Evidence map›Paper›PMID 32665510›Full record

ArticleThe American journal of nursing2020

Original Research: Understanding Nursing Home Staff Attitudes Toward Death and Dying: A Survey.

Nhat Bui, Elizabeth Halifax, Daniel David, Lauren Hunt, Edyssa Uy, Christine Ritchie, Caroline Stephens

Open access · greenAbstract read
In one paragraph

Article in The American journal of nursing, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed, 14 citations in OpenAlex.

  1. Trajectories of Medication Use Prior to Death in US Nursing Home Residents With Dementia.Journal of the American Medical Directors Association · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
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  7. Reimagining Family Involvement in Residential Long-Term Care.Journal of the American Medical Directors Association · 2022
    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

7 authors at 1 institution in 1 country.

Nhat BuiNhat Bui is an adult gerontology NP at the Memory and Aging Center, Weill Institute for Neurosciences, University of California, San Francisco (UCSF). Elizabeth Halifax is an assistant clinical professor in the UCSF School of Nursing. Daniel David is an assistant professor at the New York University Rory Meyers College of Nursing in New York City. Lauren Hunt is an assistant professor in the UCSF School of Nursing and at San Francisco Veterans Affairs Medical Center. Edyssa Uy is an NP at the City of Hope Comprehensive Cancer Center in Duarte, CA. Christine Ritchie is the Kenneth L. Minaker Chair in Geriatrics and director of research for the Division of Palliative Care and Geriatric Medicine at Massachusetts General Hospital in Boston. Caroline Stephens is an associate professor and the Helen Lowe Bamberger Colby Presidential Endowed Chair in Gerontological Nursing at the University of Utah College of Nursing in Salt Lake City. Support for this study included grants from the National Institute on Aging Paul B. Beeson Emerging Leaders Career Development Award (K76AG054862), the UCSF Pepper Center, and the National Institutes of Health (8 KL2 TR000143-08). Contact author: Nhat Bui, nhat.bui@ucsf.edu. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Elizabeth Halifax
Daniel David
Lauren Hunt
Edyssa Uy
Christine Ritchie
Caroline Stephens
New York College of Health Professions · US

Funding

Research Education ComponentP30AG062422 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Katherine P Rankin · 2019 to 2026
$36.9M
Clinical and Transtional Science InstituteKL2TR000143 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRANDIS, JENNIFER RUBIN · 2012 to 2015
$11.9M
Improving Palliative Care Access Through Technology (ImPAcTT): A Multi-Component Pilot StudyK76AG054862 · NIA · UNIVERSITY OF UTAH · PI STEPHENS, CAROLINE · 2017 to 2021
$1.2M
NCATS NIH HHS KL2 TR000143NIA NIH HHS K76 AG054862NIA NIH HHS P30 AG062422
6 · The paper itself

Abstract

backgroundNearly 70% of nursing home residents are eligible for palliative care, yet few receive formal palliative care outside of hospice. Little is known about nursing home staff attitudes, knowledge, skills, and behaviors related to palliative care.

methodsWe administered a modified survey measuring attitudes toward death to 146 nursing home staff members, including both clinical and nonclinical staff, from 14 nursing homes.

resultsNursing home staff generally reported feeling comfortable caring for the dying, but half believed the end of life is a time of great suffering. Pain control (63%), loneliness (52%), and depression (48%) were the most important issues identified with regard to these patients, and there was ambivalence about the use of strong pain medications and the utility of feeding tubes at the end of life. Top priorities identified for improving palliative care included greater family involvement (43%), education and training in pain control (50%) and in management of other symptoms (37%), and use of a palliative care team (35%) at their facility.

conclusionsFindings show there is a need for more palliative care training and education, which should be built on current staff knowledge, skills, and attitudes toward palliative care.

Indexed as

Attitude of Health PersonnelAttitude to DeathNursing HomesDepressionHumansLonelinessNursing StaffPalliative CareQuality of LifeSurveys and Questionnaires

Identifiers

PMID32665510
PMCPMC7877445
OpenAlexW3042355045

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.