ArticleThe American journal of hospice & palliative care2017
Advance Care Planning: Understanding Clinical Routines and Experiences of Interprofessional Team Members in Diverse Health Care Settings.
Article in The American journal of hospice & palliative care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 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
35 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Barriers to and readiness for advance care planning: a systematic review and meta-analysis of quantitative and qualitative evidence.BMC palliative care · 2025Pooled it
- Trial
- Educational Interventions to Improve Advance Care Planning Discussions, Documentation and Billing.The American journal of hospice & palliative care · 2021Trial
- Effectiveness of Advance Care Planning Group Visits Among Older Adults in Primary Care.Journal of the American Geriatrics Society · 2020Trial
- Factors influencing readiness for advance care planning in dementia: a qualitative interview study.BMC palliative care · 2026Article
- Article
- Codesigning the iCanPlan Program to promote advance care planning among consumers from ethnic minority backgrounds in cancer care.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Article
- The Challenges of Advance Care Planning for Acute Care Registered Nurses.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2024Article
- Physicians' understandings and experience of advance care planning in Norwegian nursing homes: a qualitative study.BMC palliative care · 2024Article
- Home care practice behavior and its influencing factors of primary care providers: a multicenter cross-sectional study in Sichuan Province, China.BMC nursing · 2024Article
- ACP Conversations with Chinese and South Asian Patients: Physicians' Perspectives of Barriers and Facilitating Factors.Canadian geriatrics journal : CGJ · 2023Article
- Primary care providers' perceptions on the integration of community-led advance care planning activities with primary care: a cross-sectional survey.BMC primary care · 2023Article
- US clinicians' perspectives on advance care planning for persons with dementia: A qualitative study.Journal of the American Geriatrics Society · 2023Article
- Educational Resources and Self-Management Support to Engage Patients in Advance Care Planning: An Interpretation of Current Practice in the US.The American journal of hospice & palliative care · 2022Article
- Interdisciplinary staff perceptions of advance care planning in long-term care homes: a qualitative study.BMC palliative care · 2022Article
- Cultural adaptation of a community-based advance serious illness planning decision aid to the Quebec context involving end-users.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- Is This ACP? A Focus Group Study of Patient Experiences of Advance Care Planning.Journal of general internal medicine · 2022Article
- Assisted Living Administrators' Approaches to Advance Care Planning.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022Article
- Accessibility of information on patients' and family members' end-of-life wishes in advance care planning.Nursing open · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
backgroundInterprofessional health care team members consider advance care planning (ACP) to be important, yet gaps remain in systematic clinical routines to support ACP. A clearer understanding of the interprofessional team members' perspectives on ACP clinical routines in diverse settings is needed.
methodsOne hundred eighteen health care team members from community-based clinics, long-term care facilities, academic clinics, federally qualified health centers, and hospitals participated in a 35-question, cross-sectional online survey to assess clinical routines, workflow processes, and policies relating to ACP.
resultsRespondents were 53% physicians, 18% advanced practice nurses, 11% nurses, and 18% other interprofessional team members including administrators, chaplains, social workers, and others. Regarding clinical routines, respondents reported that several interprofessional team members play a role in facilitating ACP (ie, physician, social worker, nurse, others). Most (62%) settings did not have, or did not know of, policies related to ACP documentation. Only 14% of settings had a patient education program. Two-thirds of the respondents said that addressing ACP is a high priority and 85% felt that nonphysicians could have ACP conversations with appropriate training. The clinical resources needed to improve clinical routines included training for providers and staff, dedicated staff to facilitate ACP, and availability of patient/family educational materials.
conclusionAlthough interprofessional health care team members consider ACP a priority and several team members may be involved, clinical settings lack systematic clinical routines to support ACP. Patient educational materials, interprofessional team training, and policies to support ACP clinical workflows that do not rely solely on physicians could improve ACP across diverse clinical settings.
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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.