Abstract
Objectives: The study aimed to evaluate the effects of an advance care planning (ACP) program on knowledge and attitudes concerning palliative care, and decisions regarding DNR orders in the older residents in a long-term care institution. Methods: A quasi-experimental design was used. Participants were cognitively unimpaired older residents in a long-term care institution in Taiwan. The experimental group (n = 29) received the intervention including an individual interview using an ACP handbook and a group patient education; whereas the control group (n = 28) received the group patient education only. Results: There were significant positive effects of the ACP program on understanding of DNR and palliative care, willingness to sign a DNR order, and knowledge of and attitude towards palliative care; however, there was no significant effect on willingness to receive palliative care. Six participants signed the DNR order after the intervention compared to none in the control group. Conclusions: The ACP program can improve knowledge and attitudes towards palliative care in older residents in long-term care institutions. Clinical Implications: The ACP program could incorporate multiple components, including individual interview using ACP handbook and group patient education, and address knowledge and attitudes towards palliative care.
| Original language | English |
|---|---|
| Pages (from-to) | 238-246 |
| Number of pages | 9 |
| Journal | Clinical Gerontologist |
| Volume | 42 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - 2019 May 27 |
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All Science Journal Classification (ASJC) codes
- Social Psychology
- Health(social science)
- Clinical Psychology
- Gerontology
- Geriatrics and Gerontology
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Advance Care Planning Program and the Knowledge and Attitude Concerning Palliative Care. / Sung, Huei Chuan; Wang, Shu Chen; Fan, Sheng-Yu; Lin, Chia Ying.
In: Clinical Gerontologist, Vol. 42, No. 3, 27.05.2019, p. 238-246.Research output: Contribution to journal › Article
TY - JOUR
T1 - Advance Care Planning Program and the Knowledge and Attitude Concerning Palliative Care
AU - Sung, Huei Chuan
AU - Wang, Shu Chen
AU - Fan, Sheng-Yu
AU - Lin, Chia Ying
PY - 2019/5/27
Y1 - 2019/5/27
N2 - Objectives: The study aimed to evaluate the effects of an advance care planning (ACP) program on knowledge and attitudes concerning palliative care, and decisions regarding DNR orders in the older residents in a long-term care institution. Methods: A quasi-experimental design was used. Participants were cognitively unimpaired older residents in a long-term care institution in Taiwan. The experimental group (n = 29) received the intervention including an individual interview using an ACP handbook and a group patient education; whereas the control group (n = 28) received the group patient education only. Results: There were significant positive effects of the ACP program on understanding of DNR and palliative care, willingness to sign a DNR order, and knowledge of and attitude towards palliative care; however, there was no significant effect on willingness to receive palliative care. Six participants signed the DNR order after the intervention compared to none in the control group. Conclusions: The ACP program can improve knowledge and attitudes towards palliative care in older residents in long-term care institutions. Clinical Implications: The ACP program could incorporate multiple components, including individual interview using ACP handbook and group patient education, and address knowledge and attitudes towards palliative care.
AB - Objectives: The study aimed to evaluate the effects of an advance care planning (ACP) program on knowledge and attitudes concerning palliative care, and decisions regarding DNR orders in the older residents in a long-term care institution. Methods: A quasi-experimental design was used. Participants were cognitively unimpaired older residents in a long-term care institution in Taiwan. The experimental group (n = 29) received the intervention including an individual interview using an ACP handbook and a group patient education; whereas the control group (n = 28) received the group patient education only. Results: There were significant positive effects of the ACP program on understanding of DNR and palliative care, willingness to sign a DNR order, and knowledge of and attitude towards palliative care; however, there was no significant effect on willingness to receive palliative care. Six participants signed the DNR order after the intervention compared to none in the control group. Conclusions: The ACP program can improve knowledge and attitudes towards palliative care in older residents in long-term care institutions. Clinical Implications: The ACP program could incorporate multiple components, including individual interview using ACP handbook and group patient education, and address knowledge and attitudes towards palliative care.
UR - http://www.scopus.com/inward/record.url?scp=85021940836&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85021940836&partnerID=8YFLogxK
U2 - 10.1080/07317115.2017.1336142
DO - 10.1080/07317115.2017.1336142
M3 - Article
C2 - 28682190
AN - SCOPUS:85021940836
VL - 42
SP - 238
EP - 246
JO - Clinical Gerontologist
JF - Clinical Gerontologist
SN - 0731-7115
IS - 3
ER -