1. Implementing Advance Care Planning Tools in Practice: A Modified World Café to Elicit Barriers and Recommendations from Potential Adopters
- Author
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Dev Jayaraman, Michelle Howard, Marilyn Swinton, Brian de Vries, Gloria Gutman, Dawn Elston, Doris Barwich, Peter Munene, Robin Urquhart, Rachel Z. Carter, Sharon Kaassalainen, John J. You, and Tamara Sussman
- Subjects
Advance care planning ,Canada ,Health Knowledge, Attitudes, Practice ,Medical education ,Palliative care ,Attitude of Health Personnel ,business.industry ,Patient engagement ,Culturally Competent Care ,Advance Care Planning ,Sexual and Gender Minorities ,Family member ,Health care ,Humans ,Family ,Business ,Patient Participation ,Public engagement ,Minority Groups ,Diversity (business) - Abstract
This paper reports findings from a modified World Café conducted at a palliative care professional conference in 2019, where input on tools to support advance care planning (ACP) was solicited from healthcare practitioners, managers and family members of patients. Barriers to ACP tool use included insufficient structures and resources in healthcare, death-avoidance culture and inadequate patient and family member engagement. Recommendations for tool use included clarification of roles and processes, training, mandates and monitoring, leadership support, greater reflection of diversity in tools and methods for public engagement. This paper illuminates factors to consider when implementing ACP tools in healthcare.
- Published
- 2021
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