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Advance Care Planning in Norwegian nursing homes-Who is it for?
Univ Oslo, Ctr Med Eth, Kirkeveien 166, N-0450 Oslo, Norway..
Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Department of Political, Historical, Religious and Cultural Studies. ..
Univ Oslo, Ctr Med Eth, Kirkeveien 166, N-0450 Oslo, Norway..
2016 (English)In: Journal of Aging Studies, ISSN 0890-4065, E-ISSN 1879-193X, Vol. 38, 16-26 p.Article in journal (Refereed) Published
Abstract [en]

Advance care planning (ACP) is an international concept for improving patient autonomy and communication in the context of anticipated deterioration and end-of-life care. In a preparatory conversation, health care professionals facilitate one or more conversations where nursing home residents are invited to reflect on, and articulate wishes and preferences concerning future medical treatment and end-of-life care. Our aim with this study was to increase knowledge of existing ACP practices in Norwegian nursing homes. We wanted to know how nursing home residents, relatives and nursing home staff take part in the conversations, and to what extent these conversations can be regarded as promoting autonomy, legal rights and individual needs for the residents. We conducted participant observation of seven preparatory conversations, followed by interviews with health care staff (together) and resident and relative (together). In the result section, we present an informative case example of an ACP conversation where common and important characteristics running through our data are present. These are further elaborated under the following headings: Life critical questions, Residents' quiet participation in the conversations, the Dying phase a clinical issue, Nurses and physicians; different domains and Timing. We find that nursing home staff in our study wants to contribute to open awareness, autonomy and a good death, but there are little reflections about the purpose and content of the conversations, how they should be carried out and when, and what frail nursing home residents are able to understand and express in ACP conversations. 

Place, publisher, year, edition, pages
2016. Vol. 38, 16-26 p.
National Category
Nursing
Research subject
Nursing Science
Identifiers
URN: urn:nbn:se:kau:diva-47006DOI: 10.1016/j.jaging.2016.04.003ISI: 000382593300003PubMedID: 27531449OAI: oai:DiVA.org:kau-47006DiVA: diva2:1044266
Available from: 2016-11-02 Created: 2016-11-02 Last updated: 2016-11-02Bibliographically approved

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Ahlzen, Rolf
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