Journal of Qualitative Research in Health Sciences
Journal of Qualitative Research in Health Sciences

Exploring the challenges of Providing Advance Care Planning for Patients with Life-threatening illness near the end of life from the perspectives of Iranian Healthcare Providers

Articles in Press

Document Type : Original Article

Authors

Hadi Zare Marzouni 1
Maryam Rassouli 2, 3
Salman Barasteh 4, 5
Zahra Ebadinejad 6

1 Qaen Faculty of Medical Sciences, Birjand University of Medical Sciences, Birjand, Iran

2 School of Nursing, College of Health Sciences, University of Nizwa, Nizwa, Sultanate of Oman

3 Cancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

4 Nursing Care Research Center, Clinical Sciences Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran

5 Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran

6 Department of Nursing, Qaen Faculty of Medical Sciences, Birjand University of Medical Sciences, Birjand, Iran

10.22062/jqrhs.2026.202371.1742
Abstract
Background: Advanced care planning is a type of care that addresses the needs and preferences of patients with life-threatening illnesses, and the implementation of this care approach in our country is expected to be challenging. Therefore, this study aimed to identify the challenges of advanced care planning for patients with life-threatening illnesses near the end of life from the perspective of healthcare providers.
Methods: The present study is a qualitative study conducted using a content analysis approach in Iran in 2024. Participants were 11 care providers. MAXQDA 2018 software was used for data management.
Results: The main category of this study was explained as "redesign of infrastructures from scratch”, which included 5 categories.
Conclusion: According to the results of this study, there is not enough ability and capacity to implement ACP. Therefore, to apply this process while redesigning the health system, it is necessary to create infrastructure through actions such as public awareness and resolve moral and legal conflicts, which were identified in this study.

Keywords

Advance Care Planning
Palliative Care
Health Care Providers
Hospice
End of Life Care
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Journal of Qualitative Research in Health Sciences

Articles in Press, Accepted Manuscript
Available Online from 19 August 2026

  • Receive Date 03 February 2026
  • Revise Date 18 August 2026
  • Accept Date 18 August 2026

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