Evidence map›Paper›PMID 26281854›Full record

ArticlePalliative medicine2016

A multimethod analysis of shared decision-making in hospice interdisciplinary team meetings including family caregivers.

Karla T Washington, Debra Parker Oliver, L Ashley Gage, David L Albright, George Demiris

Abstract read
In one paragraph

Article in Palliative medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
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

19 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Optimizing hospice care: A scoping review of staffing strategies to enhance practice.International journal of nursing studies advances · 2026
    Review
  4. Article
  5. Review
  6. Article
  7. Mixed methods analysis of hospice staff perceptions and shared decision making practices in hospice.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  8. Article
  9. Article
  10. The Challenge of Cancer Pain Assessment.The Ulster medical journal · 2021
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Observational
  18. WE'RE THE EYES AND THE EARS, BUT WE DON'T HAVE A VOICE: PERSPECTIVES OF HOSPICE AIDES.Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association · 2018
    Article
  19. Review
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

5 authors.

Karla T WashingtonDepartment of Family and Community Medicine, University of Missouri, Columbia, MO, USA.
Debra Parker OliverDepartment of Family and Community Medicine, University of Missouri, Columbia, MO, USA oliverdr@missouri.edu.
L Ashley GageDepartment of Social Work, University of Nebraska at Kearney, Kearney, NE, USA.
David L AlbrightSchool of Social Work, The University of Alabama, Tuscaloosa, AL, USA.
George DemirisDepartment of Biobehavioral Nursing & Health Systems, School of Nursing, University of Washington, Seattle, WA, USA.

Funding

The ACTIVE Intervention to Improve Hospice Caregiver Pain ManagementR01NR011472 · NINR · UNIVERSITY OF MISSOURI-COLUMBIA · PI PARKER OLIVER, DEBRA · 2010 to 2013
$2.0M
Patient and family participation in hospice team meetingR21CA120179 · NCI · UNIVERSITY OF MISSOURI-COLUMBIA · PI PARKER OLIVER, DEBRA · 2006 to 2007
$302k
NCI NIH HHS R21 CA120179NCI NIH HHS R21CA120179NINR NIH HHS R01 NR011472NINR NIH HHS R01NR011472
6 · The paper itself

Abstract

backgroundMuch of the existing research on shared decision-making in hospice and palliative care focuses on the provider-patient dyad; little is known about shared decision-making that is inclusive of family members of patients with advanced disease.

aimWe sought to describe shared decision-making as it occurred in hospice interdisciplinary team meetings that included family caregivers as participants using video-conferencing technology.

designWe conducted a multimethod study in which we used content and thematic analysis techniques to analyze video-recordings of hospice interdisciplinary team meetings (n = 100), individual interviews of family caregivers (n = 73) and hospice staff members (n = 78), and research field notes. SETTING/

participantsParticipants in the original studies from which data for this analysis were drawn were hospice family caregivers and staff members employed by one of five different community-based hospice agencies located in the Midwestern United States.

resultsShared decision-making occurred infrequently in hospice interdisciplinary team meetings that included family caregivers. Barriers to shared decision-making included time constraints, communication skill deficits, unaddressed emotional needs, staff absences, and unclear role expectations. The hospice philosophy of care, current trends in healthcare delivery, the interdisciplinary nature of hospice teams, and the designation of a team leader/facilitator supported shared decision-making.

conclusionThe involvement of family caregivers in hospice interdisciplinary team meetings using video-conferencing technology creates a useful platform for shared decision-making; however, steps must be taken to transform family caregivers from meeting attendees to shared decision-makers.

Indexed as

CaregiversDecision MakingPatient Care PlanningProfessional-Family RelationsAdultFamilyFemaleHospice CareHumansInterdisciplinary CommunicationMaleMiddle AgedVideoconferencingcaregiversdecision-makingfamilyHospicespatient care team

Identifiers

PMID26281854
PMCPMC4753099

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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.