Abstract
Objectives
To explore the compliance of end-of-life (EOL) care preferences, and the facilitators
and barriers of promoting quality of EOL care among older adults.
Design
A scoping review was used to identify key themes in the compliance of EOL care preferences
among older adults.
Setting and participants
Studies published between 2009 and 2020 were identified from the Medline and Cochrane
libraries. Eligible articles containing components related to the compliance of EOL
care preferences among older adults were selected.
Measures
The eligible articles were thematically synthesized. Factors that affected the compliance
of EOL care preferences among older adults were identified from the key components.
Results
In total, 35 articles were included to identify the key components in the compliance
of EOL care preferences: (1) supportive policy, (2) supportive environment, (3) cultural
characteristics, (4) advance care planning (ACP), (5) the concordance of EOL care
preferences between patients and surrogate decision makers, (6) prognosis awareness,
and (7) patient's health status and the type of disease. Facilitators for the compliance
of EOL care preferences included enactment of relevant policy, sufficient care institutions,
the utilization of ACP, and poor health status. Barriers included lack of supportive
policy, different culture, and low utilization of ACP.
Conclusions/Implications
The compliance of EOL care preferences was low among older adults. The compliance
of EOL care preferences can be improved through relevant policy development and the
utilization of ACP.
Keywords
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Article info
Publication history
Published online: June 01, 2021
Footnotes
This study was funded by the National Natural Science Foundation of China, (project grant number: 71904056).
The authors declare no conflicts of interest.
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