Evidence map›Paper›PMID 31870302›Full record

ArticleBMC geriatrics2019

Advance care planning in Norwegian nursing homes - limited awareness of the residents' preferences and values? A qualitative study.

Lisbeth Thoresen, Reidar Pedersen, Lillian Lillemoen, Elisabeth Gjerberg, Reidun Førde

Open access · goldAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC geriatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.1field-weighted citation impact, top 20% 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

9 citing papers in PubMed, 25 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

5 authors at 2 institutions in 1 country.

Lisbeth ThoresenDepartment of Interdisciplinary Health Sciences, Harald Schjelderups hus Forskningsveien 3a/2b, Post Box 1089, 0373, Oslo, Norway. lisbeth.thoresen@medisin.uio.no.ORCID 0000-0003-3617-9770
Reidar PedersenCentre for Medical Ethics, University of Oslo, Oslo, Norway.
Lillian LillemoenCentre for Medical Ethics, University of Oslo, Oslo, Norway.
Elisabeth GjerbergCentre for Medical Ethics, University of Oslo, Oslo, Norway.
Reidun FørdeCentre for Medical Ethics, University of Oslo, Oslo, Norway.
University of Oslo · NOStatistics Norway · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background52% of all deaths in Norway occur in nursing homes. Still advance care planning (ACP) is scarce and heterogeneous. To improve the implementation and practice of ACP in nursing homes, knowledge about health care professionals' views on ACP is vital. The objective of this study is to explore nurses and physicians' aims and experiences with carrying out ACP in nursing homes.

methodsSemi-structured group interviews were conducted with 20 health care professionals, recruited from nursing homes where ACP was performed regularly. Qualitative content analysis was used to analyse the data.

resultsThe primary aim of the nursing home professionals when doing ACP in nursing homes were to build alliances with next of kin to avoid misunderstandings and future conflicts. Two main experiences with ACP were described: i) due to the sensitivity of ACP issues, it was important to balance directness with being sensitive, and ii) when the physicians raised questions concerning future medical treatment, the answers from residents as well as next of kin were often hesitant and unclear.

conclusionOur study add insights into how ACP is practiced in nursing homes and the professionals' agenda. A focus on medical issues and achieving consensus with next of kin may result in lack of involvement of the residents and limited awareness of the residents' needs. Interdisciplinary approaches, ACP-training and tailored guidelines may improve the implementation and practice of ACP.

Indexed as

Attitude of Health PersonnelQualitative ResearchAdvance Care PlanningAged, 80 and overFemaleHealth PersonnelHumansMaleNorwayNursing HomesPhysiciansAdvance care planningCommunicationEnd of lifeNursing homeQualitative

Identifiers

PMID31870302
PMCPMC6929496
OpenAlexW2995931345

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.