Australas J Ageing. 2019;1–9. wileyonlinelibrary.com/journal/ajag | 1 © 2019 AJA Inc.
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INTRODUCTION
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Background
Advance care planning (ACP) refers to “a process that sup-
ports adults at any age or stage of health in understanding
and sharing their personal values, life goals and preferences
regarding future medical care.”
1
The process of ACP is itera-
tive and complex, involving the individual, family members,
health professionals and aged care workers. It is an ongoing
discussion regarding a person's preferences for care, includ-
ing end-of-life care, and requires regular review. ACP dis-
cussions may lead to documentation of a person's preferences
in an advance care directive, or appointment of a substitute
decision-maker (SDM). Although ACP can be initiated in
various settings, there is increased interest in implementation
of ACP in aged care, where chronic illness means that an
older person has a higher risk of losing the ability to make or
communicate preferences.
The current body of evidence demonstrates the benefits
of ACP. ACP results in higher aged care staff satisfaction,
2
reduces unwanted hospitalisation and aggressive treat-
ments,
3-5
reduces stress and anxiety for family members in
decision-making and increases family member's satisfaction
with outcomes at death.
6,7
Documented advance care plans
also increase adherence to a person's preferences by health
Received: 21 August 2018
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Revised: 7 February 2019
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Accepted: 17 February 2019
DOI: 10.1111/ajag.12639
REVIEW ARTICLE
Facilitators and barriers to advance care planning
implementation in Australian aged care settings: A systematic
review and thematic analysis
Frances Batchelor
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Kerry Hwang
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Betty Haralambous
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Marcia Fearn
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Paulene Mackell
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Linda Nolte
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Karen Detering
2,3
1
National Ageing Research Institute,
Parkville, Victoria, Australia
2
Advance Care Planning Australia, Austin
Health, Heidelberg, Victoria, Australia
3
Faculty of Medicine, Dentistry and
Health Science, University of Melbourne,
Parkville, Victoria, Australia
Correspondence
Dr Frances Batchelor, National Ageing
Research Institute, Parkville, Vic.,
Australia.
Email: f.batchelor@nari.edu.au
Funding information
Department of Health, Australian
Government
Objectives: There are many studies investigating implementation of advance care
planning (ACP) in aged care around the world, but few studies have investigated
Australian settings. The objective of this study was to determine facilitators and bar-
riers to implementation of ACP in Australian residential and community aged care.
Methods: Evidence from Australian studies published between 2007 and September
2017 of ACP in residential and community aged care was sourced from electronic
databases using predetermined search strategies. Data were extracted and synthe-
sised using thematic analysis, and summarised according to themes.
Results: Nine studies described facilitators and barriers of ACP implementation. Six
themes were identified: “Education and Knowledge,” “Skills and Training,” “Procedures
and Resources,” “Perceptions and Culture,” “Legislation” and “Systems.”
Conclusions: A whole of systems approach is necessary to facilitate uptake of ACP
in residential aged care settings. More research is needed to understand facilitators
and barriers to ACP in community aged care.
KEYWORDS
advance care planning, aging, Australia, nursing homes, review