Perceptions of Older People in Nursing Facilities About Advance Care Planning: A Systematic Review

IF 1.6 4区医学 Q4 GERIATRICS & GERONTOLOGY International Journal of Older People Nursing Pub Date : 2024-09-04 DOI:10.1111/opn.12646

Ting Liang, Jia Feng, Xiao-ning Feng, Tao Yang

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Abstract

Background

With the ageing of the population intensifying, the implementation of advance care planning (ACP) in nursing facilities is especially crucial.

Objective

This study aimed to search and synthesise qualitative studies exploring the perspectives of older people in nursing facilities about ACP discussions.

Methods

The researchers conducted searches of PubMed, Web of Science, Cochrane Library, CNKI, Wanfang, VIP and CBM between the time of inception and October 2023. The PICo model was used to build the inclusion and exclusion criteria. Following the inclusion and exclusion criteria, two researchers screened the literature, extracted data and then integrated the literature using the integrative synthesis.

Results

A total of 12 articles were included, 47 themes were extracted, and three research integrations were summarised: (1) understanding of ACP; (2) attitude towards ACP; and (3) influencing factors of participation in ACP.

Conclusion

This study offers guidance for the future development of ACP on the participation of older people in nursing facilities.

Implications for Practice

It is necessary to strengthen the education of ACP-related knowledge in conjunction with the cultural characteristics of different countries, to provide interdisciplinary support for older people through professional teamwork and to promote the development and improvement of ACP-related practices.

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护理机构中的老年人对预先护理规划的看法：系统回顾

背景：随着人口老龄化的加剧，在护理机构中实施预先护理计划（ACP）尤为重要：本研究旨在搜索和综合探讨护理机构中老年人对 ACP 讨论的看法的定性研究：研究人员在 PubMed、Web of Science、Cochrane Library、CNKI、Wanfang、VIP 和 CBM 上进行了检索。采用 PICo 模型制定纳入和排除标准。根据纳入和排除标准，两名研究人员筛选文献、提取数据，然后使用整合综合法对文献进行整合：共纳入了 12 篇文章，提取了 47 个主题，并总结了三项研究整合：(1) 对 ACP 的理解；(2) 对 ACP 的态度；(3) 参与 ACP 的影响因素：本研究为护理机构中老年人参与 ACP 的未来发展提供了指导：有必要结合不同国家的文化特点，加强 ACP 相关知识的教育，通过专业团队合作为老年人提供跨学科支持，促进 ACP 相关实践的发展和完善。

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来源期刊

International Journal of Older People Nursing Nursing-Gerontology

CiteScore

3.60

自引率

9.10%

发文量

期刊介绍： International Journal of Older People Nursing welcomes scholarly papers on all aspects of older people nursing including research, practice, education, management, and policy. We publish manuscripts that further scholarly inquiry and improve practice through innovation and creativity in all aspects of gerontological nursing. We encourage submission of integrative and systematic reviews; original quantitative, qualitative, and mixed methods research; secondary analyses of existing data; historical works; theoretical and conceptual analyses; evidence based practice projects and other practice improvement reports; and policy analyses. All submissions must reflect consideration of IJOPN''s international readership and include explicit perspective on gerontological nursing. We particularly welcome submissions from regions of the world underrepresented in the gerontological nursing literature and from settings and situations not typically addressed in that literature. Editorial perspectives are published in each issue. Editorial perspectives are submitted by invitation only.