Advance care planning in rural New South Wales from the perspective of general practice registrars and recently fellowed general practitioners

2019 ◽  
Vol 27 (5) ◽  
pp. 398-404
Author(s):  
Jean Littlewood ◽  
Reece Hinchcliff ◽  
Winston Lo ◽  
Joel Rhee
Keyword(s):  
General Practice ◽  
General Practitioners ◽  
Advance Care Planning ◽  
New South ◽  
New South Wales ◽  
Care Planning ◽  
South Wales ◽  
Advance Care

scholarly journals A self-reported survey on the confidence levels and motivation of New South Wales practice nurses on conducting advance-care planning (ACP) initiatives in the general-practice setting

2017 ◽  
Vol 23 (1) ◽  
pp. 80 ◽  
Author(s):  
Emilia Fan ◽  
Joel J. Rhee
Keyword(s):  
Advance Care Planning ◽  
Online Survey ◽  
New South ◽  
New South Wales ◽  
Care Planning ◽  
Documentation System ◽  
Cross Sectional ◽  
Practice Nurses ◽  
South Wales ◽  
Advance Care

Nurses are well positioned to initiate and conduct advance-care planning (ACP) conversations; however, there has been limited research on practice nurses performing this role in Australia. The aim of the present study was to understand the beliefs, attitudes, perceptions, confidence, training and educational needs of New South Wales practice nurses with regards to involvement in ACP. A cross-sectional online survey was conducted in August to October 2014. Nurses were recruited through nursing organisations and Medicare Locals. There were 147 completed surveys (n=147). Participants were mostly female registered nurses, with a median age of 50, and 6 years of practice-nurse experience. Practice nurses were generally positive towards their involvement in ACP and believed it would be beneficial for the community. Their confidence in initiating ACP increased as their familiarity with patients increased. They showed a high level of interest in participating in training and education in ACP. Barriers to their involvement in ACP included the lack of a good documentation system, limited patient-education resources and unclear source of remuneration. Nurses were also concerned over legalities of ACP, ethical considerations and their understanding of end-of-life care options. Nevertheless, they were highly receptive of integrating ACP discussions and were willing to enhance their skills. These findings uncover a need for further training and development of practice nurses for ACP discussions.

‘Advance care planning, general practitioners and patients: a phase II cluster-randomised controlled trial in chronic life-limiting illness’

2020 ◽  
pp. bmjspcare-2020-002712
Author(s):  
Sigrid Dierickx ◽  
Koen Pardon ◽  
Peter Pype ◽  
Julie Stevens ◽  
Robert Vander Stichele ◽  
...  
Keyword(s):  
General Practice ◽  
Randomised Controlled Trial ◽  
General Practitioners ◽  
Advance Care Planning ◽  
Controlled Trial ◽  
Cluster Randomised Controlled Trial ◽  
Care Planning ◽  
Cluster Randomised ◽  
Advance Care ◽  
Randomised Controlled

ObjectivesAlthough general practice is an ideal setting for ensuring timely initiation of advance care planning (ACP) in people with chronic life-limiting illness, evidence on the effectiveness of ACP in general practice and how it can be implemented is lacking. This study aims to evaluate feasibility and acceptability of study procedures and intervention components of an intervention to facilitate the initiation of ACP in general practice for people with chronic life-limiting illness.MethodsPilot cluster-randomised controlled trial testing a complex ACP intervention in general practice versus usual care (ClinicalTrials.gov: NCT02775032). We used a mixed methods approach using detailed documentation of the recruitment process, questionnaires and semi-structured interviews.ResultsA total of 25 general practitioners (GPs) and 38 patients were enrolled in the study. The intervention was acceptable to GPs and patients, with GPs valuing the interactive training and patients finding ACP conversations useful. However, we found a number of challenges regarding feasibility of recruitment procedures, such GP as recruitment proceeding more slowly than anticipated as well as difficulty applying the inclusion criteria for patients. Some GPs found initiating ACP conversations difficult. The content of the patient booklet was determined to potentially be too complex for patients with a lower health literacy.ConclusionAlthough the intervention was well-accepted by GPs and patients, we identified critical points for improvement with regard to the study procedures as well as potential improvements of the intervention components. When these points are addressed, the intervention can proceed to a large-scale, phase III trial to test its effectiveness.

Acupuncture Referrals in Rural Primary Healthcare: A Survey of General Practitioners in Rural and Regional New South Wales, Australia

2013 ◽  
Vol 31 (4) ◽  
pp. 375-382 ◽  
Author(s):  
Jonathan Lee Wardle ◽  
David Sibbritt ◽  
Jon Adams
Keyword(s):  
General Practice ◽  
General Practitioners ◽  
Primary Healthcare ◽  
New South ◽  
Treatment Options ◽  
New South Wales ◽  
Healthcare Setting ◽  
South Wales ◽  
Public Subsidies ◽  
Regional Australia

Background Acupuncture services form a significant part of the Australian healthcare setting, with national registration of acupuncture practitioners, public subsidies for acupuncture services and high use of acupuncture by the Australian public. Despite these circumstances, there has been little exploration of the interface between acupuncture providers and conventional primary healthcare practitioners in rural and regional Australia. Methods A 27-item questionnaire was sent by post in the second half of 2010 to all 1486 general practitioners (GPs) currently practising in rural and regional Divisions of General Practice in New South Wales, Australia to explore their practices and attitudes to a variety of complementary and alternative medicine (CAM) practices. Their responses on other therapies have been published previously; this report covers acupuncture. Results A total of 585 GPs completed the questionnaire; 49 were returned as ‘no longer at this address’, resulting in an adjusted response rate of 40.7%. Two-thirds of GPs (68.3%) referred patients to an acupuncturist at least a few times per year, while only 8.4% stated that they would not refer patients to an acupuncturist under any circumstances. GPs being older (OR=6.08), GPs being women (OR=2.94), GPs practising in a rural rather than remote area (OR=6.25), GPs having higher levels of self-reported knowledge of acupuncture (OR=5.54), the use of complementary medicine (CAM) by a GP for their personal health (OR=2.37), previous prescription of CAM to other patients (OR=2.99), lack of other treatment options (OR=4.31) and GPs using CAM practitioners as the major source of their CAM information (OR=3.05) were all predictive of increased referral to acupuncture among rural GPs. Conclusions There is a significant interface between acupuncture and Australian rural and regional general practice, with generally high levels of support for acupuncture.

scholarly journals How Do General Practitioners Conceptualise Advance Care Planning in Their Practice? A Qualitative Study

PLoS ONE ◽  
2016 ◽  
Vol 11 (4) ◽  
pp. e0153747 ◽  
Author(s):  
Aline De Vleminck ◽  
Koen Pardon ◽  
Kim Beernaert ◽  
Dirk Houttekier ◽  
Robert Vander Stichele ◽  
...  
Keyword(s):  
Qualitative Study ◽  
General Practitioners ◽  
Advance Care Planning ◽  
Care Planning ◽  
Advance Care

An examination of the influences on New South Wales general practitioners regarding the provision of opioid substitution therapy

2013 ◽  
pp. n/a-n/a ◽  
Author(s):  
Simon Holliday ◽  
Parker Magin ◽  
Christopher Oldmeadow ◽  
John Attia ◽  
Janet Dunbabin ◽  
...  
Keyword(s):  
General Practitioners ◽  
New South ◽  
New South Wales ◽  
Substitution Therapy ◽  
Opioid Substitution Therapy ◽  
South Wales ◽  
Opioid Substitution

MORBIDITY MONITORING IN GENERAL PRACTICE: A PILOT SCHEME IN CENTRAL NEW SOUTH WALES

1973 ◽  
Vol 1 (7) ◽  
pp. 207-213 ◽  
Author(s):  
S. FISHER ◽  
H. P. SWAN ◽  
M. A. ROZALLA
Keyword(s):  
General Practice ◽  
New South ◽  
New South Wales ◽  
Pilot Scheme ◽  
South Wales

scholarly journals Advance Care Planning for People with Dementia: The Role of General Practitioners

Gerontology ◽  
2019 ◽  
Vol 66 (1) ◽  
pp. 40-46 ◽  
Author(s):  
Klaus W. Bally ◽  
Tanja Krones ◽  
Ralf J. Jox
Keyword(s):  
General Practitioners ◽  
Advance Care Planning ◽  
Care Planning ◽  
People With Dementia ◽  
Advance Care
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