ArticleJournal of pain and symptom management2015
Nursing Home Staff Palliative Care Knowledge and Practices: Results of a Large Survey of Frontline Workers.
Article in Journal of pain and symptom management, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
What it found
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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
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.
- Identifying Nursing Home Residents with Unmet Palliative Care Needs: A Systematic Review of Screening Tool Measurement Properties.Journal of the American Medical Directors Association · 2023Pooled it
- Context and mechanisms that enable implementation of specialist palliative care Needs Rounds in care homes: results from a qualitative interview study.BMC palliative care · 2021Trial
- Training and Practice Gaps in Nursing Home Palliative Care: A Cross-Sectional Study.Journal of the American Geriatrics Society · 2025Article
- Nursing Home Palliative Care Referral Process, Barriers, and Proposed Solutions: A Qualitative Study.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025Article
- Developing a question prompt list for family caregivers concerning the progression and palliative care needs of nursing home residents living with dementia.PEC innovation · 2023Article
- Using Palliative Leaders in Facilities to Transform Care for People with Alzheimer's Disease (UPLIFT-AD): protocol of a palliative care clinical trial in nursing homes.BMC palliative care · 2023Article
- The Knowledge of Palliative Care among Geriatric Home Staff in Jordan.African health sciences · 2022Article
- High-Quality Nursing Home and Palliative Care-One and the Same.Journal of the American Medical Directors Association · 2022Review
- Impact of settings and culture on nurses' knowledge of and attitudes and perceptions towards people with dementia: An integrative literature review.Nursing open · 2022Review
- Preliminary Effect and Acceptability of an Intervention to Improve End-of-Life Care in Long-Term-Care Facilities: A Feasibility Study.Healthcare (Basel, Switzerland) · 2021Article
- 'Bare-bones' to 'silver linings': lessons on integrating a palliative approach to care in long-term care in Western Canada.BMC health services research · 2021Article
- Place of Death for Persons With and Without Cognitive Impairment in the United States.Journal of the American Geriatrics Society · 2021Article
- Effect of palliative care training on perceived self-efficacy of the nurses.BMC palliative care · 2020Article
- Integration of Palliative Care and Infection Management at the End of Life in U.S. Nursing Homes.Journal of pain and symptom management · 2019Article
- An instrument to assess the education needs of nursing assistants within a palliative approach in residential aged care facilities.BMC palliative care · 2019Article
- Are care staff equipped for end-of-life communication? A cross-sectional study in long-term care facilities to identify determinants of self-efficacy.BMC palliative care · 2019Article
- The palliative care knowledge of nursing home staff: The EU FP7 PACE cross-sectional survey in 322 nursing homes in six European countries.Palliative medicine · 2018Article
- Nursing's role in leading palliative care: A call to action.Nurse education today · 2018Article
- [Palliative care in nursing homes : Results of a survey about knowledge and self-efficacy of nursing staff].Schmerz (Berlin, Germany) · 2017Article
- Hospital Palliative Care Teams and Post-Acute Care in Nursing Facilities: An Integrative Review.Research in gerontological nursing · 2017Review
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 at 4 institutions in 1 country.
Funding
Abstract
contextDeficits in quality end-of-life care for nursing home (NH) residents are well known. Palliative care is promoted as an approach to improve quality. The Palliative Care Survey (PCS) is designed to measure NH staff palliative care knowledge and practice.
objectivesTo comparing palliative care knowledge and practices across NH staff roles using the PCS, and to examine relationships between facility characteristics and PCS scores.
methodsThe PCS was administered to frontline NH staff-certified nursing assistants (CNAs), licensed practical nurses (LPNs), registered nurses (RNs), and social workers (SWs)-in 51 facilities in 2012. Descriptive statistics were calculated by job role. Linear mixed effects models were used to identify facility and individual factors associated with palliative care practice and knowledge.
resultsThe analytic sample included 1200 surveys. CNAs had significantly lower practice and knowledge scores compared to LPNs, RNs, and SWs (P < 0.05). LPNs had significantly lower psychological, end-of-life, and total knowledge scores than RNs (P < 0.05 for all). Although knowledge about physical symptoms was uniformly high, end-of-life knowledge was notably low for all staff. A one-point higher facility star rating was significantly associated with a 0.06 increase in family communication score (P = 0.003; 95% CI: 0.02-0.09; SE = 0.02). Higher penetration of hospice in the NH was associated with higher end-of-life knowledge (P = 0.003; parameter estimate = 0.006; 95% CI: 0.002-0.010; SE = 0.002). Sixty-two percent of respondents stated that, with additional training, they would be interested in being leaders in palliative care.
conclusionGiven observed differences in palliative care practice and knowledge scores by staff training, it appears the PCS is a useful tool to assess NH staff. Low end-of-life knowledge scores represent an important target for quality improvement.
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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.