Refining an Advance Care Planning Implementation Assessment Tool for Nursing Homes (ACP-QAT): A Delphi Study

Peiyuan Zhang, Nancy Kusmaul, Joan Davitt, Paul Sacco, Kathleen T. Unroe, Kaipeng Wang, John G. Cagle, University of Alabama School of Social Work, University of Maryland Baltimore School of Social Work, University of Maryland Baltimore County School of Social Work, Baltimore County, Indiana University School of Medicine, University of Washington School of Social Work

Journal of Applied Gerontology

Published online on December 13, 2025

Abstract

Journal of Applied Gerontology, Ahead of Print.
Advance care planning (ACP) can improve end-of-life care, yet practices in U.S. nursing homes (NHs)—where nearly 30% of older adults die—remain inconsistent. This study aimed to revise the Advance Care Planning Implementation Quality Assessment Tool (ACP-...