{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T09:27:11Z","timestamp":1786958831000,"version":"build-2736575974"},"reference-count":40,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T00:00:00Z","timestamp":1785456000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T00:00:00Z","timestamp":1785456000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001826","name":"ZonMw","doi-asserted-by":"publisher","award":["80-86300-98-118"],"award-info":[{"award-number":["80-86300-98-118"]}],"id":[{"id":"10.13039\/501100001826","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliat Med"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Advance care planning in older persons with palliative care needs is often not (timely) initiated. Certified nursing assistants are closely involved in the (daily) care for older persons and have important insights regarding their clients\u2019 care preferences and quality of life. However, their role in advance care planning is currently overlooked.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To examine the perspectives of nursing assistants on their role in advance care planning for older persons.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>A qualitative descriptive study design using semi-structured interviews.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting\/participants:<\/jats:title>\n                    <jats:p>Fifteen nursing assistants working in community care and nursing homes in the Netherlands were interviewed between March and December 2023. A combined inductive and deductive thematic analysis was performed using the Capability, Opportunity, Motivation Behavioral model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Most nursing assistants were not structurally involved in advance care planning and were in need of additional knowledge and skills (capability). The team culture affected nursing assistants\u2019 opportunities and motivation to participate in advance care planning both positively and negatively. The opportunity was further shaped by nursing assistants\u2019 relationship with clients and relatives and time management, while motivation also depended on personal circumstances.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This study found several barriers and facilitators affecting nursing assistants\u2019 role in advance care planning for older persons. Structurally involving nursing assistants in advance care planning, supporting their work environment, and empowering them can foster equal collaboration with other healthcare professionals. This might contribute to the timely initiation of advance care planning and palliative care for older persons.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692163261455222","type":"journal-article","created":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T12:16:17Z","timestamp":1785500177000},"page":"1158-1167","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Certified nursing assistants\u2019 perspectives on their role in advance care planning for older persons: A qualitative study"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1271-6869","authenticated-orcid":false,"given":"Patricia","family":"Jepma","sequence":"first","affiliation":[{"name":"Department of Medicine for Older People, Amsterdam UMC, The Netherlands"},{"name":"Amsterdam Public Health, Aging &amp; Later Life, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-8862-1494","authenticated-orcid":false,"given":"Annigje A. E.","family":"Bos","sequence":"additional","affiliation":[{"name":"Department of Medicine for Older People, Amsterdam UMC, The Netherlands"},{"name":"Amsterdam Public Health, Aging &amp; Later Life, Amsterdam, The Netherlands"},{"name":"Faculty of Health, Sports and Movement, Amsterdam University of Applied Sciences, Research Group Integrated Complex Care, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oumaima","family":"Boulahfa","sequence":"additional","affiliation":[{"name":"Department of Medicine for Older People, Amsterdam UMC, The Netherlands"},{"name":"Amsterdam Public Health, Aging &amp; Later Life, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corine H. M.","family":"Latour","sequence":"additional","affiliation":[{"name":"Faculty of Health, Sports and Movement, Amsterdam University of Applied Sciences, Research Group Integrated Complex Care, Amsterdam, The Netherlands"},{"name":"Centre of Expertise Prevention in Health and Social Care, Faculty of Health, Sports and Social Work, Inholland University of Applied Sciences, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bianca M.","family":"Buurman","sequence":"additional","affiliation":[{"name":"Department of Medicine for Older People, Amsterdam UMC, The Netherlands"},{"name":"Amsterdam Public Health, Aging &amp; Later Life, Amsterdam, The Netherlands"},{"name":"Department of Internal Medicine, Section of Geriatric Medicine, Amsterdam UMC, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marjon","family":"van Rijn","sequence":"additional","affiliation":[{"name":"Department of Medicine for Older People, Amsterdam UMC, The Netherlands"},{"name":"Amsterdam Public Health, Aging &amp; Later Life, Amsterdam, The Netherlands"},{"name":"Faculty of Health, Sports and Movement, Amsterdam University of Applied Sciences, Research Group Integrated Complex Care, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,31]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"crossref","unstructured":"Russell AE Denny R Lee PG et al. 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