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Facilitators and barriers to advance care planning implementation in Australian aged care settings: A systematic review and thematic analysis
Author(s) -
Batchelor Frances,
Hwang Kerry,
Haralambous Betty,
Fearn Marcia,
Mackell Paulene,
Nolte Linda,
Detering Karen
Publication year - 2019
Publication title -
australasian journal on ageing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.63
H-Index - 34
eISSN - 1741-6612
pISSN - 1440-6381
DOI - 10.1111/ajag.12639
Subject(s) - thematic analysis , aged care , advance care planning , legislation , nursing , medicine , qualitative research , medical education , psychology , palliative care , political science , sociology , social science , law
Objectives There are many studies investigating implementation of advance care planning (ACP) in aged care around the world, but few studies have investigated Australian settings. The objective of this study was to determine facilitators and barriers to implementation of ACP in Australian residential and community aged care. Methods Evidence from Australian studies published between 2007 and September 2017 of ACP in residential and community aged care was sourced from electronic databases using predetermined search strategies. Data were extracted and synthesised using thematic analysis, and summarised according to themes. Results Nine studies described facilitators and barriers of ACP implementation. Six themes were identified: “Education and Knowledge,” “Skills and Training,” “Procedures and Resources,” “Perceptions and Culture,” “Legislation” and “Systems.” Conclusions A whole of systems approach is necessary to facilitate uptake of ACP in residential aged care settings. More research is needed to understand facilitators and barriers to ACP in community aged care.