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October 3, 2025Qualitative Health ResearchOpen Access

Advance Care Planning in Advanced Heart Failure: The Illusion of Individual Autonomy

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Authors

TKTieghan KillackeyEPElizabeth PeterJMJane MacIver

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Overview

Qualitative multiple-case study explores autonomy perceptions in advance care planning for advanced heart failure, indicating social dynamics influence decision-making.

Key Points

  • Advance care planning is often perceived as separate from treatment decisions in advanced heart failure, yet vital for autonomy.
  • The individualistic notion of autonomy clashes with the lived experience of patients in advanced heart failure situations.
  • Interpersonal and social power dynamics significantly shape how autonomy is expressed during advance care planning.
  • Findings urge future research to adopt a relational framework, recognizing how institutional and social factors influence autonomy.

Cite This Study

Killackey et al. (2025) studied this question.

synapsesocial.com/papers/68e02f2cf0e39f13e7fa1fe8https://doi.org/10.1177/10497323251375276
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Experiences and Perspectives of Chronic Heart Failure Patients and Caregivers in Advance Care Planning—A Meta‐Synthesis2025 · 2 citations
  2. 2Factors associated with the implementation of advance care planning among nurses caring for patients with heart failure: A cross-sectional survey in Japan2026
  3. 3Advance Care Planning in German General Practice: A Longitudinal Qualitative Study on Patients' Expectations and Experiences2025 · 2 citations
  4. 4A Rapid Review of Advance Care Planning Interventions, Strategies, and Communication Approaches in Dementia Care2025
  5. 5A qualitative study exploring the perceptions and understandings of advance care planning by people with treatable but not curable cancer2025