Initiating advance care planning in New South Wales general practices using a structured conversation guide

Abstract

Three focus groups were held as part of an existing initiative, 'Ask, Share, Know: Rapid Evidence for General Practice Decisions'. Data were analysed using aninductive thematic approach; themes identified informed adaptation of the conversation guide. Five key themes were identified: 1.general practice provides the optimal context for ACP discussions; 2.ACP priorities differ between GPs; 3.healthcare professionals' roles in ACP vary; 4.confusion exists regarding ACP practice; and 5.the adapted conversation guide provides auseful structure for ACP. ACP practice varies between GPs. GPs preferred the adapted conversation guide, but further evaluation is required prior to implementation into practice.