Evidence map›Paper›PMID 29128433›Full record

ArticleJournal of pain and symptom management2018

Shared Decision Making in Home Hospice Nursing Visits: A Qualitative Study.

Debra Parker Oliver, Karla Washington, George Demiris, Audrey Wallace, Marc R Propst, Aisha M Uraizee, Kevin Craig, Margaret F Clayton, Maija Reblin, Lee Ellington

Abstract read
In one paragraph

Article in Journal of pain and symptom management, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Assessing the Decision-Making Capacity of Terminally Ill Patients with Cancer.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2018
    Article
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

10 authors.

Debra Parker OliverDepartment of Family and Community Medicine, University of Missouri, Columbia, Missouri, USA. Electronic address: oliverdr@missouri.edu.
Karla WashingtonDepartment of Family and Community Medicine, University of Missouri, Columbia, Missouri, USA.
George DemirisBiobehavioral Health Sciences, School of Nursing & Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Audrey WallaceUniversity of Alabama, Birmingham, Alabama, USA.
Marc R PropstUniversity of Missouri School of Medicine, Columbia, Missouri, USA.
Aisha M UraizeeUniversity of Missouri School of Medicine, Columbia, Missouri, USA.
Kevin CraigDepartment of Family and Community Medicine, University of Missouri, Columbia, Missouri, USA.
Margaret F ClaytonCollege of Nursing, University of Utah, Salt Lake City, Utah, USA.
Maija ReblinDepartment of Health Outcomes & Behavior, Moffitt Cancer Center, Tampa, Florida, USA.
Lee EllingtonCollege of Nursing, University of Utah, Salt Lake City, Utah, USA.

Funding

Symptom Care by Phone for Hospice Caregiver Support and Cancer Symptom ReliefP01CA138317 · NCI · UNIVERSITY OF UTAH · PI MOONEY, KATHLEEN H · 2010 to 2015
$7.0M
NCI NIH HHS P01 CA138317
6 · The paper itself

Abstract

contextShared decisions between health care providers and patients and families are replacing the traditional physician-driven plans of care. Hospice philosophy recognizes the patient and family as a unit of care and embraces their role in decision making.

objectiveThe goal of this study was to evaluate the shared decisions between hospice nurses and patients and family members.

methodsA secondary analysis of audio recordings of 65 home hospice nurse visits from 65 home hospice nurse visits in 11 different U.S. hospice programs.

resultsTo varying degrees, hospice nurses used all the recommended elements of shared decision making during home visits with patients and families; however, not all elements were used in every visit. The most commonly used element was defining a problem, and the least used element was the assessment of patient and family understanding.

conclusionsHospice staff can benefit from a more purposeful shared decision-making process and a greater focus on assessment of patient and family understanding and ability to implement plans of care.

Indexed as

Decision MakingHome Care ServicesHouse CallsAdultAgedCaregiversFamilyFemaleHealth CommunicationHospice and Palliative Care NursingHumansMaleMiddle AgedNurse-Patient RelationsNursesQualitative Researchcaregivingfamilyhospicenurse visitsShared decision making

Identifiers

PMID29128433
PMCPMC6335643

What OpenQuestion holds

Textmetadata
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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.