Doris Barwich
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View article: Clinicians’ experiences implementing an advance care planning pathway in two Canadian provinces: a qualitative study
Clinicians’ experiences implementing an advance care planning pathway in two Canadian provinces: a qualitative study Open
Background Advance care planning (ACP) is a process which enables patients to communicate wishes, values, fears, and preferences for future medical care. Despite patient interest in ACP, the frequency of discussions remains low. Barriers t…
View article: Community-led, peer-facilitated Advance Care Planning workshops prompt increased Advance Care Planning behaviors among public attendees
Community-led, peer-facilitated Advance Care Planning workshops prompt increased Advance Care Planning behaviors among public attendees Open
This innovative approach supports investment in the spread of community-based, peer-facilitated ACP workshops for the public as important ACP promotion strategies.
View article: A model for community-led peer-facilitated advance care planning workshops for the public
A model for community-led peer-facilitated advance care planning workshops for the public Open
Background: The core to successful advance care planning (ACP) facilitation is helping people determine their values, beliefs and wishes, and understand substitute decision-making. Recognizing the potential for community members to support…
View article: Building Palliative Care Capacity for Generalist Providers in the Community: Results From the Capaciti Pilot Education Program
Building Palliative Care Capacity for Generalist Providers in the Community: Results From the Capaciti Pilot Education Program Open
Objective: Primary care providers play an important role in providing early palliative care, however they often lack practical supports to operationalize this approach in practice. CAPACITI is a virtual training program aimed at providing …
View article: Part of the solution: A survey of community organisation perspectives on barriers and facilitating actions to Advance Care Planning in British Columbia, Canada
Part of the solution: A survey of community organisation perspectives on barriers and facilitating actions to Advance Care Planning in British Columbia, Canada Open
Background Despite the established benefits of Advance Care Planning (ACP), engagement remains low in British Columbia. Since 2016, a growing number of community‐based nonprofits have offered ACP education. To date, no study has focused on…
View article: Effect of “Speak Up” educational tools to engage patients in advance care planning in outpatient healthcare settings: A prospective before-after study
Effect of “Speak Up” educational tools to engage patients in advance care planning in outpatient healthcare settings: A prospective before-after study Open
Publicly available ACP tools may have utility in clinical settings to initiate ACP among patients. More time and motivation may be required to stimulate changes in patient behaviors related to ACP.
View article: Effect of an Interactive Website to Engage Patients in Advance Care Planning in Outpatient Settings
Effect of an Interactive Website to Engage Patients in Advance Care Planning in Outpatient Settings Open
Implementation of the online PREPARE program in primary care and cancer care clinics increased advance care planning engagement among patients.
View article: OP06 Primary care clinicians’ confidence, willingness and participation in advance care planning discussions: a multi-site survey
OP06 Primary care clinicians’ confidence, willingness and participation in advance care planning discussions: a multi-site survey Open
Background People who engage in advance care planning (ACP) are more likely to receive healthcare that is concordant with their goals and wishes at the end of life. Primary care providers are ideally positioned to facilitate ACP. This stud…
View article: OP29 ‘While my thinking is clear’: outcomes from a feasibility pilot of a multidisciplinary, step-wise pathway for ACP in family medicine
OP29 ‘While my thinking is clear’: outcomes from a feasibility pilot of a multidisciplinary, step-wise pathway for ACP in family medicine Open
Background Advance care planning (ACP) and goals of care (GCD) discussions with patients align with the tenets of patient-centred shared decision-making central to family medicine (FM). We sought to determine whether a multidisciplinary pa…
View article: OP05 A conversation card game motivates british columbians to engage in advance care planning
OP05 A conversation card game motivates british columbians to engage in advance care planning Open
Background Advance care planning (ACP) is an important process that involves reflecting on, discussing and documenting one's values and preferences for future healthcare. A 2016 study in British Columbia (B.C.) showed that public engagemen…
View article: Primary care clinicians’ confidence, willingness participation and perceptions of roles in advance care planning discussions with patients: a multi-site survey
Primary care clinicians’ confidence, willingness participation and perceptions of roles in advance care planning discussions with patients: a multi-site survey Open
Background People who engage in advance care planning (ACP) are more likely to receive health care that is concordant with their goals at the end of life. Little discussion of ACP occurs in primary care. Objective The objective of this stu…
View article: Staffing a Specialist Palliative Care Service, a Team-Based Approach: Expert Consensus White Paper
Staffing a Specialist Palliative Care Service, a Team-Based Approach: Expert Consensus White Paper Open
Palliative care is an evolving field with extensive studies demonstrating its benefits to patients, families, and the health care system. Many health systems have developed or are developing palliative care programs. The Canadian Society o…
View article: Older patient engagement in advance care planning in Canadian primary care practices: Results of a multisite survey.
Older patient engagement in advance care planning in Canadian primary care practices: Results of a multisite survey. Open
Many patients have engaged in some ACP activities, but few have discussed ACP with their family physicians. Strategies should be implemented in primary care to reduce the barriers to discussing ACP.
View article: Barriers to and enablers of advance care planning with patients in primary care: Survey of health care providers.
Barriers to and enablers of advance care planning with patients in primary care: Survey of health care providers. Open
In primary care, there are barriers to engaging patients in ACP at the patient, provider, and system levels that could potentially be addressed through the informed development of multifaceted interventions.
View article: Giving voice to older adults living with frailty and their family caregivers: engagement of older adults living with frailty in research, health care decision making, and in health policy
Giving voice to older adults living with frailty and their family caregivers: engagement of older adults living with frailty in research, health care decision making, and in health policy Open
Older adults are the fastest growing segment of Canada's population resulting in an increased number of individuals living with frailty. Although aging and frailty are not synonymous the proportion of those who are frail increases with age…