TY - JOUR
T1 - The Impact of Advance Care Planning on Healthcare Professionals’ Well-being
T2 - A Systematic Review
AU - Gomes Souza, Lucas
AU - Bouba, Dalil Asmaou
AU - Corôa, Roberta de Carvalho
AU - Dofara, Suélène Georgina
AU - Robitaille, Vincent
AU - Blanchette, Virginie
AU - Kastner, Kathy
AU - Bergeron, Fréderic
AU - Guay-Bélanger, Sabrina
AU - Izumi, Shigeko (Seiko)
AU - Totten, Annette M.
AU - Archambault, Patrick
AU - Légaré, France
N1 - Publisher Copyright:
© 2023 The Authors
PY - 2024/2
Y1 - 2024/2
N2 - Context: Advance care planning (ACP) improves care for patients with chronic illnesses and reduces family stress. However, the impact of ACP interventions on healthcare professionals’ well-being remains unknown. Objective: To systematically review the literature evaluating the impact of ACP interventions on healthcare professionals’ well-being. Methods: We followed the Joanna Briggs Institute methodology for systematic reviews and registered the protocol in PROSPERO (CRD42022346354). We included primary studies in all languages that assessed the well-being of healthcare professionals in ACP interventions. We excluded any studies on ACP in psychiatric care and in palliative care that did not address goals of care. Searches were conducted on April 4, 2022, and March 6, 2023 in Embase, CINAHL, Web of Science, and PubMed. We used the Mixed Methods Appraisal Tool for quality analysis. We present results as a narrative synthesis because of their heterogeneity. Results: We included 21 articles published in English between 1997 and 2021 with 17 published after 2019. All were conducted in high-income countries, and they involved a total of 1278 participants. Three reported an interprofessional intervention and two included patient partners. Studies had significant methodological flaws but most reported that ACP had a possible positive impact on healthcare professionals’ well-being. Conclusion: This review is the first to explore the impact of ACP interventions on healthcare professionals’ well-being. ACP interventions appear to have a positive impact, but high-quality studies are scarce. Further research is needed, particularly using more rigorous and systematic methods to implement interventions and report results.
AB - Context: Advance care planning (ACP) improves care for patients with chronic illnesses and reduces family stress. However, the impact of ACP interventions on healthcare professionals’ well-being remains unknown. Objective: To systematically review the literature evaluating the impact of ACP interventions on healthcare professionals’ well-being. Methods: We followed the Joanna Briggs Institute methodology for systematic reviews and registered the protocol in PROSPERO (CRD42022346354). We included primary studies in all languages that assessed the well-being of healthcare professionals in ACP interventions. We excluded any studies on ACP in psychiatric care and in palliative care that did not address goals of care. Searches were conducted on April 4, 2022, and March 6, 2023 in Embase, CINAHL, Web of Science, and PubMed. We used the Mixed Methods Appraisal Tool for quality analysis. We present results as a narrative synthesis because of their heterogeneity. Results: We included 21 articles published in English between 1997 and 2021 with 17 published after 2019. All were conducted in high-income countries, and they involved a total of 1278 participants. Three reported an interprofessional intervention and two included patient partners. Studies had significant methodological flaws but most reported that ACP had a possible positive impact on healthcare professionals’ well-being. Conclusion: This review is the first to explore the impact of ACP interventions on healthcare professionals’ well-being. ACP interventions appear to have a positive impact, but high-quality studies are scarce. Further research is needed, particularly using more rigorous and systematic methods to implement interventions and report results.
KW - Advance care planning
KW - end-of-life discussions
KW - goals of care
KW - healthcare professionals
KW - systematic review
KW - well-being
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U2 - 10.1016/j.jpainsymman.2023.09.026
DO - 10.1016/j.jpainsymman.2023.09.026
M3 - Review article
C2 - 37827454
AN - SCOPUS:85175479656
SN - 0885-3924
VL - 67
SP - 173
EP - 187
JO - Journal of Pain and Symptom Management
JF - Journal of Pain and Symptom Management
IS - 2
ER -