Related Experiment Video
Updated: Mar 13, 2026

Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
Published on: August 5, 2020
Nurses sometimes avoid end-of-life care discussions with elderly patients. This study examined how older adults in care homes could express their wishes for end-of-life treatment.
Area of Science:
- Gerontology
- Palliative Care
- Nursing Studies
Background:
- Advance care planning is crucial for respecting patient autonomy in end-of-life care.
- Care homes present unique challenges for facilitating end-of-life treatment discussions.
- Previous research has not fully explored nurses' perspectives on these conversations.
Purpose of the Study:
- To investigate the extent to which older adults in care homes are able to express their end-of-life treatment preferences.
- To identify barriers and facilitators to advance care planning discussions in residential care settings.
Main Methods:
- A qualitative study involving interviews with care home residents and staff.
- Analysis of communication patterns during end-of-life care planning.
Main Results:
- A significant finding was that some nurses experience anxiety discussing death with older adults, leading to avoidance.
- The study highlighted a need for improved communication strategies and support for healthcare professionals.
Conclusions:
- Advance care planning for older adults in care homes requires addressing healthcare provider communication challenges.
- Further training and support are needed to ensure older people's end-of-life wishes are effectively communicated and respected.
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