This study explored staff knowledge and engagement in assisting residents/families with ACP. Focus groups were conducted at two long-term care homes, one Exclusively Chinese (EC; n = 25); one Multi-Ethnic (ME; n = 41). In each, separate focus groups were held with registered staff, care aides, and support staff who also completed brief surveys providing socio-demographic data and information about their training and experience with ACP. Perceived barriers to engagement in ACP included limited knowledge and inadequate training in facilitating ACP, cognitive impairment of residents, language barriers, lack of openness to discussing ACP, family expectations and misinformation. EC staff also considered cultural and religious beliefs as one of the main barriers to engaging in ACP both for residents and families; staff at ME focused more on timing and the role of family. Support staff and care aides did not perceive ACP as within their scope of practice, deferring to nurses.
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机译：本研究探讨了员工知识和参与协助居民/家庭的ACP。焦点小组是在两个长期护理家庭进行的，一个是中文（EC; N = 25）;一个多种族（我; n = 41）。在每个，单独的焦点小组与注册人员，护理助手和支持工作人员举行，他们还完成简要调查，提供社会人口统计数据和有关他们培训和ACP的经验的信息。感知障碍在ACP中的参与障碍包括有限的知识和促进ACP，居民认知障碍，语言障碍，缺乏开放性，讨论ACP，家庭期望和错误信息的培训。 EC工作人员还将文化和宗教信仰视为居民和家庭参与ACP的主要障碍之一;我的工作人员专注于时机和家庭的作用。支持人员和关怀助手在展望护士的情况下，没有察觉，也没有识别ACP。
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