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The perception of Israeli oncology staff members regarding advance care planning.
Support Care Cancer. 2020 Jan 03 [Online ahead of print]SC

Abstract

BACKGROUND

Advance care planning (ACP) defines end-of-life care in accordance with the patients' preferences. It is highly important during mental and/or physical deterioration, which prevents patients from expressing their wishes. Despite various attempts worldwide to promote the issue, it is not well established, suggesting various challenges in the implementation of the process in the medical system. The current study aimed to evaluate the perception of Israeli oncology staff members regarding the process.

METHODS

Physicians and nurses from a division of oncology participated in the study. They completed the study's questionnaires, which included quantitative items regarding staff and patients' motives and barriers, as well as qualitative questions to better evaluate their understanding regarding the process.

RESULTS

According to staff members, the optimal time to complete the forms is during the final stages of the disease. Making the right medical decisions and avoiding unnecessary medical procedures were rated as the main motives for patients in the process. The communication factor was perceived as the main barrier for patients, as well as the main motive and barrier for staff. The central role of communication was demonstrated in the qualitative section as well. Various differences were demonstrated between staff members who talked with patients about ACP and those who did not.

CONCLUSION

The study demonstrated the central role of communication in the process of ACP from the staff's perception. This highlights the need to further promote training programs for staff members to establish better interactions and communication skills when dealing with end-of-life issues.

Authors+Show Affiliations

Division of Oncology & Hematology, Emek Medical Center, 21 Yitzhak Rabin Blvd., 1834111, Afula, Israel. gil_ba@clalit.org.il. Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel. gil_ba@clalit.org.il.Division of Oncology, Rambam Health Care Campus, Haifa, Israel.Division of Oncology, Rambam Health Care Campus, Haifa, Israel.Division of Oncology, Rambam Health Care Campus, Haifa, Israel.Department of Psychology, University of Haifa, Haifa, Israel.Division of Oncology & Hematology, Emek Medical Center, 21 Yitzhak Rabin Blvd., 1834111, Afula, Israel.Division of Oncology, Rambam Health Care Campus, Haifa, Israel.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31900608

Citation

Bar-Sela, Gil, et al. "The Perception of Israeli Oncology Staff Members Regarding Advance Care Planning." Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer, 2020.
Bar-Sela G, Bagon S, Mitnik I, et al. The perception of Israeli oncology staff members regarding advance care planning. Support Care Cancer. 2020.
Bar-Sela, G., Bagon, S., Mitnik, I., Baziliansky, S., Bar-Sella, A., Vornicova, O., & Tzuk-Shina, T. (2020). The perception of Israeli oncology staff members regarding advance care planning. Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer. https://doi.org/10.1007/s00520-019-05253-7
Bar-Sela G, et al. The Perception of Israeli Oncology Staff Members Regarding Advance Care Planning. Support Care Cancer. 2020 Jan 3; PubMed PMID: 31900608.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The perception of Israeli oncology staff members regarding advance care planning. AU - Bar-Sela,Gil, AU - Bagon,Shlomit, AU - Mitnik,Inbal, AU - Baziliansky,Svetlana, AU - Bar-Sella,Avigail, AU - Vornicova,Olga, AU - Tzuk-Shina,Tzahala, Y1 - 2020/01/03/ PY - 2019/09/03/received PY - 2019/12/16/accepted PY - 2020/1/5/entrez KW - Advance care planning KW - Advance directives KW - Cancer patients KW - Communication KW - Durable power of attorney KW - End-of-life JF - Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer JO - Support Care Cancer N2 - BACKGROUND: Advance care planning (ACP) defines end-of-life care in accordance with the patients' preferences. It is highly important during mental and/or physical deterioration, which prevents patients from expressing their wishes. Despite various attempts worldwide to promote the issue, it is not well established, suggesting various challenges in the implementation of the process in the medical system. The current study aimed to evaluate the perception of Israeli oncology staff members regarding the process. METHODS: Physicians and nurses from a division of oncology participated in the study. They completed the study's questionnaires, which included quantitative items regarding staff and patients' motives and barriers, as well as qualitative questions to better evaluate their understanding regarding the process. RESULTS: According to staff members, the optimal time to complete the forms is during the final stages of the disease. Making the right medical decisions and avoiding unnecessary medical procedures were rated as the main motives for patients in the process. The communication factor was perceived as the main barrier for patients, as well as the main motive and barrier for staff. The central role of communication was demonstrated in the qualitative section as well. Various differences were demonstrated between staff members who talked with patients about ACP and those who did not. CONCLUSION: The study demonstrated the central role of communication in the process of ACP from the staff's perception. This highlights the need to further promote training programs for staff members to establish better interactions and communication skills when dealing with end-of-life issues. SN - 1433-7339 UR - https://www.unboundmedicine.com/medline/citation/31900608/The_perception_of_Israeli_oncology_staff_members_regarding_advance_care_planning L2 - https://dx.doi.org/10.1007/s00520-019-05253-7 DB - PRIME DP - Unbound Medicine ER -
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