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Perspectives on advance care planning and related end-of-life care in people with heart failure

A Q methodology study

Bibliographic Data

ID4227301
AuthorsJinshil Kim (0000-0002-9355-6942, Gachon University, South Korea), Yoon Young Hwang (0000-0001-6663-7889, Seoul Women's College of Nursing), Kyungah Cho (0000-0001-9778-6246, Gachon University, South Korea), Myoung Hwan Shin (Sookmyung Women’s University School of Communication Media, South Korea), Mi-Seung Shin (Gachon University College of Medicine, South Korea), Mi‐seung Shin (0000-0002-0273-0109), Jisun Yang (0000-0002-9235-8821, Gachon University, South Korea), Minjeong An (0000-0003-4318-8755, Chonnam National University, South Korea), Seongkum Heo (0000-0002-0786-5002, Mercer University)
Year2025
Volume30
Issue8
Pages1868-1882
Publication date2025-07-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of Health Psychology (JOURNAL)
Journal identifiersISSN: 1359-1053 • E-ISSN: 1461-7277
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/13591053241273618
PMID39169565
OpenAlexW4401772209
LanguageEN
References cited37

Negative perspectives around advance care planning (ACP) prevent people with heart failure (HF) from preparing their end-of-life (EOL) effectively. A Q methodology study was conducted to identify types of ACP perspectives in Koreans with HF. The Q sample (31 statements representing ACP perspectives) was constructed through an extensive literature review and in-depth qualitative interview. The P sample (individuals with HF) completed each grid with a statement on the Q sorting table. The data were analyzed using the PQ program. Individuals with HF have both different and common perspectives on ACP. Three types of perspectives were identified: " positive acceptance ," " contemplative support ," and " hesitancy in acceptance ." Common perspectives across types indicated that people with HF had positive attitudes toward ACP and emphasized their autonomy in EOL decisions. Clinicians need to consider these different and common perspectives on ACP to facilitate patients' engagement and provide relevant support

Advance care planning · Autonomy · Contemplation · End-of-life care · Palliative care · Qualitative research · Sample (material · Family and Patient Care in Intensive Care Units · Medicine · Nursing · Palliative Care and End-of-Life Issues · Patient-Provider Communication in Healthcare · Psychology

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  • ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure

    Open Access•Theresa A McDonagh, Marco Metra et al.•European Heart Journal•2021

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    Open Access•Aiora Zabala, Unai Pascual et al.•PLoS ONE•2016

Citation velocityhistorical
Highly citedNo

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