Evidence map›Paper›PMID 31007055›Full record

ArticleClinical nursing research2020

"They Don't Trust Us": The Influence of Perceptions of Inadequate Nursing Home Care on Emergency Department Transfers and the Potential Role for Telehealth.

Caroline E Stephens, Elizabeth Halifax, Daniel David, Nhat Bui, Sei J Lee, Janet Shim, Christine S Ritchie

Registry-linked trialAbstract read
In one paragraph

Article in Clinical nursing research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04969484 (Improving Palliative Care Access Through Technology), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing 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.

NCT04969484 nasuspendednot on this map

Improving Palliative Care Access Through Technology (ImPAcTT): A Multi- Component Pilot Study

TypeinterventionalSponsorUniversity of UtahRan2018 to 2022Enrolled81ConditionsTelehealth, Palliative CareArmsTelehealth visit
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Nursing Home-Sensitive Hospitalizations and the Relevance of Telemedicine: A Scoping Review.International journal of environmental research and public health · 2022
    Article
  11. Article
  12. Article
  13. Telemedicine and Telehealth in Nursing Homes: An Integrative Review.Journal of the American Medical Directors Association · 2021
    Review
  14. Article
  15. Article
  16. Family Communication in Long-Term Care During a Pandemic: Lessons for Enhancing Emotional Experiences.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2020
    Article
  17. 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.

Caroline E StephensDepartment of Community Health Systems, University of California, San Francisco, CA, USA.
Elizabeth HalifaxDepartment of Physiological Nursing, University of California, San Francisco, CA, USA.
Daniel DavidDepartment of Community Health Systems, University of California, San Francisco, CA, USA.
Nhat BuiAsian Health Services, Oakland, CA, USA.
Sei J LeeDivision of Geriatrics, University of California, San Francisco, CA, USA.
Janet ShimDepartment of Social and Behavioral Sciences, University of California, San Francisco, CA, USA.
Christine S RitchieDivision of Geriatrics, University of California, San Francisco, CA, USA.

Funding

Institutional Career Development Core SupplementKL2TR001870 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KANAYA, ALKA M., SARKAR, URMIMALA · 2016 to 2025
$19.7M
Clinical and Transtional Science InstituteKL2TR000143 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRANDIS, JENNIFER RUBIN · 2012 to 2015
$11.9M
Improving Palliative Care Access Through Technology (ImPAcTT): A Multi-Component Pilot StudyK76AG054862 · NIA · UNIVERSITY OF UTAH · PI STEPHENS, CAROLINE · 2017 to 2021
$1.2M
NCATS NIH HHS KL2 TR000143NCATS NIH HHS KL2 TR001870NIA NIH HHS K76 AG054862
6 · The paper itself

Abstract

In this descriptive, qualitative study, we conducted eight focus groups with diverse informal and formal caregivers to explore their experiences/challenges with nursing home (NH) to emergency department (ED) transfers and whether telehealth might be able to mitigate some of those concerns. Interviews were transcribed and analyzed using a grounded theory approach. Transfers were commonly viewed as being influenced by a perceived lack of trust in NH care/capabilities and driven by four main factors: questioning the quality of NH nurses' assessments, perceptions that physicians were absent from the NH, misunderstandings of the capabilities of NHs and EDs, and perceptions that responses to medical needs were inadequate. Participants believed technology could provide "the power of the visual" permitting virtual assessment for the off-site physician, validation of nursing assessment, "real time" assurance to residents and families, better goals of care discussions with multiple parties in different locations, and family ability to say goodbye.

Indexed as

Emergency Service, HospitalPatient TransferPerceptionTelemedicineTrustAdultCaregiversFemaleFocus GroupsGrounded TheoryHumansMaleMiddle AgedNursing HomesQualitative Researchcare transitionsemergency departmentfocus groupnursing hometelehealth

Identifiers

PMID31007055
PMCPMC10242499

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

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.