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Disentangling consumer and provider predictors of advance care planning.
- Source :
-
The American journal of hospice & palliative care [Am J Hosp Palliat Care] 2013 Nov; Vol. 30 (7), pp. 717-25. Date of Electronic Publication: 2012 Nov 02. - Publication Year :
- 2013
-
Abstract
- Factorial surveys were used to examine community-based long-term care providers' judgments about consumers' need for advance care planning (ACP) and comfort levels in discussing ACP. Providers (448 registered nurses and social workers) judged vignettes based on hypothetical consumers. Hierarchical linear models indicated providers judged consumers who were older, had end-stage diagnoses, multiple emergency department visits, and uninvolved caregivers as most in need of ACP. These variables explained 10% of the variance in judgments. Providers' beliefs about ACP predicted judgments of need for ACP and comfort level in discussing ACP. Provider characteristics explained more variance in comfort levels (44%) than in judgments of need (20%). This study demonstrates the need for tailored educational programs to increase comfort levels and address ACP misconceptions.
- Subjects :
- Caregivers
Humans
Surveys and Questionnaires
Advance Care Planning
Long-Term Care
Subjects
Details
- Language :
- English
- ISSN :
- 1938-2715
- Volume :
- 30
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- The American journal of hospice & palliative care
- Publication Type :
- Academic Journal
- Accession number :
- 23125397
- Full Text :
- https://doi.org/10.1177/1049909112464692