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Initiating advance care planning in New South Wales general practices using a structured conversation guide

Emily Deck¹, Lyndal Trevena², Joel Rhee³

¹MBBS, DCH, FRACGP, General Practitioner, Smith Street Medical Centre, Charlestown, NSW; previous Associate Lecturer in General Practice, Sydney Medical School, University of Sydney, Sydney, NSW.

Australian Journal of General Practice

|March 5, 2023

Abstract

Method:

Three focus groups were held as part of an existing initiative, 'Ask, Share, Know: Rapid Evidence for General Practice Decisions'. Data were analysed using an inductive thematic approach; themes identified informed adaptation of the conversation guide.

Results:

Five key themes were identified: 1. general practice provides the optimal context for ACP discussions; 2. ACP priorities differ between GPs; 3. healthcare professionals' roles in ACP vary; 4. confusion exists regarding ACP practice; and 5. the adapted conversation guide provides a useful structure for ACP.

Discussion:

ACP practice varies between GPs. GPs preferred the adapted conversation guide, but further evaluation is required prior to implementation into practice.

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