Using mandatory national safety and quality standards to embed advance care planning in practice

Quality of advance care planning policy and practice in residential aged care facilities in Australia

OBJECTIVES To assess existing advance care planning (ACP) practices in residential aged care facilities (RACFs) in Victoria, Australia before a systematic intervention; to assess RACF staff experience, understanding of and attitudes towards ACP. DESIGN Surveys of participating organisations concerning ACP-related policies and procedures, review of existing ACP-related documentation, and pre-i...

An introduction to advance care planning in practice.

Advance care planning has been defined as a process of formal decision making that aims to help patients establish decisions about future care that take effect when they lose capacity. It recently gained increased importance in the United Kingdom, after being recommended by the end of life care strategy. The first national guidance for health and social care staff in the UK was produced in 2007...

National quality-of-care standards in home-based primary care.

BACKGROUND Home-based primary care for homebound seniors is complex, and practice constraints are unique. No quality-of-care standards exist. OBJECTIVE To identify process quality indicators that are essential to high-quality, home-based primary care. DESIGN An expert development panel reviewed established and new quality indicators for applicability to home-based primary care. A separate n...

Advance care planning in primary care.

Advance care planning in palliative care: a national survey of health professionals and service managers.

OBJECTIVE To identify the attitudes, knowledge and practices regarding advance care planning (ACP) in palliative care. METHODS A nationwide online survey was distributed to Australian palliative care services associated with the Palliative Care Outcomes Collaboration (n=105). Seventy-three health professionals (HPs) and 59 service managers completed the survey. RESULTS Regarding ACP, 51% of...