School of Nursing, Hebei University, Baoding, China.
Department of Nursing, Affiliated Hospital of Hebei University, Baoding, China.
Int J Older People Nurs. 2024 Sep;19(5):e12646. doi: 10.1111/opn.12646.
With the ageing of the population intensifying, the implementation of advance care planning (ACP) in nursing facilities is especially crucial.
This study aimed to search and synthesise qualitative studies exploring the perspectives of older people in nursing facilities about ACP discussions.
The researchers conducted searches of PubMed, Web of Science, Cochrane Library, CNKI, Wanfang, VIP and CBM between the time of inception and October 2023. The PICo model was used to build the inclusion and exclusion criteria. Following the inclusion and exclusion criteria, two researchers screened the literature, extracted data and then integrated the literature using the integrative synthesis.
A total of 12 articles were included, 47 themes were extracted, and three research integrations were summarised: (1) understanding of ACP; (2) attitude towards ACP; and (3) influencing factors of participation in ACP.
This study offers guidance for the future development of ACP on the participation of older people in nursing facilities.
It is necessary to strengthen the education of ACP-related knowledge in conjunction with the cultural characteristics of different countries, to provide interdisciplinary support for older people through professional teamwork and to promote the development and improvement of ACP-related practices.
随着人口老龄化的加剧，在护理机构中实施预先护理计划（ACP）尤为重要。
本研究旨在搜索和综合定性研究，探讨护理机构中老年人对 ACP 讨论的观点。
研究人员在成立时间到 2023 年 10 月期间在 PubMed、Web of Science、Cochrane Library、CNKI、Wanfang、VIP 和 CBM 上进行了搜索。使用 PICo 模型制定纳入和排除标准。根据纳入和排除标准，两名研究人员筛选文献、提取数据，然后使用综合综合方法整合文献。
共纳入 12 篇文章，提取了 47 个主题，总结了三个研究综合：（1）对 ACP 的理解；（2）对 ACP 的态度；（3）参与 ACP 的影响因素。
本研究为未来护理机构中老年人参与 ACP 的发展提供了指导。
有必要结合不同国家的文化特点，加强 ACP 相关知识的教育，通过专业团队为老年人提供跨学科支持，促进 ACP 相关实践的发展和完善。
