ArticleJournal of pain and symptom management2019
Integration of Palliative Care and Infection Management at the End of Life in U.S. Nursing Homes.
Article in Journal of pain and symptom management, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
What it found
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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.
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Who cites it
16 citing papers in PubMed, 19 citations in OpenAlex.
- Differences in Timely Goals of Care Discussions in Nursing Homes Among Black Residents.The American journal of hospice & palliative care · 2025Article
- The association of nursing home infection preventionists' training and credentialing with resident COVID 19 deaths.Journal of the American Geriatrics Society · 2024Observational
- Examining Regional Differences in Nursing Home Palliative Care for Black and Hispanic Residents.Journal of palliative medicine · 2022Article
- Safe Hugs in Palliative Care.Turkish journal of anaesthesiology and reanimation · 2022Article
- Urinary catheter policies in home healthcare agencies and hospital transfers due to urinary tract infection.American journal of infection control · 2022Article
- Nursing Home Antibiotic Stewardship Policy and Antibiotics Use: 2013-2017.Journal of the American Medical Directors Association · 2022Article
- The Role of Regional and State Initiatives in Nursing Home Advance Care Planning Policies.The American journal of hospice & palliative care · 2021Article
- The state of infection prevention and control at home health agencies in the United States prior to COVID-19: A cross-sectional study.International journal of nursing studies · 2021Article
- Opportunities for Nursing Science to Advance Patient Care in the Time of COVID-19: A Palliative Care Perspective.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2020Article
- COVID-19 Preparedness in Nursing Homes in the Midst of the Pandemic.Journal of the American Geriatrics Society · 2020Article
- Palliative care and infection management at end of life in nursing homes: A descriptive survey.Palliative medicine · 2020Article
- Infection preventionist staffing in nursing homes.American journal of infection control · 2020Article
- Self-reported National Healthcare Safety Network knowledge and enrollment: A national survey of nursing homes.American journal of infection control · 2020Article
- Characteristics of nursing homes with comprehensive antibiotic stewardship programs: Results of a national survey.American journal of infection control · 2020Article
- Changes in US Nursing Home Infection Prevention and Control Programs From 2014 to 2018.Journal of the American Medical Directors Association · 2020Article
- Association of Timely Goals of Care Discussions with Hospitalizations Due to Infections in Nursing Homes.Palliative medicine reportsArticle
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
Abstract
contextInfections in nursing home (NH) residents are often terminal illnesses. Integration of palliative care (PC) and infection management (IM) is a new concept that can help reduce burdensome treatments and improve quality of care for NH residents at the end of life.
objectivesTo develop measures of integration, describe the integration in U.S. NHs, and examine predictors of integration.
methodsA nationally representative sample of NHs was surveyed. An instrument to measure integration was tested using factor analyses. Descriptive analyses of each integration factor were conducted, construct validity was examined using correlations between the integration factors and validated measures of PC and IM, and multivariable linear regression models were developed to identify NH characteristics associated with integration.
resultsA total of 892 NH surveys were returned (49% response rate), 859 with complete data. Three integration factors were identified: patient involvement in care planning (Involvement), formalized advance care planning (Advance Care Planning), and routine practices of integration (Routine Practices). The highest level of integration in NHs was reported for Involvement (mean (μ) = 73.2, standard error [SE] = 1.57), with lower rates for Advance Care Planning and Routine Practices (respectively, μ = 34.1, SE = 1.05; μ = 31.4, SE = 1.48). Each integration measure was weakly, positively associated with the PC and IM measures (r ≤ 0.25, P ≤ 0.01). There were few associations between NH characteristics and integration.
conclusionIntegration is a distinct concept that is associated with, but different from, PC and IM. Results serve as a baseline assessment of integration in NHs. Continued refinement of the integration instrument is recommended, as is studying if higher integration leads to better resident outcomes.
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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.