Evidence map›Paper›PMID 30608360›Full record

ArticleJournal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association2019

Evaluation of Quality Improvement Initiatives to Improve and Sustain Advance Care Planning Completion and Documentation.

Regina M Fink, Elizabeth Somes, Hareklia Brackett, Prajakta Shanbhag, Ashley N Anderson, Hillary D Lum

Abstract read
In one paragraph

Article in Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Measuring Goal-Concordant Care in Palliative Care Research.Journal of pain and symptom management · 2021
    Review
  3. Article
  4. Article
  5. 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

6 authors.

Regina M FinkRegina M. Fink, PhD, APRN, AOCN, CHPN, FAAN, is associate professor, University of Colorado College of Nursing and School of Medicine at the Anschutz Medical Campus, Aurora. Elizabeth Somes, MD, is internal medicine resident, University of Colorado School of Medicine, Aurora. Hareklia Brackett, MS, RN, CNS, ACHPN, is lead palliative care advanced practice nurse, University of Colorado Hospital, Aurora. Prajakta Shanbhag, MPH, is professional research assistant and data manager, University of Colorado School of Medicine, Aurora. Ashley N. Anderson, BSN, RN, is PhD candidate research nurse scientist, University of Colorado Hospital, Aurora. Hillary D. Lum, MD, PhD, is assistant professor, University of Colorado School of Medicine, Aurora, and research physician, VA Eastern Colorado Geriatric Research Education and Clinical Center, Denver.
Elizabeth Somes
Hareklia Brackett
Prajakta Shanbhag
Ashley N Anderson
Hillary D Lum

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025780 · NCRR · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2008 to 2011
$61.3M
Refining an Advance Care Planning Group Visit intervention – a novel intervention to engage older adults in advance care planningK76AG054782 · NIA · UNIVERSITY OF COLORADO DENVER · PI LUM, HILLARY · 2016 to 2019
$864k
NCRR NIH HHS UL1 RR025780NIA NIH HHS K76 AG054782
6 · The paper itself

Abstract

Despite the established benefit of advance care planning (ACP), achieving and sustaining high rates of ACP completion continue to be a challenge in many health care settings. A palliative care champions committee has targeted improving the ACP process through quality improvement initiatives at an academic medical center. To understand the impact of multiyear efforts to improve ACP, surveys of registered nurses, care coordinators, and medical assistants from inpatient and outpatient settings were conducted in 2013 and 2017 to explore comfort level with ACP, barriers preventing completion of ACP in daily practice, and suggestions for overcoming these barriers. The findings suggest strategies to further integrate ACP through interdisciplinary teams, including outpatient staff education, inpatient and outpatient quality improvement initiatives, and dedicated staff for ACP.

Indexed as

Advance Care PlanningDocumentationHumansQuality ImprovementSurveys and Questionnaires

Identifiers

PMID30608360
PMCPMC6322421

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.