Skip to content Skip to navigation
University of Warwick
  • Study
  • |
  • Research
  • |
  • Business
  • |
  • Alumni
  • |
  • News
  • |
  • About

University of Warwick
Publications service & WRAP

Highlight your research

  • WRAP
    • Home
    • Search WRAP
    • Browse by Warwick Author
    • Browse WRAP by Year
    • Browse WRAP by Subject
    • Browse WRAP by Department
    • Browse WRAP by Funder
    • Browse Theses by Department
  • Publications Service
    • Home
    • Search Publications Service
    • Browse by Warwick Author
    • Browse Publications service by Year
    • Browse Publications service by Subject
    • Browse Publications service by Department
    • Browse Publications service by Funder
  • Help & Advice
University of Warwick

The Library

  • Login
  • Admin

Implementing advance care planning in heart failure : a qualitative study of primary healthcare professionals

Tools
- Tools
+ Tools

Schichtel, Markus, MacArtney, John I., Wee, Bee and Boylan, Anne-Marie (2021) Implementing advance care planning in heart failure : a qualitative study of primary healthcare professionals. British Journal of General Practice . BJGP.2020.0973. doi:10.3399/BJGP.2020.0973

[img]
Preview
PDF
WRAP-Implementing-advance-care-planning-heart-failure-2021.pdf - Accepted Version - Requires a PDF viewer.
Available under License Creative Commons Attribution 4.0.

Download (986Kb) | Preview
Official URL: http://dx.doi.org/10.3399/BJGP.2020.0973

Request Changes to record.

Abstract

Background: Advance care planning (ACP) can improve the quality of life of patients suffering from heart failure (HF). However, primary care healthcare professionals (HCPs) find ACP difficult to engage with and patient care remains suboptimal.

Aim: To explore the views of primary care HCPs on how to improve their engagement with ACP in heart failure.

Design and Setting: A qualitative interview study with GPs and primary care nurses in England.

Method: Semi-structured interviews were conducted with a purposive sample of 24 primary HCPs. Data were analysed using reflexive thematic analysis.

Results: Three main themes were constructed from the data: ACP as integral to holistic care in HF; potentially limiting factors to the doctor-patient relationship; approaches to improve professional performance. Many HCPs saw the benefits of ACP as synonymous with providing holistic care and improving patients’ quality of life. However, some feared that initiating ACP could irrevocably damage their doctor-patient relationship. Their own fear of death and dying, a lack of disease specific communication skills and uncertainty about the right timing were significant barriers to ACP. To optimise their engagement with ACP in HF, HCPs recommended better clinician-patient dialogue through question prompts, enhanced shared decision-making approaches, synchronising ACP across medical specialities, and disease specific training.

Conclusion: GPs and primary care nurses are vital to deliver ACP for patients suffering from HF. HCPs highlighted important areas to improve their practice and the urgent need for investigations into better clinician-patient engagement with ACP.

Item Type: Journal Article
Subjects: R Medicine > R Medicine (General)
R Medicine > RC Internal medicine
Divisions: Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Heart failure, Heart failure -- Treatment, Heart failure -- Patients -- Care , Advance directives (Medical care), Physician and patient
Journal or Publication Title: British Journal of General Practice
Publisher: Royal College of General Practitioners
ISSN: 0960-1643
Official Date: 1 February 2021
Dates:
DateEvent
1 February 2021Published
19 January 2021Accepted
Date of first compliant deposit: 10 February 2021
Article Number: BJGP.2020.0973
DOI: 10.3399/BJGP.2020.0973
Status: Peer Reviewed
Access rights to Published version: Open Access
Copyright Holders: Copyright © 2020, The Authors

Request changes or add full text files to a record

Repository staff actions (login required)

View Item View Item

Downloads

Downloads per month over past year

View more statistics

twitter

Email us: wrap@warwick.ac.uk
Contact Details
About Us