Evidence map›Paper›PMID 31711482›Full record

ArticleBMC palliative care2019

The exploration of the knowledge, attitudes and practice behaviors of advanced care planning and its related predictors among Taiwanese nurses.

Chiu-Chu Hsieh, Hsiang-Ping Huang, Tao-Hsin Tung, I-Chien Chen, Randal D Beaton, Sui-Whi Jane

Open access · goldAbstract read
In one paragraph

Article in BMC palliative care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 6% of its field
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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

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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 at 4 institutions in 2 countries.

Chiu-Chu HsiehDepartment of Nursing, Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan, Republic of China.
Hsiang-Ping HuangDepartment of Nursing, Chang Gung University of Science and Technology, Tao-Yuan, Taiwan, Republic of China.
Tao-Hsin TungDepartment of Medical Research and Education, Cheng Hsin General Hospital, Taipei, Taiwan, Republic of China.
I-Chien ChenDepartment of Nursing, Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan, Republic of China.
Randal D BeatonPsychosocial & Community Health and Health Services, Schools of Nursing and Public Health, University of Washington, Seattle, USA.
Sui-Whi JaneGeriatric and Long-term Care Research Center, Graduate Institute of Nursing, Chang Gung University of Science and Technology, 261, Wen-Hua 1st Rd., Gui-Shan Dist, Tao-Yuan City, 33303, Taiwan, Republic of China. swjane@gw.cgust.edu.tw.ORCID http://orcid.org/0000-0002-4422-9419
Chang Gung University of Science and Technology · TWKaohsiung Armed Forces General Hospital · TWCheng Hsin General Hospital · TWUniversity of Washington · US

Funding

Chang Gung Memorial Hospital (CGMH) BMRP 900
6 · The paper itself

Abstract

backgroundDespite the documented and well known patient benefits of ACP, the completion of ACP, only a minority of patients, during the advanced or EOL stage of their illnesses, receive such care. The misconceptions about ACP for healthcare providers, such as nurses, might become potential barriers to the effective implication of ACP. Also, from the transcultural perspective, it is evident essential to explore Taiwanese nurses' attitudes, knowledge, and actions of ACP. The purposes of this study were to explore the implication of ACP or hospice care for nurses caring for non-cancer chronic illness patients at a regional teaching hospital in Taiwan; and, to identify predictors of those nurses' knowledge, attitudes, and actions toward ACP.

methodsThis cross-sectional study with a purposive sample of 218 nurses was conducted at a teaching hospital in southern Taiwan. Structured questionnaires were employed and data were analyzed with descriptive statistics, t-test, one-way ANOVAs, Pearson's correlation and multiple regressions.

results16.1% of Taiwanese physicians actively initiated ACP issues or conversations with patients or their family members. Nurses' attitudes toward ACP were fairly positive but their knowledge about ACP was insufficient and actions of ACP were not positively executed. The predictors of ACP-Knowledge (ACP-K) included position title, education hours and lacking of educational training. The predictors of ACP-Attitude (ACP-A) included ACP-K and "fear of patient or family member not accepting", whereas ACP-A, position title, "patients do not feel necessary" and "not sure physician's concern" were the predictors of ACP-Act.

conclusionContinuous education and training for nurses regarding ACP needs to be improved by taking those predictors found in this current study into account, and more studies on the nurse's role in ACP also should be further examined.

trial registrationKAFGH 106-012. Date of registration 1 May 2017.

Indexed as

Attitude of Health PersonnelHealth Knowledge, Attitudes, PracticeAdultAdvance Care PlanningCross-Sectional StudiesHospice CareHospitals, TeachingHumansMiddle AgedPhysiciansSocioeconomic FactorsTaiwanYoung AdultAdvance care planning (ACP)AttitudeKnowledgeNursePractice behaviors

Identifiers

PMID31711482
PMCPMC6849307
OpenAlexW2984356898

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.