Choi Hye Ri, Chu Ho Nee, Jia Shumin, Liu Xiaohang, Wang Tongyao, Lin Chia-Chin
School of Nursing, University of Hong Kong, Pokfulam, Hong Kong.
Helping Hand, Pokfulam, Hong Kong.
J Adv Nurs. 2025 Mar;81(3):1116-1129. doi: 10.1111/jan.16383. Epub 2024 Sep 2.
To synthesize family members' experiences and perspectives on advance care planning (ACP) in nursing homes.
The thematic synthesis is reported following the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) statement. A systematic search of the APA PsycINFO, CINAHL Plus, Embase and PubMed databases is initially conducted in October 2022, and the search is updated in January 2024. Qualitative studies that presented family members' quotes regarding advance care planning in nursing homes published in a peer-reviewed journal were included. Screening and data extraction were independently performed by two reviewers, and any discrepancies were resolved with the assistance of the third author.
A total of 1027 articles were identified, and 23 articles were included in the full-text review. Subsequently, a total of 17 studies were ultimately included, and 127 quotes were extracted and analysed. The main findings were categorized into three themes: (1) invitation to conversation and care, (2) the resident's surrogate and (3) nurses. Considering the importance of family members' roles in ACP conversations in a nursing home setting, this study provided an in-depth understanding of family members' perceptions and experiences of ACP by synthesizing qualitative studies. Family members' lack of knowledge regarding the timing and pursuits of ACP was also identified.
The findings of this study provide synthesized qualitative evidence of family members' perspectives on ACP, which can inform care and treatment in nursing homes. As this study synthesizes the experiences of family members in nursing homes about ACP, the findings of this study contribute to reflecting family members' experiences and providing evidence for nursing home healthcare professionals.
This study reports the experiences of family members in ACP nursing homes. The findings of this study contribute to reflecting family members' experiences and building evidence for nursing home healthcare professionals.
综合家庭成员在养老院进行预先护理计划（ACP）的经历和观点。
本研究按照《提高定性研究综合报告透明度》（ENTREQ）声明报告主题综合情况。2022年10月初步对美国心理学会心理学文摘数据库（APA PsycINFO）、护理学与健康领域数据库（CINAHL Plus）、荷兰医学文摘数据库（Embase）和美国国立医学图书馆生物医学数据库（PubMed）进行系统检索，并于2024年1月更新检索。纳入在同行评审期刊上发表的、呈现家庭成员关于养老院预先护理计划的引述的定性研究。由两名评审员独立进行筛选和数据提取，如有分歧则在第三作者的协助下解决。
共识别出1027篇文章，23篇文章纳入全文评审。随后，最终共纳入17项研究，提取并分析了127条引述。主要发现分为三个主题：（1）对话与护理的邀请，（2）居民的替代决策者，（3）护士。鉴于家庭成员在养老院环境中ACP对话中的重要作用，本研究通过综合定性研究，深入了解了家庭成员对ACP的看法和经历。还发现家庭成员对ACP的时机和追求缺乏了解。
本研究结果提供了关于家庭成员对ACP观点的综合定性证据，可为养老院的护理和治疗提供参考。由于本研究综合了养老院中家庭成员关于ACP的经历，研究结果有助于反映家庭成员的经历，并为养老院医疗保健专业人员提供证据。
本研究报告了家庭成员在养老院进行ACP的经历。研究结果有助于反映家庭成员的经历，并为养老院医疗保健专业人员提供证据。
