A Context-oriented Communication Algorithm for Advance Care Planning A Model to Assist Palliative Care in Heart Failure
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Kim, JinShil | - |
dc.contributor.author | Kim, Shinmi | - |
dc.contributor.author | Shin, Mi-Seung | - |
dc.contributor.author | Jin, Jae Ok | - |
dc.contributor.author | Kim, Yunmi | - |
dc.contributor.author | Lee, Mee-Ok | - |
dc.date.available | 2020-02-27T09:42:22Z | - |
dc.date.created | 2020-02-06 | - |
dc.date.issued | 2018-09 | - |
dc.identifier.issn | 0889-4655 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/3457 | - |
dc.description.abstract | Background: Access to consultation or referral for decisions about advance care planning (ACP) is limited, particularly for nonmalignant models pertinent to palliative care in heart failure (HF). Objectives: The aim of this study was to solicit professional opinions about the feasibility of using an exemplary context-oriented communication algorithm for ACP discussions. Methods: Using a panel of expert physicians and nurses in cardiovascular care, a 3-round Delphi study was conducted to evaluate the proposed model. Results: A consensus was determined based on a content validity ratio (CVR) of 0.318 or greater, a critical value for selection of an item scored as important (>= 4 on a 5-point Likert scale). A total of 50, 44, and 38 experts in Korea completed each round, respectively. Item evaluation did not differ across rounds (Friedman chi(2) > P = .05), except for timing of the ACP discussion. A lack of consensus was observed on the issue of after HF diagnosis for right timing of the ACP discussion across rounds (CVRs from -0.80 to -0.83); consensus was reached on the expectation of a terminal state (CVRs from 0.60 to 0.78). Content validity ratios were moderately high for Korean advance directive, ranging from 0.59 to 0.91. Experts also reached consensus about each of 5 steps of a communication model-patients' determination of decisional capacity (CVR, 0.72-1.0), awareness (CVR, 0.95-1.0), willingness for advance care planning (CVR, 0.76-0.84), family dynamics (CVR, 0.92-1.0) and patient readiness for advance care planning (CVR, 0.76-0.95). Conclusions: A context-oriented communication model could be used to facilitate the decision-making process for palliative care and continuity of care in HF. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | LIPPINCOTT WILLIAMS & WILKINS | - |
dc.relation.isPartOf | JOURNAL OF CARDIOVASCULAR NURSING | - |
dc.subject | OF-LIFE CARE | - |
dc.subject | DIRECTIVES | - |
dc.subject | HEALTH | - |
dc.subject | EPIDEMIOLOGY | - |
dc.subject | DISEASE | - |
dc.title | A Context-oriented Communication Algorithm for Advance Care Planning A Model to Assist Palliative Care in Heart Failure | - |
dc.type | Article | - |
dc.type.rims | ART | - |
dc.description.journalClass | 1 | - |
dc.identifier.wosid | 000457865500012 | - |
dc.identifier.doi | 10.1097/JCN.0000000000000396 | - |
dc.identifier.bibliographicCitation | JOURNAL OF CARDIOVASCULAR NURSING, v.33, no.5, pp.446 - 452 | - |
dc.identifier.scopusid | 2-s2.0-85014099024 | - |
dc.citation.endPage | 452 | - |
dc.citation.startPage | 446 | - |
dc.citation.title | JOURNAL OF CARDIOVASCULAR NURSING | - |
dc.citation.volume | 33 | - |
dc.citation.number | 5 | - |
dc.contributor.affiliatedAuthor | Kim, JinShil | - |
dc.contributor.affiliatedAuthor | Shin, Mi-Seung | - |
dc.contributor.affiliatedAuthor | Kim, Yunmi | - |
dc.contributor.affiliatedAuthor | Lee, Mee-Ok | - |
dc.type.docType | Article | - |
dc.subject.keywordAuthor | advance care planning | - |
dc.subject.keywordAuthor | communication | - |
dc.subject.keywordAuthor | Delphi technique | - |
dc.subject.keywordAuthor | heart failure | - |
dc.subject.keywordAuthor | palliative care | - |
dc.subject.keywordPlus | OF-LIFE CARE | - |
dc.subject.keywordPlus | DIRECTIVES | - |
dc.subject.keywordPlus | HEALTH | - |
dc.subject.keywordPlus | EPIDEMIOLOGY | - |
dc.subject.keywordPlus | DISEASE | - |
dc.relation.journalResearchArea | Cardiovascular System & Cardiology | - |
dc.relation.journalResearchArea | Nursing | - |
dc.relation.journalWebOfScienceCategory | Cardiac & Cardiovascular Systems | - |
dc.relation.journalWebOfScienceCategory | Nursing | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | ssci | - |
dc.description.journalRegisteredClass | scopus | - |
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