ArticleJournal of the American Geriatrics Society2013
Do-not-hospitalize orders for individuals with advanced dementia: healthcare proxies' perspectives.
Article in Journal of the American Geriatrics Society, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled 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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Perspectives of people with dementia and carers on advance care planning and end-of-life care: A systematic review and thematic synthesis of qualitative studies.Palliative medicine · 2019Pooled it
- Perspectives on advance care planning needs of persons with advanced dementia from their surrogates and clinicians.PEC innovation · 2023Article
- The factors that influence care home residents' and families' engagement with decision-making about their care and support: an integrative review of the literature.BMC geriatrics · 2022Review
- What will happen to my mom? A grounded theory on nurses' support of relatives' end-of-life decision-making process for residents living with dementia in long-term care homes.Dementia (London, England) · 2022Article
- A Qualitative Study of Health Workers' Experiences During Early Surges in the COVID-19 Pandemic in the U.S.: Implications for Ongoing Occupational Health Challenges.Frontiers in public health · 2022Article
- Nursing Home Residents Face Severe Functional Limitation or Death After Hospitalization for Pneumonia.Journal of the American Medical Directors Association · 2020Article
- A study protocol for the development of a multivariable model predicting 6- and 12-month mortality for people with dementia living in residential aged care facilities (RACFs) in Australia.Diagnostic and prognostic research · 2020Article
- What are the mechanisms that support healthcare professionals to adopt assisted decision-making practice? A rapid realist review.BMC health services research · 2019Review
- The decision-making process for unplanned admission to hospital unveiled in hospitalised older adults: a qualitative study.BMC geriatrics · 2018Article
- Do-Not-Hospitalize Orders in Nursing Homes: "Call the Family Instead of Calling the Ambulance".Journal of the American Geriatrics Society · 2017Article
- Racial Differences in Hospitalizations of Dying Medicare-Medicaid Dually Eligible Nursing Home Residents.Journal of the American Geriatrics Society · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
objectivesTo determine how well healthcare proxies (HCPs) understand do-not-hospitalize (DNH) orders and why they may or may not initiate them.
designSemistructured qualitative interviews.
settingTwo nursing homes in western Massachusetts.
participantsHCPs of nursing home residents with advanced dementia. MEASUREMENT: In-depth interviews were audiotaped and transcribed verbatim. Data were qualitatively analyzed in an iterative process, and emergent concepts were conceptually ordered into explanatory categories. Pertinent demographic and clinical information was collected from the Minimum Data Set (MDS) and patient charts.
resultsSixteen of 31 eligible HCPs were interviewed. Major findings included barriers to and facilitators of initiating DNH orders. Barriers included a perceived lack of physician involvement in decision-making and limited understanding of DNH orders and the resident's prognosis. Facilitators included a HCPs' personal experience in health care, understanding the prognosis of advanced dementia, and a desire to limit resident distress.
conclusionThe potential barriers to and facilitators of HCPs initiating DNH orders identified in this study suggest that HCPs may benefit from more in-depth discussions with healthcare providers when making this decision. Interventions to address these barriers may improve the capacity of HCPs to make informed decisions about DNH orders that reflect individuals' values and wishes.
Indexed as
Identifiers
What OpenQuestion holds
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.