Advance care planning: a qualitative study into its use by advanced clinical practitioners in general practice

Background Advance care planning is an essential component of optimal end of life care, which is part of the remit of advanced clinical practitioners (ACPs) working in general practice. Aim To explore the views and experiences of ACPs working in general practice regarding advance care planning and identify barriers to, and facilitators of, advance care planning by ACPs in general practice. Method Purposive sampling was used to recruit ten ACPs working in general practice. Semi-structured interviews were conducted remotely on a videoconferencing platform. Data from the interviews were analysed thematically. Findings Four main themes were identified: finding time and the right timing; overcoming communication difficulties; developing rapport and involving others; and learning from experience and from colleagues. Conclusion Despite the difficulties encountered, ACPs were able to have advance care planning conversations with patients and families, using skilled communication and an empathic approach, and demonstrating commitment and pride in their role.