Advanced care directives in residential aged care for residents with major neuro-cognitive disorders (dementia) : a scoping Review
- Authors: Hormazábal-Salgado, Raul , Osman, Abdi , Poblete-Troncoso, Margarita , Whitehead, Dean , Hills, Danny
- Date: 2024
- Type: Text , Journal article
- Relation: Journal of Social Work in End-of-Life and Palliative Care Vol. 20, no. 1 (2024), p. 83-114
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- Description: The aim of this review was to identify, assess, collate, and analyze existing research that has made a direct contribution to aiding understanding of the ethical and decision-making issues related to the use of advance care directives for people with dementia and/or other major neurocognitive disorders and/or their surrogate decision-makers on treatment. The Web of Science, Scopus, PubMed, CINAHL, Academic Search Ultimate, and MEDLINE databases were searched between August and September 2021 and July to November 2022 limited to primary studies written in English, Spanish, or Portuguese. Twenty-eight studies of varying quality that addressed related thematic areas were identified. These themes being support for autonomy in basic needs (16%), making decisions ahead/planning ahead and upholding these decisions (52%), and support in decision-making for carers (32%). Advance care directives are an important mechanism for documenting treatment preferences in patient care planning. However, the available literature on the topic is limited in both quantity and quality. Recommendations for practice include involving decision makers, promoting educational interventions, exploring how they are used and implemented, and promoting the active involvement of social workers within the healthcare team. © 2023 The Author(s). Published with license by Taylor & Francis Group, LLC.
Person-centred decision-making in mental health : a scoping review
- Authors: Hormazábal-Salgado, Raul , Whitehead, Dean , Osman, Abdi , Hills, Danny
- Date: 2024
- Type: Text , Journal article , Review
- Relation: Issues in Mental Health Nursing Vol. 45, no. 3 (2024), p. 294-310
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- Description: Person-centred decision-making approaches in mental health care are crucial to safeguard the autonomy of the person. The use of these approaches, however, has not been fully explored beyond the clinical and policy aspects of shared and supported decision-making. The main goal is to identify and collate studies that have made an essential contribution to the understanding of shared, supported, and other decision-making approaches related to adult mental health care, and how person-centred decision-making approaches could be applied in clinical practice. A scoping review of peer-reviewed primary research was undertaken. A preliminary search and a main search were undertaken. For the main search, eight databases were explored in two rounds, between October and November 2022, and in September 2023, limited to primary research in English, Spanish or Portuguese published from October 2012 to August 2023. From a total of 12,285 studies retrieved, 21 studies were included. These research articles, which had mixed quality ratings, focused on therapeutic relationships and communication in decision-making (30%), patients’ involvement in treatment decision-making (40%), and interventions for improving patients’ decision-making engagement (30%). While there is promising evidence for shared decision-making in mental health care, it is important that healthcare providers use their communicational skills to enhance the therapeutic relationship and engage patients in the process. More high-quality research on supported decision-making strategies and their implementation in mental health services is also required. © 2024 The Author(s). Published with license by Taylor & Francis Group, LLC.
Evaluation of resource allocation for undergraduate nursing professional experience placements coordination in Australian Higher Education; a cross-sectional study with descriptive qualitative thematic analysis
- Authors: Osman, Abdi , Bradley, Leah , Plummer, Virginia
- Date: 2023
- Type: Text , Journal article
- Relation: Nurse Education in Practice Vol. 67, no. (2023), p.
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- Description: Aims and objective: To assess the implementation of standards by Australian Nursing higher education providers as set by accrediting and regulating bodies and to identify any barriers or enablers to optimizing Professional Experience Placement. To recommend strategies for safeguarding and improving any identified enablers as well as mitigating factors for any identified barriers. Background: Professional Experience Placement is an essential element of all accredited Nursing Programs in Australia. The Australian Nursing and Midwifery Accreditation Council is responsible for developing accreditation standards and mandates minimum of 800 h of Professional Experience Placement scaffolded across curriculum which some Higher Education Providers set as their exact baseline for clinical placement duration. Design: Descriptive study using; questionnaire survey with qualitative thematic analysis and CROSS checklist. Method: Quantitative method with descriptive qualitative thematic analysis and purposive sampling was used to target 37 higher education institutions that offer BN and BN/BM programs, 33 of these institutions were randomly selected for inclusion. Data was collected over a six-week period from 24th May to 4th July 2022 using Qualtrics online survey. Results: Out of the 33 Higher Education providers who were invited to participate, 51.5 % (n = 17) responded. The respondent's demographics were: 94 % Bachelor of Nursing only placements coordinators while one respondent reported covering both Bachelor of Nursing and Bachelor of Midwifery; Most of the respondents (65 %) were in 40–55 years age group. The respondents reported to have overall responsibility across one to 6 campuses (Mean = 2.2) and having support/administrative staffs ranging from 0 to 15 (Mean = 4.11). Student population among the institutions ranged from 500 to 7500 with a mean of 2365.38. The number of campuses covered had statistically significant relationship with the student population (p < 0.001; 0.392–0.929 confidence interval) however no statistically significant relationship with the number of administrative staff allocated (p = 0.319;
Assessment of emergency department staff awareness, access and utilisation of advance care directives and goals of care : a cross-sectional survey
- Authors: Osman, Abdi , Howell, Jocelyn , Smithies, Lisa , Wilson, Damian , Lam, Louisa , Moran, Juli , Jones, Daryl , Taylor, David
- Date: 2022
- Type: Text , Journal article
- Relation: Australasian Emergency Care Vol. 25, no. 3 (2022), p. 235-240
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- Description: Background: Emergency department staff awareness, access and implementation of advance care directives and goals of care documents and the related patient consent processes are important but not well understood. Methods: A cross-sectional survey using purposive sampling was undertaken at a tertiary hospital's Emergency Department from 15th March to 26th April 2021. Participants were recruited through online platforms. Pre-validated questionnaires were distributed by email or as QR codes on bulletin boards. Data collected included staff: demographics, knowledge, access and implementation of advance care directives and goals of care documentation. Results: One hundred thirty-four (28%) of 476 targeted participants responded with nursing forming largest group. Results showed that previous attendance of advance care planning education was low at 20%. Familiarity with advance care directive documentations was only 19% while with goals of care document was average. 61 (48%) respondents reported ease of accessing electronic documents and 21 (19%) reported feeling very comfortable discussing and setting goals of care with patients (p = <0.01). Conclusions: Staff awareness of advance care directive was poor, while awareness of goals of care was average. There was no association between advance care directives awareness and staff age group, gender, length of: - professional practice, practice at the study site. © 2021