Competing expectations: advance care planning from the perspectives of doctors and nurses in the South-East Asian context

This study qualitatively examines the perspectives of doctors and nurses on the implementation of the Advance Care Planning program in Singapore. Findings suggest that a combination of structural and conceptual factors hindered the performance of ACP. Themes on structural factors indicated that low...

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Bibliographic Details
Main Authors: Lall, Priya, Kang, Natalie, Tan, Woan Shin, Dutta, Oindrila, Patinadan, Paul Victor, Low, Chan Kee, Car, Josip, Ho, Andy Hau Yan
Other Authors: Lee Kong Chian School of Medicine (LKCMedicine)
Format: Article
Language:English
Published: 2022
Subjects:
Online Access:https://hdl.handle.net/10356/159688
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Institution: Nanyang Technological University
Language: English
Description
Summary:This study qualitatively examines the perspectives of doctors and nurses on the implementation of the Advance Care Planning program in Singapore. Findings suggest that a combination of structural and conceptual factors hindered the performance of ACP. Themes on structural factors indicated that low awareness of ACP among senior staff resulted overall lack of buy-in and incorrect implementation of the program due to misconceptions. Conceptual factors pointed to lack of clarity on intended outcomes or roles. Consequently, participants drew meaning through the prism of their profession, resulting in competing expectations and tensions on possible outcomes of the program.