Attitudes to advance care planning, patient participation, and decision making (n=69)
| Number of respondents endorsing option (%) | Pre- vs Postchange* | ||||
|---|---|---|---|---|---|
| Strongly agree/agree | Strongly disagree/disagree | No answer | |||
| 1) Patients with decision-making capacity who are not terminally ill should have a right to refuse treatment even if that decision may lead to death | Pre | 57 (86) | 9 (14) | 3 | p=0.23 |
| Post | 63 (93) | 5 (7) | 1 | ||
| 2) Most of the time patients don't know enough about healthcare to prepare advance care plans. | Pre | 27 (42) | 37 (58) | 5 | p=0.63 |
| Post | 33 (49) | 35 (51) | 1 | ||
| 3) Doctors should comply with a patient's wishes if they conflict with the family's wishes | Pre | 57 (92) | 5 (8) | 7 | p=0.12 |
| Post | 66 (97) | 2 (3) | 1 | ||
| 4) Doctors should be actively involved in helping patients complete advance care plans | Pre | 59 (91) | 6 (9) | 4 | p=1.00 |
| Post | 63 (93) | 5 (7) | 1 | ||
| 5) Doctors should ignore or overrule a patient's advance care plan if they think treatment might be beneficial | Pre | 6 (10) | 57 (90) | 6 | p=1.00 |
| Post | 6 (9) | 61 (91) | 2 | ||
| 6) Doctors should help inform patients about their condition and treatment alternatives when preparing an advance care plan. | Pre | 60 (97) | 2 (3) | 7 | p=1.00 |
| Post | 63 (95) | 3 (5) | 3 | ||
| 7) Doctors usually know the wishes of their patients regarding end-of-life care without having formal documentation. | Pre | 4 (6) | 59 (94) | 6 | p=0.37 |
| Post | 7 (10) | 61 (90) | 1 | ||
| 8) The information in an advance care plan is usually sufficient to guide treatment. | Pre | 34 (59) | 24 (41) | 11 | p=0.11 |
| Post | 46 (67) | 23 (33) | 0 | ||
| 9) Most of the time family members know the patient's preference regarding end-of-life care. | Pre | 20 (33) | 40 (67) | 9 | p=0.49 |
| Post | 15 (22) | 52 (78) | 2 | ||
| 10) Helping patients complete an advance care plan is emotionally draining. | Pre | 29 (51) | 28 (49) | 12 | p=0.02 |
| Post | 24 (36) | 43 (64) | 2 | ||
*Excludes those cases where no answer was given at pre- and/or postimplementation; p values are adjusted for Bonferroni multiple comparisons. (original p multiplied by 10), α=0.05.