Evidence map›Paper›PMID 24644755›Full record

ArticleBMJ supportive & palliative care2013

Quality of advance care planning policy and practice in residential aged care facilities in Australia.

William Silvester, Rachael S Fullam, Ruth A Parslow, Virginia J Lewis, Rebekah Sjanta, Lynne Jackson, Vanessa White, Jane Gilchrist

Open access · hybridAbstract read
In one paragraph

Article in BMJ supportive & palliative care, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
4.1field-weighted citation impact, top 6% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 51 citations in OpenAlex.

  1. Article
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  4. Exploring advance care planning awareness, experiences, and preferences of people with cancer and support people: an Australian online cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
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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

8 authors at 3 institutions in 1 country.

William SilvesterRespecting Patient Choices, Austin Health, Heidelberg, Victoria, Australia.
Rachael S Fullam
Ruth A Parslow
Virginia J Lewis
Rebekah Sjanta
Lynne Jackson
Vanessa White
Jane Gilchrist
Austin Health · AULa Trobe University · AUAustin Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess existing advance care planning (ACP) practices in residential aged care facilities (RACFs) in Victoria, Australia before a systematic intervention; to assess RACF staff experience, understanding of and attitudes towards ACP.

designSurveys of participating organisations concerning ACP-related policies and procedures, review of existing ACP-related documentation, and pre-intervention survey of RACF staff covering their role, experiences and attitudes towards ACP-related procedures.

setting19 selected RACFs in Victoria.

participants12 aged care organisations (representing 19 RACFs) who provided existing ACP-related documentation for review, 12 RACFs who completed an organisational survey and 45 staff (from 19 RACFs) who completed a pre-intervention survey of knowledge, attitudes and behaviour.

resultsFindings suggested that some ACP-related practices were already occurring in RACFs; however, these activities were inconsistent and variable in quality. Six of the 12 responding RACFs had written policies and procedures for ACP; however, none of the ACP-related documents submitted covered all information required to meet ACP best practice. Surveyed staff had limited experience of ACP, and discrepancies between self reported comfort, and levels of knowledge and confidence to undertake ACP-related activities, indicated a need for training and ongoing organisational support.

conclusionsSurveyed organisations â policies and procedures related to ACP were limited and the quality of existing documentation was poor. RACF staff had relatively limited experience in developing advance care plans with facility residents, although attitudes were positive. A systematic approach to the implementation of ACP in residential aged care settings is required to ensure best practice is implemented and sustained.

Indexed as

Homes for the AgedNursing HomesPalliative CareAdvance Care PlanningAgedData CollectionHealth Knowledge, Attitudes, PracticeHumansOrganizational PolicyPractice Guidelines as TopicQuality Assurance, Health CareVictoriaadvance care planningadvance directiveaged care facilitieshomes for the agedpalliative care

Identifiers

PMID24644755
PMCPMC3756507
OpenAlexW2149595417

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.