Advance Care Planning

被引:0
作者
Kitt-Lewis, Erin [1 ]
Zheng, Nanda [1 ]
Loeb, Susan J. [2 ]
机构
[1] Penn State Ross & Carol Nese Coll Nursing, 201 Nursing Sci Bldg, University Pk, PA 16802 USA
[2] Penn State Ross & Carol Nese Coll Nursing, PhD Program, University Pk, PA USA
关键词
advance care planning; end of life; prison; qualitative descriptive; thematic analysis;
D O I
10.1097/NJH.0000000000001031
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
A person-centered approach to advance care planning is recognized as a fundamental need, yet its routine implementation remains a challenge across disparate settings, such as prisons. The purpose of this study was to gain the perspectives of people who are incarcerated about advance care planning. Four focus groups were conducted with people living in 1 men's and 1 women's state prison (n = 26). Handwritten field notes were taken, transcribed, deidentified, and verified before the completion of independent thematic analysis by 2 experienced qualitative researchers. Key themes regarding advance care planning were identified: components of advance care planning, initiation and continuation of advance care planning, barriers to implementing advance care planning, and facilitators to implementing advance care planning. Participants noted several key components related to the name, structure, and content of advance care planning programs. Insights about who should initiate the conversation, when to continue the conversation, and how to deliver education about advance care planning were obtained. Findings contribute to identifying best practices for infusing advance care planning into prisons. Best practices will inform the development of a toolkit of contextually relevant, person-centered approaches to advance care planning that are tailored to meet the unique needs of people who are incarcerated.
引用
收藏
页码:E115 / E123
页数:9
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