Advance care planning intervention in chronic kidney care: A qualitative evaluation
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View abstract on PubMed
Summary
This summary is machine-generated.This study shows that advance care planning interventions help chronic kidney disease patients, families, and healthcare professionals discuss values and needs openly. Training is recommended for healthcare professionals to initiate these crucial conversations effectively.
Area Of Science
- Nephrology
- Palliative Care
- Qualitative Research
Background
- Patients with chronic kidney disease (CKD) and families desire early and continuous advance care planning (ACP).
- An ACP intervention was developed through user involvement for CKD patients, families, and healthcare professionals (HCPs) in nephrology outpatient settings.
Purpose Of The Study
- To explore the experiences and perceptions of an ACP intervention among CKD patients, family members, and HCPs.
Main Methods
- Exploratory qualitative study utilizing a phenomenological-hermeneutic approach.
- Data collected via semistructured interviews with 6 CKD patients and 4 family members, and a focus group with 4 HCPs.
- Analysis employed Ricoeur's interpretation theory.
Main Results
- The ACP intervention positively impacted patients and families facing CKD diagnoses, addressing diverse individual needs.
- It facilitated open dialogues and reflections on concerns for patients, families, and HCPs.
- HCPs noted potential challenges in timing the delivery of increased care.
Conclusions
- The ACP intervention proved usable and fostered open dialogue and reflection when CKD impacted family and daily life.
- ACP conversations enhanced patient and family awareness of their values, preferences, and needs, aiding communication.
- There is an identified need for enhanced training for HCPs in initiating and conducting ACP conversations.
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