Certified nursing assistants’ perspectives on their role in advance care planning for older persons: A qualitative study
Rattachement africain : nl. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
BACKGROUND: Advance care planning in older persons with palliative care needs is often not (timely) initiated. Certified nursing assistants are closely involved in the (daily) care for older persons and have important insights regarding their clients' care preferences and quality of life. However, their role in advance care planning is currently overlooked. AIM: To examine the perspectives of nursing assistants on their role in advance care planning for older persons. DESIGN: A qualitative descriptive study design using semi-structured interviews. SETTING/PARTICIPANTS: Fifteen nursing assistants working in community care and nursing homes in the Netherlands were interviewed between March and December 2023. A combined inductive and deductive thematic analysis was performed using the Capability, Opportunity, Motivation Behavioral model. RESULTS: Most nursing assistants were not structurally involved in advance care planning and were in need of additional knowledge and skills (capability). The team culture affected nursing assistants' opportunities and motivation to participate in advance care planning both positively and negatively. The opportunity was further shaped by nursing assistants' relationship with clients and relatives and time management, while motivation also depended on personal circumstances. CONCLUSION: This study found several barriers and facilitators affecting nursing assistants' role in advance care planning for older persons. Structurally involving nursing assistants in advance care planning, supporting their work environment, and empowering them can foster equal collaboration with other healthcare professionals. This might contribute to the timely initiation of advance care planning and palliative care for older persons.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Certified nursing assistants’ perspectives on their role in advance care planning for older persons: A qualitative study
- Date Crossref
- 31/07/2026
- Éditeur
- SAGE Publications
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
-
GGD Amsterdam pays non établi dans la noticeÉtablissement de santé
-
Health & Safety in Sports pays non établi dans la noticeInstitution
-
Amsterdam University of Applied Sciences pays non établi dans la noticeUniversité ou école supérieure
-
Inholland University of Applied Sciences pays non établi dans la noticeUniversité ou école supérieure
-
University of Amsterdam pays non établi dans la noticeUniversité ou école supérieure
-
Amsterdam Public Health pays non établi dans la noticeInstitution
-
Department of Medicine for Older People pays non établi dans la noticeInstitution
-
Faculty of Health Centre of Expertise Prevention in Health and Social Care pays non établi dans la noticeUniversité ou école supérieure
-
Department of Internal Medicine pays non établi dans la noticeInstitution
GGD Amsterdam, Health & Safety in Sports et Amsterdam University of Applied Sciences, avec 6 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.