![]() Gain access to Juniper Networks technical support engineers, software updates, online access to our knowledge base, online tools, and hardware replacement options. Juniper Care Services Features and Benefits Feature Quality of Dying in Nursing Home Residents Dying with Dementia: Does Advanced Care Planning Matter? A Nationwide Postmortem Study. Vandervoort A, Houttekier D, Vander Stichele R, van der Steen JT, Van den Block L. Quality of dying and quality of end-of-life care of nursing home residents in six countries: An epidemiological study. Pivodic L, Smets T, Van den Noortgate N, Onwuteaka-Philipsen BD, Engels Y, SzczerbiĆska K, et al. Royal College of Physicians of London 2009. Number 12: Advance Care Planning National Guidelines. Concise guidance to good practice: A series of evidence-based guidelines for clinical management. ![]() Defining Advance Care Planning for Adults: A Consensus Definition From a Multidisciplinary Delphi Panel. Sudore RL, Lum HD, You JJ, Hanson LC, Meier DE, Pantilat SZ, et al. ![]() Definition and recommendations for advance care planning: an international consensus supported by the European Association for Palliative Care. Rietjens JAC, Sudore RL, Connolly M, Delden JJ van, Drickamer MA, Droger M, et al. ![]() The findings presented in this paper, alongside results of the subsequent randomized controlled cluster trial, can facilitate comparison, replicability and translation of the intervention into practice. It is deemed feasible and acceptable by nursing home staff and management. The multicomponent ACP+ program involves residents, family, and the different groups of people working in the nursing home. The support of an external trainer decreases as nursing home staff become more autonomous in organizing advance care planning. The program involves the entire nursing home workforce. These components are to be implemented stepwise throughout an intervention period. The final ACP+ program includes ongoing training and coaching, management engagement, different roles and responsibilities in organizing advance care planning, conversations, documentation and information transfer, integration of advance care planning into multidisciplinary meetings, auditing, and tailoring to the specific setting. The original program with nine key components was expanded to include ten intervention components, 22 activities and 17 materials to support delivery into routine nursing home care. During step 2, we used thematic analysis. ![]() The work was carried out by means of 1) operationalization of key intervention components-identified as part of a previously developed theory on how advance care planning is expected to lead to its desired outcomes in nursing homes-into specific activities and materials, through expert discussions and review of existing advance care planning programs 2) evaluation of feasibility and acceptability of the program through interviews with nursing home management and staff and expert revisions and 3) standardized description of the final program according to the TIDieR checklist. Management and staff (n = 17) from five nursing homes in Flanders (Belgium), a multidisciplinary expert group and a palliative care nurse-trainer. We recruited participants through convenience sampling. To develop and model the intervention, we applied multiple study methods including a literature review, expert discussions and individual and group interviews with nursing home staff and management. We aimed to 1) specify how intervention components can be delivered 2) evaluate the feasibility and acceptability of the program 3) describe the final program in a standardized manner. We report on the development and description of the ACP+ program, a multi-component theory-based program that aims to implement advance care planning into routine nursing home care. While various initiatives have been taken to improve advance care planning in nursing homes, it is difficult to find enough details about interventions to allow comparison, replication and translation into practice. ![]()
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