Table 4

Attitudes to advance care planning, patient participation, and decision making (n=69)

 Number of respondents endorsing option (%)Pre- vs Postchange*
Strongly agree/agreeStrongly disagree/disagreeNo 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 deathPre57 (86)9 (14)3p=0.23
Post63 (93)5 (7)1
2) Most of the time patients don't know enough about healthcare to prepare advance care plans.Pre27 (42)37 (58)5p=0.63
Post33 (49)35 (51)1
3) Doctors should comply with a patient's wishes if they conflict with the family's wishesPre57 (92)5 (8)7p=0.12
Post66 (97)2 (3)1
4) Doctors should be actively involved in helping patients complete advance care plansPre59 (91)6 (9)4p=1.00
Post63 (93)5 (7)1
5) Doctors should ignore or overrule a patient's advance care plan if they think treatment might be beneficialPre6 (10)57 (90)6p=1.00
Post6 (9)61 (91)2
6) Doctors should help inform patients about their condition and treatment alternatives when preparing an advance care plan.Pre60 (97)2 (3)7p=1.00
Post63 (95)3 (5)3
7) Doctors usually know the wishes of their patients regarding end-of-life care without having formal documentation.Pre4 (6)59 (94)6p=0.37
Post7 (10)61 (90)1
8) The information in an advance care plan is usually sufficient to guide treatment.Pre34 (59)24 (41)11p=0.11
Post46 (67)23 (33)0
9) Most of the time family members know the patient's preference regarding end-of-life care.Pre20 (33)40 (67)9p=0.49
Post15 (22)52 (78)2
10) Helping patients complete an advance care plan is emotionally draining.Pre29 (51)28 (49)12p=0.02
Post24 (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.