Publication

Feasibility of hospital-initiated non-facilitator assisted advance care planning documentation for patients with palliative care needs

Kok, M., van der Werff, G. F. M., Geerling, J. I., Ruivenkamp, J., Groothoff, W., van der Velden, A. W. G., Thoma, M., Talsma, J., Costongs, L. G. P., Gans, R. O. B., de Graeff, P. & Reyners, A. K. L., 24-May-2018, In : Journal of palliative care. 17, 79, 8 p., 79.

Research output: Contribution to journalArticleAcademicpeer-review

APA

Kok, M., van der Werff, G. F. M., Geerling, J. I., Ruivenkamp, J., Groothoff, W., van der Velden, A. W. G., ... Reyners, A. K. L. (2018). Feasibility of hospital-initiated non-facilitator assisted advance care planning documentation for patients with palliative care needs. Journal of palliative care, 17(79), [79]. https://doi.org/10.1186/s12904-018-0331-3

Author

Kok, Maaike ; van der Werff, Gertruud F M ; Geerling, Jenske I ; Ruivenkamp, Jaap ; Groothoff, Wies ; van der Velden, Annette W G ; Thoma, Monique ; Talsma, Jaap ; Costongs, Louk G P ; Gans, Reinold O B ; de Graeff, Pauline ; Reyners, Anna K L. / Feasibility of hospital-initiated non-facilitator assisted advance care planning documentation for patients with palliative care needs. In: Journal of palliative care. 2018 ; Vol. 17, No. 79.

Harvard

Kok, M, van der Werff, GFM, Geerling, JI, Ruivenkamp, J, Groothoff, W, van der Velden, AWG, Thoma, M, Talsma, J, Costongs, LGP, Gans, ROB, de Graeff, P & Reyners, AKL 2018, 'Feasibility of hospital-initiated non-facilitator assisted advance care planning documentation for patients with palliative care needs', Journal of palliative care, vol. 17, no. 79, 79. https://doi.org/10.1186/s12904-018-0331-3

Standard

Feasibility of hospital-initiated non-facilitator assisted advance care planning documentation for patients with palliative care needs. / Kok, Maaike; van der Werff, Gertruud F M; Geerling, Jenske I; Ruivenkamp, Jaap; Groothoff, Wies; van der Velden, Annette W G; Thoma, Monique; Talsma, Jaap; Costongs, Louk G P; Gans, Reinold O B; de Graeff, Pauline; Reyners, Anna K L.

In: Journal of palliative care, Vol. 17, No. 79, 79, 24.05.2018.

Research output: Contribution to journalArticleAcademicpeer-review

Vancouver

Kok M, van der Werff GFM, Geerling JI, Ruivenkamp J, Groothoff W, van der Velden AWG et al. Feasibility of hospital-initiated non-facilitator assisted advance care planning documentation for patients with palliative care needs. Journal of palliative care. 2018 May 24;17(79). 79. https://doi.org/10.1186/s12904-018-0331-3


BibTeX

@article{a23bee4038f44a23994746e9ca15f401,
title = "Feasibility of hospital-initiated non-facilitator assisted advance care planning documentation for patients with palliative care needs",
abstract = "BACKGROUND: Advance Care Planning (ACP) and its documentation, accessible to healthcare professionals regardless of where patients are staying, can improve palliative care. ACP is usually performed by trained facilitators. However, ACP conversations would be more tailored to a patient's specific situation if held by a patient's clinical healthcare team. This study assesses the feasibility of ACP by a patient's clinical healthcare team, and analyses the documented information including current and future problems within the palliative care domains.METHODS: This multicentre study was conducted at the three Groningen Palliative Care Network hospitals in the Netherlands. Patients discharged from hospital with a terminal care indication received an ACP document from clinical staff (non-palliative care trained staff at hospitals I and II; specialist palliative care nurses at hospital III) after they had held ACP conversations. An anonymised copy of this ACP document was analysed. Documentation rates of patient and contact details were investigated, and documentation of current and future problems were analysed both quantitatively and qualitatively.RESULTS: One hundred sixty ACP documents were received between April 2013 and December 2014, with numbers increasing for each consecutive 3-month time period. Advance directives were frequently documented (82{\%}). Documentation rates of current problems in the social (24{\%}), psychological (27{\%}) and spiritual (16{\%}) domains were low compared to physical problems (85{\%}) at hospital I and II, but consistently high (> 85{\%}) at hospital III. Of 545 documented anticipated problems, 92{\%} were physical or care related in nature, 2{\%} social, 5{\%} psychological, and < 1{\%} spiritual. Half of the anticipated non-physical problems originated from hospital III.CONCLUSIONS: Hospital-initiated ACP documentation by a patient's clinical healthcare team is feasible: the number of documents received per time period increased throughout the study period, and overall, documentation rates were high. Nonetheless, symptom documentation predominantly regards physical symptoms. With the involvement of specialist palliative care nurses, psychological and spiritual problems are addressed more frequently. Whether palliative care education for non-palliative care experts will improve identification and documentation of non-physical problems remains to be investigated.",
author = "Maaike Kok and {van der Werff}, {Gertruud F M} and Geerling, {Jenske I} and Jaap Ruivenkamp and Wies Groothoff and {van der Velden}, {Annette W G} and Monique Thoma and Jaap Talsma and Costongs, {Louk G P} and Gans, {Reinold O B} and {de Graeff}, Pauline and Reyners, {Anna K L}",
year = "2018",
month = "5",
day = "24",
doi = "10.1186/s12904-018-0331-3",
language = "English",
volume = "17",
journal = "Journal of palliative care",
issn = "0825-8597",
number = "79",

}

RIS

TY - JOUR

T1 - Feasibility of hospital-initiated non-facilitator assisted advance care planning documentation for patients with palliative care needs

AU - Kok, Maaike

AU - van der Werff, Gertruud F M

AU - Geerling, Jenske I

AU - Ruivenkamp, Jaap

AU - Groothoff, Wies

AU - van der Velden, Annette W G

AU - Thoma, Monique

AU - Talsma, Jaap

AU - Costongs, Louk G P

AU - Gans, Reinold O B

AU - de Graeff, Pauline

AU - Reyners, Anna K L

PY - 2018/5/24

Y1 - 2018/5/24

N2 - BACKGROUND: Advance Care Planning (ACP) and its documentation, accessible to healthcare professionals regardless of where patients are staying, can improve palliative care. ACP is usually performed by trained facilitators. However, ACP conversations would be more tailored to a patient's specific situation if held by a patient's clinical healthcare team. This study assesses the feasibility of ACP by a patient's clinical healthcare team, and analyses the documented information including current and future problems within the palliative care domains.METHODS: This multicentre study was conducted at the three Groningen Palliative Care Network hospitals in the Netherlands. Patients discharged from hospital with a terminal care indication received an ACP document from clinical staff (non-palliative care trained staff at hospitals I and II; specialist palliative care nurses at hospital III) after they had held ACP conversations. An anonymised copy of this ACP document was analysed. Documentation rates of patient and contact details were investigated, and documentation of current and future problems were analysed both quantitatively and qualitatively.RESULTS: One hundred sixty ACP documents were received between April 2013 and December 2014, with numbers increasing for each consecutive 3-month time period. Advance directives were frequently documented (82%). Documentation rates of current problems in the social (24%), psychological (27%) and spiritual (16%) domains were low compared to physical problems (85%) at hospital I and II, but consistently high (> 85%) at hospital III. Of 545 documented anticipated problems, 92% were physical or care related in nature, 2% social, 5% psychological, and < 1% spiritual. Half of the anticipated non-physical problems originated from hospital III.CONCLUSIONS: Hospital-initiated ACP documentation by a patient's clinical healthcare team is feasible: the number of documents received per time period increased throughout the study period, and overall, documentation rates were high. Nonetheless, symptom documentation predominantly regards physical symptoms. With the involvement of specialist palliative care nurses, psychological and spiritual problems are addressed more frequently. Whether palliative care education for non-palliative care experts will improve identification and documentation of non-physical problems remains to be investigated.

AB - BACKGROUND: Advance Care Planning (ACP) and its documentation, accessible to healthcare professionals regardless of where patients are staying, can improve palliative care. ACP is usually performed by trained facilitators. However, ACP conversations would be more tailored to a patient's specific situation if held by a patient's clinical healthcare team. This study assesses the feasibility of ACP by a patient's clinical healthcare team, and analyses the documented information including current and future problems within the palliative care domains.METHODS: This multicentre study was conducted at the three Groningen Palliative Care Network hospitals in the Netherlands. Patients discharged from hospital with a terminal care indication received an ACP document from clinical staff (non-palliative care trained staff at hospitals I and II; specialist palliative care nurses at hospital III) after they had held ACP conversations. An anonymised copy of this ACP document was analysed. Documentation rates of patient and contact details were investigated, and documentation of current and future problems were analysed both quantitatively and qualitatively.RESULTS: One hundred sixty ACP documents were received between April 2013 and December 2014, with numbers increasing for each consecutive 3-month time period. Advance directives were frequently documented (82%). Documentation rates of current problems in the social (24%), psychological (27%) and spiritual (16%) domains were low compared to physical problems (85%) at hospital I and II, but consistently high (> 85%) at hospital III. Of 545 documented anticipated problems, 92% were physical or care related in nature, 2% social, 5% psychological, and < 1% spiritual. Half of the anticipated non-physical problems originated from hospital III.CONCLUSIONS: Hospital-initiated ACP documentation by a patient's clinical healthcare team is feasible: the number of documents received per time period increased throughout the study period, and overall, documentation rates were high. Nonetheless, symptom documentation predominantly regards physical symptoms. With the involvement of specialist palliative care nurses, psychological and spiritual problems are addressed more frequently. Whether palliative care education for non-palliative care experts will improve identification and documentation of non-physical problems remains to be investigated.

U2 - 10.1186/s12904-018-0331-3

DO - 10.1186/s12904-018-0331-3

M3 - Article

VL - 17

JO - Journal of palliative care

JF - Journal of palliative care

SN - 0825-8597

IS - 79

M1 - 79

ER -

ID: 61534024