Evidence map›Paper›PMID 33433136›Full record

ArticleJournal of the Chinese Medical Association : JCMA2021

The differences in nurses' willingness to discuss palliative care with patients and their family members.

Yi-Hsuan Lin, Ming-Hwai Lin, Chun-Ku Chen, Che Yang, Ya-Ting Chuang, Chuen-Huei Shyu, Huei-Jin Lin, Hui-Fang Chen, Wan-Ling Yang, Ya-Jyun Chen and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of the Chinese Medical Association : JCMA, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 37% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

13 authors at 2 institutions in 1 country.

Yi-Hsuan LinDepartment of Family Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Ming-Hwai LinDepartment of Family Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Chun-Ku ChenDepartment of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Che YangDepartment of Nursing, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Ya-Ting ChuangDepartment of Nursing, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Chuen-Huei ShyuDepartment of Nursing, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Huei-Jin LinDepartment of Nursing, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Hui-Fang ChenDepartment of Nursing, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Wan-Ling YangDepartment of Nursing, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Ya-Jyun ChenDepartment of Nursing, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Tzeng-Ji ChenDepartment of Family Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Shinn-Jang HwangDepartment of Family Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Hsiao-Ting ChangDepartment of Family Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Taipei Veterans General Hospital · TWNational Yang Ming Chiao Tung University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to evaluate the differences in nurses' willingness to discuss palliative care with terminally ill patients and their family members.

methodsThe participants were randomly recruited from registered staff nurses ≥20 years of age who were responsible for clinical inpatient care in a tertiary hospital in northern Taiwan. A semi-structured questionnaire was administered to evaluate nurses' experiences of discussing do-not-resuscitate (DNR) decisions and their willingness to discuss palliative care with terminal patients and their family members. The differences in nurses' experiences regarding DNR and willingness to discuss palliative care with terminally ill patients and their family members were compared using the Chi-square test. Logistic regressions were used to analyze factors associated with nurses' willingness to discuss palliative care with patients and their families.

resultsMore participants had experienced initiating discussions about DNR with patients' families than with patients (72.2% vs 61.9%, p < 0.001). Unadjusted logistic regression analysis showed that the experiences of actively initiating DNR discussions with patients were a significant factor associated with palliative care discussion with patients (odds ratio [OR] = 2.91, 95% confidence interval [CI]: 1.09-7.79). On the other hand, the experiences of actively initiating DNR discussions with patients and with patients' families were significant factors associated with palliative care discussion with patients' families (OR = 3.84, 95% CI: 1.22-12.06 and OR = 3.60, 95% CI: 1.19-10.90, respectively). After adjusting for covariates, no significant factors were found to be independently associated with nurses' willingness to discuss palliative care with patients and their family members.

conclusionThere are significant differences in nurses' willingness to discuss palliative care with patients and their family members. Further research is needed to evaluate factors associated with nurses' willingness to discuss palliative care with patients and their families to facilitate these discussions and protect patients' autonomy.

Indexed as

CommunicationFamilyNurse-Patient RelationsPalliative CareCross-Sectional StudiesFemaleHumansMaleNursesResuscitation OrdersSurveys and QuestionnairesTaiwanYoung Adult

Identifiers

PMID33433136
PMCPMC12966099
OpenAlexW3119769281

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.