{"title":"Advance directives in palliative care-a new tool to improve the communication between patients and caregivers?","authors":"Catarina Sampaio Martins, Emanuel Cadavez, Rui Nunes","doi":"10.12968/ijpn.2023.29.7.344","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>In palliative care, caregivers frequently act as surrogate decision-makers, but their knowledge of patients' preferences for end-of-life care is sometimes scarce and incorrect. Advance Directives might be a powerful communication tool to promote the dialogue between patients and caregivers.</p><p><strong>Aims: </strong>This work aims to find evidence supporting the use of the Advance Directives documents by health practitioners as a communication tool to improve caregivers' capacity as health surrogates in palliative care.</p><p><strong>Methods: </strong>A literature review was conducted in four databases-Medline, Web of Science, Scopus, and Cochrane to identify studies published until February 27th, 2021, analysing advance directive's use as a communication tool between palliative patients and their caregivers.</p><p><strong>Findings: </strong>Of the 1251 papers screened, only one article met the defined criteria, presenting results statistically favourable to advance directive's use, although with the risk of significant bias.</p><p><strong>Conclusions: </strong>Although the results seem promising, more studies are needed to validate this strategy scientifically.</p>","PeriodicalId":47415,"journal":{"name":"International Journal of Palliative Nursing","volume":"29 7","pages":"344-349"},"PeriodicalIF":0.7000,"publicationDate":"2023-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Palliative Nursing","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.12968/ijpn.2023.29.7.344","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Background: In palliative care, caregivers frequently act as surrogate decision-makers, but their knowledge of patients' preferences for end-of-life care is sometimes scarce and incorrect. Advance Directives might be a powerful communication tool to promote the dialogue between patients and caregivers.
Aims: This work aims to find evidence supporting the use of the Advance Directives documents by health practitioners as a communication tool to improve caregivers' capacity as health surrogates in palliative care.
Methods: A literature review was conducted in four databases-Medline, Web of Science, Scopus, and Cochrane to identify studies published until February 27th, 2021, analysing advance directive's use as a communication tool between palliative patients and their caregivers.
Findings: Of the 1251 papers screened, only one article met the defined criteria, presenting results statistically favourable to advance directive's use, although with the risk of significant bias.
Conclusions: Although the results seem promising, more studies are needed to validate this strategy scientifically.
背景:在姑息治疗中，护理人员经常充当替代决策者，但他们对患者临终关怀偏好的了解有时是稀缺和不正确的。预先指示可能是一个强大的沟通工具，以促进患者和护理人员之间的对话。目的:这项工作的目的是找到证据支持使用预先指示文件的卫生从业人员作为一种沟通工具，以提高护理人员的能力作为健康代理人在姑息治疗。方法:在medline、Web of Science、Scopus和Cochrane四个数据库中进行文献综述，以确定截至2021年2月27日发表的研究，分析预先指示作为姑息治疗患者与其护理人员之间沟通工具的使用情况。研究结果:在1251篇被筛选的论文中，只有一篇文章符合定义的标准，尽管存在显著偏倚的风险，但统计结果有利于提前指示的使用。结论:虽然结果看起来很有希望，但需要更多的研究来科学地验证这一策略。
期刊介绍：
Since its launch in 1995, International Journal of Palliative Nursing (IJPN) has been committed to promoting excellence in palliative and hospice care. It is now established as the leading journal for nurses working in this most demanding profession, covering all aspects of palliative care nursing in a way which is intelligent, helpful and accessible, and so useful in daily practice. The aim of IJPN is to provide nurses with essential information to help them deliver the best possible care and support for their patients. Each issue contains an unparalleled range of peer-reviewed clinical, professional and educational articles, as well as helpful and informative information on practical, legal and policy issues of importance to all palliative nurses.
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