Evidence map›Paper›PMID 30358099›Full record

ArticleInternational journal of older people nursing2018

Person-directed care planning in nursing homes: A scoping review.

Michael Lepore, Kezia Scales, Ruth A Anderson, Kristie Porter, Trini Thach, Eleanor McConnell, Kirsten Corazzini

Open access · hybridAbstract readScoping Review
In one paragraph

Article in International journal of older people nursing, 2018. 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
4.3field-weighted citation impact, top 6% of its field
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, 29 citations in OpenAlex.

  1. Trial
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  5. Developing a Set of Key Principles for Care Planning Within Older Adult Care Homes: A Modified Delphi Survey.Health expectations : an international journal of public participation in health care and health policy · 2025
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  12. Centredness in health care: A systematic overview of reviews.Health expectations : an international journal of public participation in health care and health policy · 2022
    Review
  13. Article
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  15. Article
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  17. Person-directed care planning in nursing homes: A scoping review.International journal of older people nursing · 2018
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  18. Article
  19. 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

7 authors at 3 institutions in 1 country.

Michael LeporeRTI International, Washington, District of Columbia.ORCID http://orcid.org/0000-0002-7117-4919
Kezia ScalesDuke University School of Nursing, Durham, North Carolina.
Ruth A AndersonThe Office of Research Support and Consultation (RSC), University of North Carolina-Chapel Hill School of Nursing, Chapel Hill, North Carolina.
Kristie PorterRTI International, Research Triangle Park, North Carolina.
Trini ThachRTI International, Research Triangle Park, North Carolina.
Eleanor McConnellDuke University School of Nursing, Durham, North Carolina.
Kirsten CorazziniDuke University School of Nursing, Durham, North Carolina.
Duke University · USRTI International · USUniversity of North Carolina at Chapel Hill · US

Funding

BEHAVIOR AND PHYSIOLOGY IN AGINGT32AG000029 · NIA · DUKE UNIVERSITY · PI Maria Marquine · 1985 to 2026
$9.3M
Scholarship and Mentoring CoreP30NR014139 · NINR · DUKE UNIVERSITY · PI BAILEY, DONALD E, DOCHERTY, SHARRON L · 2012 to 2016
$2.3M
NIA NIH HHS T32 AG000029NIH HHS 5T32AG000029-40NIH HHS T32NINR NIH HHS P30 NR014139NINR NIH HHS P30NR014139
6 · The paper itself

Abstract

aimFederal regulations require nursing homes in the United States to support residents in directing their own care rather than having their care plans developed for them without their engagement, but knowledge of person-directed approaches to care planning in nursing homes is limited. The purpose of this study was to advance understanding of person-directed care planning (PDCP).

methodsA multidisciplinary research team conducted a scoping review on individual and family involvement in care planning, including literature from a variety of care contexts. Search results were systematically screened to identify literature that addressed individual or family involvement in care planning as a primary concern, and then analysed using thematic content analysis.

resultsSeveral themes were identified, including definitions of the concept of PDCP, essential elements of PDCP, barriers, facilitators and outcomes. The concept of PDCP is informed by multiple disciplines, including humanist philosophy, disability rights and end-of-life care. Essential elements of PDCP include knowing the person, integrating the person's goals in care planning and updating care plans as individuals' needs or preferences change. Limited time for care planning in nursing homes hinders PDCP. Facilitators include regulatory mandates and humanist social trends. Outcomes of PDCP were found to be positive (e.g., increased independence), but were inconsistently assessed across studies.

conclusionThis study offers pragmatic information that can support PDCP within nursing homes and insights for policy reform that may more effectively support PDCP. IMPLICATIONS FOR PRACTICE: These findings can be used to guide implementation of PDCP.

Indexed as

AgedHumansNursing HomesPatient-Centered Carecare planningnursing home careperson-centred careperson-directed care

Identifiers

PMID30358099
PMCPMC6282715
OpenAlexW2898401698

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.