midwifery, Iran University of Medical SciencesSemnan University of Medical SciencesStudent Research Committee, Baqiyatallah University of Medical SciencesStudent Research Committee, Baqiyatallah University of Medical SciencesNursing Care Research Center, Clinical Sciences Institute, Baqiyatallah University of Medical SciencesNursing Care Research Center, Clinical Sciences Institute, Baqiyatallah University of Medical SciencesAbstract Background Advance care planning can help to align the care provided with the values, goals and preferences of patients at the end of life. Therefore, readiness for advanced care planning is considered a prerequisite and predictor of the patient’s willingness to participate in the end of life conversation. The present study was conducted with the aim of investigating the factors affecting patients’ readiness for advance care planning (RACP). Methods This systematic review was searched in 4 databases: PubMed, Scopus, Web of science, ProQuest using relevant keywords. No time limit was considered. The quality of the articles was assessed using Joanna Briggs Institute tool for qualitative studies and the Appraisal Tool for cross-sectional Studies. The data was analyzed based on the directed content analysis approach guided by the theory of planned behavior (TPB). Results 3227 primary article titles were identified. After removing duplicates, screening and final selection, 22 relevant articles remained for analysis. Factors affecting RACP were extracted based on the TPB. Attitude factors include “ACP training”, “perceived experiences of health status”, “Socio-demographic factors”, and “psycho-spiritual readiness”. Subjective norms include “social support and family participation” and “accessibility to health services”. The perceived behavioral control includes “dialogue about ACP”, “readiness actions”, and “determining a proxy decision maker.” Conclusion In this study, according to the theory of planning behavior, various factors have an effect on the RACP. Therefore, according to the collaborative and multifactorial nature of the factors affecting preparation for ACP, it is suggested that different effective dimensions should be considered according to the specific conditions of each patient and the stage of the disease. Therefore, health service providers should first measure the level of readiness of patients and families, and by understanding the factors affecting their readiness, they should conduct training or dialogue in the field of ACP.https://doi.org/10.1186/s12889-024-21209-xAdvance directivesAdvance care planningDecision makingTheory of planned behaviorReadinessPalliative care |
| spellingShingle | Milad Asghardoust Rezaei Ali Zahiri Toktam Kianian Elahe Hashemi Ali Askari Mobina Golmohammadi Amir Mirsadeghi Salman Barasteh Factors related to patients’ readiness for advance care planning: a systematic review BMC Public Health Advance directives Advance care planning Decision making Theory of planned behavior Readiness Palliative care |
| title | Factors related to patients’ readiness for advance care planning: a systematic review |
| title_full | Factors related to patients’ readiness for advance care planning: a systematic review |
| title_fullStr | Factors related to patients’ readiness for advance care planning: a systematic review |
| title_full_unstemmed | Factors related to patients’ readiness for advance care planning: a systematic review |
| title_short | Factors related to patients’ readiness for advance care planning: a systematic review |
| title_sort | factors related to patients readiness for advance care planning a systematic review |
| topic | Advance directives Advance care planning Decision making Theory of planned behavior Readiness Palliative care |
| url | https://doi.org/10.1186/s12889-024-21209-x |
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