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Implementing Advance Care Planning Tools in Practice: A Modified World Café to Elicit Barriers and Recommendations
Michelle Howard1, Dawn Elston2, Brian De Vries3
1An associate professor at the Department of Family Medicine, McMaster University in Hamilton, ON, with a research focus in health services. She can be reached by e-mail at mhoward@mcmaster.ca.
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.
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