Evidence map›Paper›PMID 18728298›Full record

ArticleThe Gerontologist2008

The end-of-life experience in long-term care: five themes identified from focus groups with residents, family members, and staff.

Jean C Munn, Debra Dobbs, Andrea Meier, Christianna S Williams, Holly Biola, Sheryl Zimmerman

Registry-linked trialOpen access · bronzeAbstract readComparative Study
In one paragraph

Article in The Gerontologist, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06239688 (Evaluating a National Person-Centered Training Program to Strengthen the Dementia Care Workforce), which is not on this map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
9.2field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06239688 narecruitingnot on this mapstarted 2024, after this paper: background citation

Evaluating a National Person-Centered Training Program to Strengthen the Dementia Care Workforce

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillRan2024 to 2027Enrolled1,764ConditionsAging, Knowledge, Attitudes, Practice, Long-Term Care, DementiaArmsessentiALZ, Project ECHO
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 102 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
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  9. [Wishes of nursing home residents for their dying].Zeitschrift fur Gerontologie und Geriatrie · 2018
    Article
  10. Review
  11. Article
  12. Family Members' Experience With Hospice in Nursing Homes.The American journal of hospice & palliative care · 2016
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Hospice use among nursing home patients.Journal of the American Medical Directors Association · 2013
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Jean C MunnCollege of Social Work, The Florida State University, Tallahassee, FL 32306-2570, USA. jmunn@mailer.fsu.edu
Debra Dobbs
Andrea Meier
Christianna S Williams
Holly Biola
Sheryl Zimmerman
Institute on Aging · USFlorida A&M University - Florida State University College of Engineering · USState University System of Florida · US

Funding

END OF LIFE CARE IN RESIDENTIAL CARE AND NURSING HOMESR01AG018967 · NIA · UNIVERSITY OF NORTH CAROLINA CHAPEL HILL · PI ZIMMERMAN, SHERYL · 2001 to 2003
$1.4M
Quality Assisted Living For The ElderlyK02AG000970 · NIA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ZIMMERMAN, SHERYL · 2002 to 2006
$516k
NIA NIH HHS K02 AG000970NIA NIH HHS R01 AG018967
6 · The paper itself

Abstract

purposeWe designed this study to examine the end-of-life (EOL) experience in long-term care (LTC) based on input from key stakeholders. DESIGN AND

methodsThe study consisted of 10 homogeneous focus groups drawn from a purposive sample of LTC residents (2 groups; total n = 11), family caregivers (2 groups; total n = 19), paraprofessional staff (3 groups; total n = 20), and licensed/registered staff (3 groups; total n = 15) from five nursing homes and eight residential care/assisted living communities in North Carolina. We analyzed data by using grounded theory techniques to elicit manifest and latent themes.

resultsFive overarching themes emerged: (a) components of a good death in LTC, (b) normalcy of dying in LTC, (c) the role of relationships in the provision and receipt of care, (d) hospice contributions to care at the EOL in LTC, and (e) stakeholder recommendations for enhancing EOL care in these settings. Underlying these themes was one central category, closeness, based on physical proximity and frequency of contact. IMPLICATIONS: Findings suggest that promoting collaborative relationships among the four stakeholder groups, increasing social worker involvement, and removing barriers to hospice may enhance the EOL experience in LTC.

Indexed as

Attitude to DeathLong-Term CareAged, 80 and overEmpathyFamilyFemaleFocus GroupsHealth PersonnelHumansMaleNorth CarolinaPatientsProfessional-Family RelationsProfessional-Patient RelationsTerminal Care

Identifiers

PMID18728298
PMCPMC3707944
OpenAlexW2102178228

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.