Evidence map›Paper›PMID 31033645›Full record

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

Nurses' Perspectives on Family Caregiver Medication Management Support and Deprescribing.

Jennifer Tjia, Susan DeSanto-Madeya, Kathleen M Mazor, Paul Han, Bryan Nguyen, Tess Curran, Julia Gallagher, Margaret F Clayton

Abstract read
PubMed Full text at PMC Publisher
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 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. Review
  4. Article
  5. Deprescribing in Hospice Patients: Discontinuing Aspirin, Multivitamins, and Statins.Mayo Clinic proceedings. Innovations, quality & outcomes · 2021
    Article
  6. Review
  7. 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

8 authors.

Jennifer TjiaJennifer Tjia, MD, MSCE, is associate professor of population and quantitative health sciences, University of Massachusetts Medical School, Worcester. Susan DeSanto-Madeya, PhD, APRN, CNS, is associate clinical professor, Wm. F. Connell School of Nursing, Boston College, Massachusetts. Kathleen M. Mazor, EdD, is professor, University of Massachusetts Medical School; and associate director, Meyers Primary Care Institute, Worcester, Massachusetts. Paul Han, MD, MA, MPH, is director, Center for Outcomes Research & Evaluation (CORE), Maine Medical Center, Scarborough; and associate professor of Medicine, Tufts University School of Medicine. Bryan Nguyen, BS, is candidate for doctor of Medicine, University of Massachusetts Medical School, Worcester. Tess Curran, BS, is candidate for doctor of Medicine, University of Massachusetts Medical School, Worcester. Julia Gallagher, MD, is medical director, Home-Based Palliative Care Program, Division of Palliative Care, Massachusetts General Hospital; and instructor in Medicine, Harvard Medical School, Boston, Massachusetts. Margaret F. Clayton, PhD, APRN-BC, FAAN, is professor, College of Nursing; and auxiliary faculty member, Department of Communication, University of Utah, Salt Lake City.
Susan DeSanto-Madeya
Kathleen M Mazor
Paul Han
Bryan Nguyen
Tess Curran
Julia Gallagher
Margaret F Clayton

Funding

Pilot Study of Standardized PatiEnt-CenTered medicatiOn Review (SPECTORx) in Home HospiceR21AG060017 · NIA · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI TJIA, JENNIFER · 2018 to 2019
$481k
HSRD VA CDA 11-263NIA NIH HHS R21 AG060017
6 · The paper itself

Abstract

Nurses who care for patients with life-limiting illness operate at the interface of family caregivers (FCGs), patients, and prescribers and are uniquely positioned to guide late-life medication management, including challenging discussions about deprescribing. The study objective was to describe nurses' perspectives about their role in hospice FCG medication management. Content analysis was used to analyze qualitative interviews with nurses from a parent study exploring views on medication management and deprescribing for advanced cancer patients. Ten home and inpatient hospice nurses, drawn from 3 hospice agencies and their referring hospital systems in New England, were asked to describe current practices of medication management and deprescribing and to evaluate a pilot tool to standardize hospice medication review. Analysis of the 10 interviews revealed that hospice nurses are receptive to a standardized approach for comprehensive medication review upon hospice transition and responded favorably to opportunities to discuss medication discontinuation with FCGs and prescribers. Effective framing for discussions included focus on reducing harmful and nonessential medications and reducing caregiver burden. Results indicate that nurses who care for hospice-eligible and enrolled patients are willing to discuss deprescribing with FCGs and prescribers when conversations are framed around medication harms and their impact on quality of life.

Indexed as

PerceptionCaregiversChecklistFemaleHumansMaleMassachusettsMedical OveruseMedication SystemsMiddle AgedNursesPatient-Centered Care

Identifiers

PMID31033645
PMCPMC7561076

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.