Advance care planning among stroke patients: A scoping review.
Margareta Hesti Rahayu, Sri Sutarni, Heny Suseani Pangastuti and 1 others
PMID 41069776WHAT IT FOUND
Advance care planning for stroke patients was delivered through formal and informal discussions, documentation, and family or surrogate involvement.
Two studies reported higher documented advance directive rates. Only eight studies were found, and implementation remained limited.
Key findings
01Eight articles were included after full-text screening.
02ACP was delivered through formal or informal discussions, the PREPARE program, documentation, and involvement of patients, families, surrogates, or notaries.
03Two studies reported higher documented advance directive rates, while unconsciousness, aphasia, cognitive deficits, unfamiliarity with ACP, and patient reluctance were barriers.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only eight articles were found, so the review may not fully show how ACP is implemented for stroke patients. Most studies were conducted in the USA, so the findings may not apply to other health systems. The review included only English or Indonesian original research, so it may miss studies in other languages or review-type evidence. Nurse involvement in ACP was not evident in the included studies, so this review does not show what nurses should do. Family involvement in ACP was not clearly identified, so the role of families remains uncertain.
Declared interests
The study was funded by the Center for Education Financial Service (Puslapdik) and the Indonesia Endowment Fund for Education (LPDP), grant number 02651/J5.2.3/BPI.06/9/2022. The authors declared no conflict of interest. The authors reported using Chat GPT for translation and language improvement.
The easy way to misread this
Do not read this as evidence that ACP improves physical or psychosocial health in stroke patients. It reviewed eight studies and reported implementation, documentation, and engagement outcomes. The review did not test clinical benefits.