A Scoping Review of Advance Care Planning Support for Patients in Intensive Care Units

Authors

  • Kanako Yamamoto MSN, RN, CNS, Graduate School of Nursing Science, Nursing Informatics, St. Luke’s International University, Tokyo, Japan.
  • Junko Hayama MSN, RN, Graduate School of Nursing Science, Nursing Infomatics, St. Luke’s International University, Tokyo, Japan
  • Yuki Yonekura PhD, Associate Professor, Graduate School of Nursing Science, Nursing Informatics, St. Luke’s International University, Tokyo, Japan
  • Kazuhiro Nakayama PhD, Professor, Graduate school of nursing science, Nursing Informatics, St. Luke’s International University, Tokyo, Japan
  • Erika Ota PhD, RN, PHN, Professor, Graduate School of Nursing Science, Global Health Nursing, St. Luke’s International University, Tokyo, Japan and Tokyo Foundation for Policy Research, Tokyo, Japan

Keywords:

Advance care planning, Advance directives, Critical care, End-of-life, Intensive care unit, Palliative care, Perioperative period

Abstract

             Deciding whether to stop life-saving treatment for patients receiving intensive care, and who have poor recovery prospects, is challenging. Due to patients’ inability to make these decisions and the difficulties in fulfilling their wishes regarding treatment, family members often need to decide themselves. Advance care planning support has been expanding to improve the quality of end-of-life care, but its effectiveness in intensive care units is unclear. This scoping review aimed to elucidate the effectiveness of advance care planning interventions for patients entering intensive care units, and their families.
             The PRISMA-ScR checklist was used to report this review. We searched the databases of BNI, CINAHL, EMBASE, Ichushi-Web, PsycINFO, PubMed, The Cochrane Library, OpenGrey, and the Trip medical database for published and unpublished studies in intensive care units from January 2000 to March 2020. Studies on adult patients admitted to intensive care units were included, while studies on patients being treated for mental health conditions, terminally ill patients, new mothers, and patients in nursing homes and hospices were excluded.
           Three quantitative studies and one qualitative study were included in this review. Literature analysis revealed that an advance care planning intervention involving patients in intensive care units in the perioperative period and their families significantly improved their knowledge; documenting the patient’s intentions helped reduce decision-making conflicts and enhanced care satisfaction. Barriers to preparing advance care planning included a lack of information and support by healthcare providers. The reviewed studies indicated that medical professionals and families could make surrogate decisions based on patients’ wishes and values by supporting advance care planning.

References

Schmick AE, Brasel KJ, Schwarze ML. Engaging patients, health care professionals, and community members to improve preoperative decision making for older adults facing high-risk surgery. JAMA Surg. 2016;151(10): 938-45. doi:- 10.1001/jamasurg.2016.1308.

Nepogodiev D, Martin J, Biccard B, Makupe A, Bhangu A, National Institute for Health Research Global Health Research Unit on Global Surgery. Global burden of postoperative death. Lancet. 2019 Feb 2;393(10170): 401. doi:10.1016/S0140-6736(18)33139-8.

International Surgical Outcomes Study Group. Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries. Br J Anaesth. 2016 Oct 31;117(5):601-9. doi:10.1093/bja/aew316.

Adach, T. What’s advance care planning? In: Sumita, M, editor. Advance care planning. Mejikarufurendosya; 2019, pp. 3-28.

Gabbard J, Pajewski NM, Callahan KE, Dharod A, Foley KL, Ferris K, Moses A, Willard J, Williamson JD. Effectiveness of a nurse-led Multidisciplinary intervention vs usual care on advance care planning for vulnerable older adults in an accountable care organization: a randomized clinical trial. JAMA Intern Med. 2021 Mar 1;181(3): 361-9. doi: 10.1001/jamainternmed.2020.5950.

Head BA, Song MK, Wiencek C, Nevidjon B, Fraser D, Mazanec P. Palliative Nursing Summit: nurses leading change and transforming care: the nurse’s role in communication and advance care planning. J Hosp Palliat Nurs. 2018 Feb;20(1):23-9. doi: 10.1097/NJH. 0000000000000406.

Disler R, Cui Y, Luckett T, Donesky D, Irving L, Currow DC, Smallwood N. Respiratory nurses have positive attitudes but lack confidence in advance care planning for chronic obstructive pulmonary disease: online survey. J Hosp Palliat Nurs. 2021 Oct 1;23(5):442-54. doi: 10.1097/NJH.0000000000000778.

Whitehead P, Frechman E, Johnstone-Petty M, Kates J, Tay DL, DeSanto K, Fink RM. A scoping review of nurse-led advance care planning. Nurs Outlook. 2022 Jan-Feb; 70(1):96-118. doi: 10.1016/j.outlook.2021.08.002.

Heng J, Sedhom R, Smith TJ. Lack of advance care planning before terminal oncology intensive care unit admissions. J Palliat Med. 2020 Jan;23(1):5-6. doi:10.1089/jpm.2019.0391.

Gigon F, Merlani P, Ricou B. Swiss physicians’ perspectives on advance directives in elective cardiovascular surgery. Minerva Anestesiol. 2015;81(10):1061-75.

Larochelle MR, Rodriguez KL, Arnold RM, Barnato AE. Hospital staff attributions of the causes of physician variation in end-of-life treatment intensity. Palliat Med. 2009 Jul;23(5):460-70. doi:10.1177/0269216309103664.

National Guideline Centre (UK). Evidence review for information and support needs: perioperative care in adults. London, National Institute for Health and Care Excellence (UK). August 2020.

Yamamoto K, Yonekura Y, Hayama J, Matsubara T, Misumi H, Nakayama K. Advance care planning for intensive care patients during the perioperative period: a qualitative study. SAGE Open Nurs. 2021 Oct 1; 7:23779608211038845. doi:10.1177/237796082 11038845.

Gilissen J, Pivodic L, Smets T, Gastmans C, Vander Stichele R, Deliens L, et al. Preconditions for successful advance care planning in nursing homes: systematic review. Int J Nurs Stud. 2017;66:47-59. doi:-10. 1016/j.ijnurstu. 2016.12.003.

Ashana DC, Chen X, Agiro A, Sridhar G, Nguyen A, Barron, J, et al. Advance care planning claims and health care utilization among seriously ill patients near the end of life. JAMA Netw Open. 2019;2(11):e1914471. doi:-10.1001/jamanetworkopen.2019.14471.

Khandelwal N, Long AC, Lee RY, McDermott CL, Engelberg RA, Curtis JR. Pragmatic methods to avoid intensive care unit admission when it does not align with patient and family goals. Lancet Respir Med. 2019 Jul;7(7):613-25. doi:10.1016/S2213-2600(19) 30170-5.

Levac D, Colquhoun H, O’Brien KK. Scoping studies: advancing the methodology. Implement Sci. 2010;5:69.

Munn Z, Peters MDJ, Stern C, Tufanaru C, McArthur A, Aromataris E. Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach. BMC Med Res Methodol. 2018;18(1):143. doi:-10.1186/s12874-018-0611-x.

Arksey H, O’malley L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol. 2005;8(1):19-32.

Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018;169(7):467-73.

Peters MDJ, Marnie C, Tricco AC, Pollock D, Munn Z, Alexander L, et al. Updated methodological guidance for the conduct of scoping reviews. JBI Evid Implement. 2021;19(1):3-10. doi:-10.11124/JBIES-20-00167.

Yamamoto K, Hayama J, Nakayama K, Yonekura Y, Ota E. Intervention and efficacy of advance care planning for patients in intensive care units and their families: a scoping review protocol. Nurs Open. 2021;8(2):997-1001. doi:10.1002/nop2.722.

Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan-a web and mobile app for systematic reviews. Syst Rev. 2016 Dec 5;5(1):210. doi:10.1186/s13643-016-0384-4.

Song MK, Kirchhoff KT, Douglas J, Ward S, Hammes B. A randomized, controlled trial to improve advance care planning among patients undergoing cardiac surgery. Med Care. 2005;43(10):1049-53.

Wilson ME, Krupa A, Hinds RF, Litell JM, Swetz KM, Akhoundi A. A video to improve patient and surrogate understanding of ardiopulmonary resuscitation choices in the ICU: a randomized controlled trial. Crit Care Med. 2015;43(3):621-9. doi:-10.1097/CCM.0000000000000749.

Chiarchiaro J, Buddadhumaruk P, Arnold RM, White DB. Prior advance care planning is associated with less decisional conflict among surrogates for critically ill patients. Ann Am Thorac Soc. 2015;12(10):1528-33. doi: 10.1513/AnnalsATS.201504-253OC.

Andreu P, Dargent A, Large A, Meunier-Beillard N, Vinault S, Leiva-Rojas U. Impact of a stay in the intensive care unit on the preparation of advance directives: descriptive, exploratory, qualitative study. Anaesth Crit Care Pain Med.2018;37(2):113-9. doi: 10.1016/j.accpm.2017.05.007.

Yamamoto K, Yonekura Y, Nakayama K. Healthcare providers’ perception of advance care planning for patients with critical illnesses in acute-care hospitals: a crosssectional study. BMC Palliat Care. 2022 Jan 7;21(1):7. doi:10.1186/s12904-021-00900-5.

Sudore RL, Fried TR. Redefining the “planning” in advance care planning: preparing for end-of-life decision making. Ann Intern Med. 2010;153(4):256-61. doi:10.7326/0003-4819-153-4-201008170-00008.

Schwarze ML, Bradley CT, Brasel KJ. Surgical “buy-in”: the contractual relationship between surgeons and patients that influences decisions regarding life-supporting therapy. Crit Care Med. 2010;38(3):843-8. doi: 10.1097/CCM. 0b013e3181cc466b.

Detering KM, Hancock AD, Reade MC, Silvester W. The impact of advance care planning on end-of-life care in elderly patients: randomised controlled trial. BMJ. 2010;340:c1345. doi: 10.1136/bmj.c1345.

Wright AA, Zhang B, Ray A, Mack JW, Trice E, Balboni T. Associations between end-of-life discussions, patient mental health, medical care near death, and caregiver bereavement adjustment. JAMA. 2008;300(14):1665-73. doi: 10.1001/jama.300.14.1665.

Miyashita M, Sanjo M, Morita T, Hirai K, Uchitomi Y. Good death in cancer care: a nationwide quantitative study. Ann Oncol. 007;18(6):1090-7.

Masujima M. Development on the nursing practice based on advance care planning to support the person in the endof-life period to live a fulfilling life. J Jpn Soc Intensive Care Med. 2017;22(4):203-8.

Jain A, Corriveau S, Quinn K, Gardhouse A, Vegas DB, You JJ. Video decision aids to assist with advance care planning: a systematic review and meta-analysis. BMJ Open. 2015;5(6):e007491. doi: 10.1136/bmjopen-2014-007491.

Azoulay E, Pochard F, Kentish-Barnes N, Chevret S, Aboab J, Adrie C, et al. Risk of post-traumatic stress symptoms in family members of intensive care unit patients. Am J Respir Crit Care Med. 2005;171(9):987-94. doi: 10.1164/rccm.200409-1295OC.

Debaty G, Ageron FX, Minguet L, Courtiol G, Escallier C, Henniche A, et al. More than half the families of mobile intensive care unit patients experience inadequate communication with physicians. Intensive Care Med. 2015;41(7):1291-8. doi: 10.1007/s00134-015-3890-2.

Kressel K, Kennedy CA, Lev E, Taylor L. Managing conflict in an urban health care setting: what do “experts” know? J Health Care Law Policy. 2002;5(2):364-446.

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Published

2022-05-27

How to Cite

1.
Kanako Yamamoto, Junko Hayama, Yuki Yonekura, Kazuhiro Nakayama, Erika Ota. A Scoping Review of Advance Care Planning Support for Patients in Intensive Care Units. PRIJNR [Internet]. 2022 May 27 [cited 2024 Oct. 8];26(3):488-500. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/258072