Evidence map›Paper›PMID 31162863›Full record

ArticleJournal of clinical nursing2019

"You only have time for so much in 12 hours" unmet social needs of hospitalised patients: A qualitative study of acute care nurses.

J Margo Brooks Carthon, Taylor Hedgeland, Heather Brom, Danielle Hounshell, Pamela Z Cacchione

Abstract read
In one paragraph

Article in Journal of clinical nursing, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Review
  7. Article
  8. Article
  9. Article
  10. A Systematic Review of Care Needs for Surgical Patients with Chronic Opioid Use.Medsurg nursing : official journal of the Academy of Medical-Surgical Nurses
    Article
  11. Article
  12. Article
  13. 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

5 authors.

J Margo Brooks CarthonCenter for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania.
Taylor HedgelandLeonard Davis Institute of Healthcare Economics Workgroup on Socially-at-Risk Patients, Leonard Davis Institute of Health of Economics, Philadelphia, Pennsylvania.
Heather BromCenter for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania.ORCID https://orcid.org/0000-0002-4295-6372
Danielle HounshellCenter for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania.
Pamela Z CacchioneLeonard Davis Institute of Healthcare Economics Workgroup on Socially-at-Risk Patients, Leonard Davis Institute of Health of Economics, Philadelphia, Pennsylvania.

Funding

ADVANCED TRAINING IN NURSING OUTCOMES RESEARCHT32NR007104 · NINR · UNIVERSITY OF PENNSYLVANIA · PI JACQUELINE MARGO BROOKS CARTHON, EILEEN T LAKE · 1999 to 2026
$11.6M
NIH HHSNINR NIH HHS T32 NR007104NINR NIH HHS T32-NR0714Penn Presbyterian Medical Center Professional Nursing Scholar ProgramUniversity of Pennsylvania Leonard Davis Institute of Health Economics
6 · The paper itself

Abstract

AIMS AND

objectivesTo explore the experiences of nurses caring for socially at-risk patients and gain an understanding of the challenges nurses face when providing care.

backgroundNurses play a pivotal role in caring for hospitalised patients with social risk factors and preparing them for discharge. Few studies have explored whether acute care nurses are adequately supported in their practice environments to address the unique needs of socially at-risk patients as they transition back into community settings.

designA qualitative descriptive study of nurses working in a large urban academic medical centre.

methodsWe conducted six semi-structured focus groups of nurses (n = 21). Thematic content analysis was performed to analyse the transcripts from the focus groups. We adhered to COREQ guidelines for reporting this qualitative study.

resultsSix key themes emerged: (a) nurses' assessments of social risk factors, (b) experiences providing care, (c) barriers to care, (d) fear of "labelling" socially at-risk patients, (e) unmet social care needs and (f) recommendations to improve care.

conclusionsOur findings suggest that nurses are able to identify social risk factors. However, prioritisation of medical needs during acute care hospitalisation and lack of organisational supports may deter nurses from fully addressing social concerns. RELEVANCE TO CLINICAL PRACTICE: Acute care nurses should be involved in the development of future efforts to address the needs of socially at-risk patients and be provided with additional supports in their practice environments. This could include continuing education to build nursing competencies in community-based care and social vulnerability.

Indexed as

Health Status DisparitiesVulnerable PopulationsAdultCritical Care NursingFemaleFocus GroupsHumansMaleMiddle AgedQualitative ResearchRisk Factorsacute care nurseshealth service deliveryhospitalssocial determinants of healthsocially at-risk

Identifiers

PMID31162863
PMCPMC6739175

What OpenQuestion holds

Textmetadata
LicenceTDM
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.