Evidence map›Paper›PMID 28866315›Full record

Trial reportGeriatric nursing (New York, N.Y.)

Nursing home staff perspectives on adoption of an innovation in goals of care communication.

Latarsha Chisholm, Sheryl Zimmerman, Cherie Rosemond, Eleanor McConnell, Bryan J Weiner, Feng-Chang Lin, Laura Hanson

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Geriatric nursing (New York, N.Y.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
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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

7 authors.

Latarsha ChisholmUniversity of Central Florida, 436 Scorpius St, Orlando, 32816, USA. Electronic address: latarsha.chisholm@ucf.edu.
Sheryl ZimmermanUniversity of North Carolina-Chapel Hill, 103 South Building, Chapel Hill, NC, 27599, USA. Electronic address: Sheryl_zimmerman@unc.edu.
Cherie RosemondUniversity of North Carolina-Chapel Hill, 103 South Building, Chapel Hill, NC, 27599, USA. Electronic address: Cherie.rosemond@email.unc.edu.
Eleanor McConnellDuke University, 2138 Campus Drive, Durham, NC, 27708, USA. Electronic address: eleanor.mcconnell@duke.edu.
Bryan J WeinerUniversity of North Carolina-Chapel Hill, 103 South Building, Chapel Hill, NC, 27599, USA. Electronic address: weiner@email.unc.edu.
Feng-Chang LinUniversity of North Carolina-Chapel Hill, 103 South Building, Chapel Hill, NC, 27599, USA. Electronic address: flinn33@email.unc.edu.
Laura HansonUniversity of North Carolina-Chapel Hill, 103 South Building, Chapel Hill, NC, 27599, USA. Electronic address: laura.hanson@med.unc.edu.

Funding

Goals of Care: A Nursing Home Trial of Decision Support for Advanced DementiaR01AG037483 · NIA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HANSON, LAURA C · 2011 to 2015
$2.6M
NIA NIH HHS R01 AG037483NIMHD NIH HHS L60 MD009287
6 · The paper itself

Abstract

Nursing homes (NH) are important settings for end-of-life care, but limited implementation may impede goals of care discussions. The purpose of this study was to understand NH staff perceptions of adoption and sustainability of the Goals of Care video decision aid for families of residents with advanced dementia. Study design was a cross-sectional survey of staff at 11 NHs in North Carolina who participated in the Goals of Care (GOC) cluster randomized clinical trial. Staff perceived the GOC decision aid intervention as a positive innovation; it was perceived as more compatible with current practices by male staff, nurses, and more experienced NH staff. Perceptions were correlated with experience, implying that experience with an innovative approach may help to promote improved GOC communication in nursing homes. Nurses and social work staff could be effective champions for implementing a communication technique, like the GOC intervention.

Indexed as

CommunicationDiffusion of InnovationPatient Care PlanningFemaleHumansMaleNursing StaffTerminal CareVideo RecordingAdoptionCare plan teamDiffusion of innovationGoals of care communicationNursing homes

Identifiers

PMID28866315
PMCPMC5832512

What OpenQuestion holds

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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.