Evidence map›Paper›PMID 32397345›Full record

ArticleInternational journal of environmental research and public health2020

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Éidín Ní Shé, Deirdre O'Donnell, Sarah Donnelly, Carmel Davies, Francesco Fattori, Thilo Kroll

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2020. 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
–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

9 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Assessing Older Adults' Decision-Making Capacity for Independent Living: Practice Tensions and Complexities.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022
    Article
  6. Article
  7. Article
  8. Review
  9. 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

6 authors.

Éidín Ní ShéSchool of Nursing, Midwifery and Health Systems, University College Dublin, Belfield, 4 Dublin, Ireland.ORCID 0000-0002-1036-6044
Deirdre O'DonnellSchool of Nursing, Midwifery and Health Systems, University College Dublin, Belfield, 4 Dublin, Ireland.ORCID 0000-0001-7562-5484
Sarah DonnellySchool of Social Policy, Social Work and Social Justice, University College Dublin, Belfield, 4 Dublin, Ireland.ORCID 0000-0002-5436-3195
Carmel DaviesSchool of Nursing, Midwifery and Health Systems, University College Dublin, Belfield, 4 Dublin, Ireland.
Francesco FattoriSchool of Nursing, Midwifery and Health Systems, University College Dublin, Belfield, 4 Dublin, Ireland.
Thilo KrollSchool of Nursing, Midwifery and Health Systems, University College Dublin, Belfield, 4 Dublin, Ireland.ORCID 0000-0003-2082-5117

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe Assisted Decision-Making (ADM) (Capacity) Act was enacted in 2015 in Ireland and will be commenced in 2021. This paper is focused on this pre-implementation stage within the acute setting and uses a health systems responsiveness framework.

methodsWe conducted face-to-face interviews using a critical incident technique. We interviewed older people including those with a diagnosis of dementia (

resultsThe interviewees reflected upon a healthcare system that is currently under significant pressures. HSCPs are doing their best, but they are often halted from delivering on the will and preference of their patients. Many older people and family carers feel that they must be very assertive to have their preferences considered. All expressed concern about the strain on the healthcare system. There are significant environmental barriers that are hindering ADM practice.

conclusionsThe commencement of ADM provides an opportunity to redefine the provision, practices, and priorities of healthcare in Ireland to enable improved patient-centred care. To facilitate implementation of ADM, it is therefore critical to identify and provide adequate resources and work towards solutions to ensure a seamless commencement of the legislation.

Indexed as

CaregiversHealthcare DisparitiesPatient-Centered CareAgedAged, 80 and overDecision MakingHealth PersonnelHumansIrelandQualitative Researchassisted decision makinghealth system responsivenessperson-centred carepublic and patient Involvementqualitativesupported decision making

Identifiers

PMID32397345
PMCPMC7246817

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.