{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T16:21:19Z","timestamp":1792167679492,"version":"4.4.0"},"reference-count":22,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T00:00:00Z","timestamp":1758844800000},"content-version":"unspecified","delay-in-days":268,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S147895152510076X_sec1a\">\n\t    <jats:title>Objectives<\/jats:title>\n\t    <jats:p>Advance care planning (ACP) is the process of helping individuals plan for their future by identifying goals of care and preferences for future care, identifying key decision makers should they be unable to make their own decisions. Hemato-oncology is a challenging specialism, one in which the transition from curative to end-of-life can be very rapid, with many patients dying in acute settings while receiving active treatment. As such, it is an area in which ACP is frequently overlooked. This qualitative study aimed to gain a better understanding of the perceived barriers and facilitators to ACP from a clinicians perspective at a large tertiary hematology center.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S147895152510076X_sec2b\">\n\t    <jats:title>Methods<\/jats:title>\n\t    <jats:p>A questionnaire was designed and sent electronically to 39 clinical practitioners, including consultant hematologists, resident and specialty doctors, physician associates, and clinical nurse specialists. Responses were categorized following structured thematic analysis into 7 identified themes: education, communication, disease and treatment, time, patient and family support, healthcare professional support, and environment.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S147895152510076X_sec3c\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>In total, 67% of healthcare professionals responded to the questionnaire with a median 100% completion of all questions. Staff feel unable to have ACP discussions for a variety of reasons. In analysis, the identified themes had a degree of overlap and commonality, with education identified as a theme central to all. Analysis indicated that education, and more specifically lack thereof, in the field of ACP was having a detrimental effect on staff understanding and therefore significantly impacting the ability of staff to implement ACP in hemato-oncology practice.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S147895152510076X_sec4d\">\n\t    <jats:title>Significance of results<\/jats:title>\n\t    <jats:p>Further education is needed for both healthcare professionals and service users around ACP, with a deeper understanding likely to improve utilization in practice. It is proposed that earlier ACP needs to take place to ensure the opportunity is not missed in a group of diseases with prognostic uncertainty.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/s147895152510076x","type":"journal-article","created":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T06:25:32Z","timestamp":1758867932000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Advance care planning in haematological malignancies: A qualitative exploratory analysis of the facilitators and barriers to implementing advance care planning in practice"],"prefix":"10.1017","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-6866-9305","authenticated-orcid":false,"given":"Jenna","family":"Tate","sequence":"first","affiliation":[{"name":"Leeds Cancer Centre, Leeds Teaching Hospitals Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Parrish","sequence":"additional","affiliation":[{"name":"Leeds Cancer Centre, Leeds Teaching Hospitals Trust"},{"name":"University of Leeds"},{"name":"NIHR Leeds Biomedical Research Centre"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anjum","family":"Khan","sequence":"additional","affiliation":[{"name":"Leeds Cancer Centre, Leeds Teaching Hospitals Trust"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gordon","family":"Cook","sequence":"additional","affiliation":[{"name":"Leeds Cancer Centre, Leeds Teaching Hospitals Trust"},{"name":"University of Leeds"},{"name":"NIHR Leeds Biomedical Research Centre"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,9,26]]},"reference":[{"key":"S147895152510076X_ref14","doi-asserted-by":"publisher","DOI":"10.1177\/0269216317735246"},{"key":"S147895152510076X_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2019.07.014"},{"key":"S147895152510076X_ref19","doi-asserted-by":"publisher","DOI":"10.1111\/imj.14937"},{"key":"S147895152510076X_ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2016.12.331"},{"key":"S147895152510076X_ref5","doi-asserted-by":"publisher","DOI":"10.1111\/ecc.13316"},{"key":"S147895152510076X_ref22","doi-asserted-by":"publisher","DOI":"10.1016\/j.soncn.2019.150959"},{"key":"S147895152510076X_ref6","doi-asserted-by":"publisher","DOI":"10.1038\/bmt.2017.41"},{"key":"S147895152510076X_ref2","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.16532"},{"key":"S147895152510076X_ref15","unstructured":"National Health Service (2019) End of life Care. Available at https:\/\/www.nhs.uk\/conditions\/end-of-life-care\/ (accessed 14 January 2024 )."},{"key":"S147895152510076X_ref21","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-020-00655-5"},{"key":"S147895152510076X_ref17","first-page":"299","article-title":"Advance care planning: An update for the medical-surgical nurse in the age of COVID-19","volume":"29","author":"Overbaugh","year":"2020","journal-title":"Medsurg Nursing"},{"key":"S147895152510076X_ref1","first-page":"1","article-title":"Advance care planning re-imagined: A needed shift for COVID times and beyond","volume":"13","author":"Abel","year":"2020","journal-title":"Palliative Care and Social Practice"},{"key":"S147895152510076X_ref10","first-page":"721","article-title":"Advance care planning and palliative care specialists in malignant hematology and stem cell transplantation: On why it takes a village","volume":"14","author":"LeBlanc","year":"2017","journal-title":"Journal of Oncology Practice"},{"key":"S147895152510076X_ref8","unstructured":"General Medical Council (2010) Treatment and care towards the end of life: Good practice in decision making. Available at https:\/\/www.gmc-uk.org\/-\/media\/documents\/treatment-and-care-towards-the-end-of-life\u2014english-1015_pdf-48902105.pdf?la=en&hash=41EF651C76FDBEC141FB674C08261661BDEFD004 (accessed 6 November 2023 )."},{"key":"S147895152510076X_ref7","first-page":"1","article-title":"Palliative care amidst the Covid-19 pandemic: Challenges and contributions","volume":"33","author":"Florencio","year":"2020","journal-title":"Acta Paulista de Engermagem"},{"key":"S147895152510076X_ref16","unstructured":"National Institute for Health and Care Excellence (2019) Advance Care Planning: A quick guide for registered managers of care homes and home care services. London: National Institute for Health and Care Excellence. Available at https:\/\/www.nice.org.uk\/Media\/Default\/About\/NICECommunities\/Social-care\/quick-guides\/advance-care-planning-quick-guide.pdf (accessed 14 January 2024 )."},{"key":"S147895152510076X_ref11","doi-asserted-by":"publisher","DOI":"10.1038\/bmt.2014.152"},{"key":"S147895152510076X_ref4","doi-asserted-by":"publisher","DOI":"10.1177\/1049909116636614"},{"key":"S147895152510076X_ref12","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2016-001289"},{"key":"S147895152510076X_ref9","unstructured":"House of Commons Healthcare Committee (2015) End of Life Care: Fifth Report of Session 2014-2015. Available at https:\/\/publications.parliament.uk\/pa\/cm201415\/cmselect\/cmhealth\/805\/805.pdf (accessed 6 November 2024 )."},{"key":"S147895152510076X_ref3","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"S147895152510076X_ref13","unstructured":"Medelyan, A (2020) Coding qualitative data: How to code qualitative research. Available at https:\/\/getthematic.com\/insights\/coding-qualitative-data\/ (accessed 18 February 2024 )."}],"container-title":["Palliative and Supportive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S147895152510076X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T06:25:37Z","timestamp":1758867937000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S147895152510076X\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":22,"alternative-id":["S147895152510076X"],"URL":"https:\/\/doi.org\/10.1017\/s147895152510076x","relation":{},"ISSN":["1478-9515","1478-9523"],"issn-type":[{"value":"1478-9515","type":"print"},{"value":"1478-9523","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press.","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0), which permits non-commercial re-use, distribution, and reproduction in any medium, provided that no alterations are made and the original article is properly cited. The written permission of Cambridge University Press must be obtained prior to any commercial use and\/or adaptation of the article.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e174"}}