HEALTHCARE PROVIDERS' PERSPECTIVES ON ADVANCE DIRECTIVES AT TERTIARY CARE HOSPITALS: A SYSTEMATIC LITERATURE REVIEW

Abstract

Background: Advance Directives (ADs) are essential legal documents enabling individuals to outline their healthcare preferences if they become incapacitated. This systematic review assesses healthcare providers' knowledge, attitudes, and barriers regarding ADs.

Methods: A systematic search was performed using databases including PubMed, Google Scholar, and ScienceDirect, adhering to PRISMA guidelines. Studies from past ten years that focused on healthcare providers' perspectives on ADs were included. Data were analyzed thematically.

Findings: There is a lack of in-depth research on ADs among healthcare providers in Pakistan. While awareness exists, practical implementation is hindered by inadequate training, cultural and religious factors, and legal uncertainties.

Discussion: The review highlights the need for improved education and clear policies on ADs to overcome identified barriers and enhance their integration into clinical practice.

Conclusion: Addressing the knowledge gap through education and training, developing legal frameworks, and promoting culturally sensitive discussions are critical to improving the implementation of ADs in healthcare settings in Pakistan.