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. 2023 Sep 15;3:1242413. doi: 10.3389/frhs.2023.1242413

Table 2.

Emerging themes and Sub-themes.

Overarching themes Sub-themes
1. Enablers of ACPs during COVID-19
  • 1.

    Targeted public awareness and ACP engagement

  • 2.

    Online platforms and Telehealth programs to facilitate AP discussions

  • 3.

    Easy Access to online tools to guide ACP

  • 4.

    Adopting a Person-centred approach and Respecting Patient Autonomy and Values

2. Barriers to ACP during COVID-19
  • 1.

    Nature and novelty of the disease—acuity and uncertainty regarding clinical outcomes

  • 2.

    Cultural and Communication difficulties for patients and clinicians, including lack of facility with IT

  • 3.

    Barriers associated with Legal and Ethical Considerations/Concerns

  • 4.

    Restrictions due to COVID infection control guidelines and procedures

  • 5.

    Availability of time, resources and support systems

3. Recommendations for effective delivery of ACPs
  • 1.

    Appropriate ACP design and structure

  • 2.

    A collaborative approach using multidisciplinary teams

  • 3.

    Increasing ACP education/literacy in the community

  • 4.

    Upskilling and Training for clinicians

  • 5.

    Addressing legal and ethical issues which may impede ACP

IT, information technology.