Please use this identifier to cite or link to this item:
Service Experiences in Helping Advance Care Planning Decisions in the Taipei City Hospital
Advance Care Planning
Patient Autonomy Act
This study aims to investigate the Taipei City Hospital healthcare team’s experience implementing “Advance Care Planning”. This is to understand how first-line healthcare team members use “Advance Care Planning” to help people with hospice care intent as well as cope with potential problems and predicaments when signing “Advance Directives”. The study uses qualitative research methods and focuses on 7 first-line workers (including 2 doctors, 2 registered nurses, and 3 social workers). In-depth interview methods are utilized to thoroughly understand their service processes. Study findings are as follows: I. The goal of Advance Care Planning: the ACP is to assist those with intent to communicate with healthcare team as well as their friends and family. It also has educational as well as administrative purposes. II. Major responsibilities of social workers: healthcare team members have their own respective duties to fulfill in the service process. Among them, the social worker is given diverse functionalities. III. Predicaments in service processes: since the act has yet to be officially enforced, lack of force and effect impacts participation intent. There are many legal participants which hampers scheduling. Legal criteria have restrictions on participants. There is also pressure from the court placed on the healthcare team, case source instability, lack of consensus between persons of intent as well as their respective family members, extensive consultation time, and vague concept of advanced directive templates etc. IV. Healthcare team members must possess knowledge and capabilities: an open view of life and death as well as recognition of good death concept, training in hospice and palliative care, near death or end-of-life experience, adequate understanding of common legal knowledge, familiarity with processes, and development of professional communication skills.
|Appears in Collections:||學位論文|
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.