BACKGROUND Advance care planning (ACP) defines end-of-life care in accordance with the patients' preferences. It is highly important during mental and/or physical deterioration, which prevents patients from expressing their wishes. Despite various attempts worldwide to promote the issue, it is not well established, suggesting various challenges in the implementation of the process in the medical system. The current study aimed to evaluate the perception of Israeli oncology staff members regarding the process. METHODS Physicians and nurses from a division of oncology participated in the study. They completed the study's questionnaires, which included quantitative items regarding staff and patients' motives and barriers, as well as qualitative questions to better evaluate their understanding regarding the process. RESULTS According to staff members, the optimal time to complete the forms is during the final stages of the disease. Making the right medical decisions and avoiding unnecessary medical procedures were rated as the main motives for patients in the process. The communication factor was perceived as the main barrier for patients, as well as the main motive and barrier for staff. The central role of communication was demonstrated in the qualitative section as well. Various differences were demonstrated between staff members who talked with patients about ACP and those who did not. CONCLUSION The study demonstrated the central role of communication in the process of ACP from the staff's perception. This highlights the need to further promote training programs for staff members to establish better interactions and communication skills when dealing with end-of-life issues.

中文翻译：

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以色列肿瘤学工作人员对预先护理计划的看法。

背景技术预先护理计划（ACP）根据患者的喜好定义寿命终止护理。在精神和/或身体恶化期间，这非常重要，这会阻止患者表达自己的意愿。尽管在世界范围内进行了各种尝试来推广该问题，但它并没有得到很好的确立，这表明在医疗系统中实施该过程面临着各种挑战。当前的研究旨在评估以色列肿瘤学工作人员对该过程的看法。方法肿瘤科的内科医师和护士参加了这项研究。他们完成了研究的问卷，其中包括有关员工和患者动机和障碍的定量项目以及定性问题，以更好地评估他们对过程的理解。结果据工作人员称，填写表格的最佳时间是在疾病的最后阶段。做出正确的医疗决定并避免不必要的医疗程序被视为患者在治疗过程中的主要动机。沟通因素被认为是患者的主要障碍，也是员工的主要动机和障碍。定性部分也说明了沟通的核心作用。在与患者讨论过ACP的工作人员与未讨论过ACP的工作人员之间，表现出各种差异。结论本研究从员工的感知证明了交流在ACP过程中的核心作用。