Evidence map›Paper›PMID 34069545›Full record

ArticleJournal of personalized medicine2021

Complexity of Nurse Practitioners' Role in Facilitating a Dignified Death for Long-Term Care Home Residents during the COVID-19 Pandemic.

Shirin Vellani, Veronique Boscart, Astrid Escrig-Pinol, Alexia Cumal, Alexandra Krassikova, Souraya Sidani, Nancy Zheng, Lydia Yeung, Katherine S McGilton

Abstract read
In one paragraph

Article in Journal of personalized medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Lessons Learned from the COVID-19 Pandemic in Nursing Homes: A Systematic Review.International journal of environmental research and public health · 2022
    Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. Long-Term Care and the COVID-19 Pandemic: Lessons Learned.The Nursing clinics of North America · 2023
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Nurse Practitioners Navigating the Consequences of Directives, Policies, and Recommendations Related to the COVID-19 Pandemic in Long-Term Care Homes.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022
    Article
  12. Article
  13. The Future Includes Nurse Practitioner Models of Care in the Long-Term Care Sector.Journal of the American Medical Directors Association · 2022
    Article
  14. 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

9 authors.

Shirin VellaniKITE, Toronto Rehabilitation Institute-University Health Network, Toronto, ON M5G 2A2, Canada.ORCID 0000-0001-6032-0266
Veronique BoscartKITE, Toronto Rehabilitation Institute-University Health Network, Toronto, ON M5G 2A2, Canada.
Astrid Escrig-PinolKITE, Toronto Rehabilitation Institute-University Health Network, Toronto, ON M5G 2A2, Canada.ORCID 0000-0001-9615-2110
Alexia CumalKITE, Toronto Rehabilitation Institute-University Health Network, Toronto, ON M5G 2A2, Canada.ORCID 0000-0002-7765-9538
Alexandra KrassikovaKITE, Toronto Rehabilitation Institute-University Health Network, Toronto, ON M5G 2A2, Canada.ORCID 0000-0001-9828-1231
Souraya SidaniDaphne Cockwell School of Nursing, Ryerson University, Toronto, ON M5B 1Z5, Canada.
Nancy ZhengKITE, Toronto Rehabilitation Institute-University Health Network, Toronto, ON M5G 2A2, Canada.
Lydia YeungKITE, Toronto Rehabilitation Institute-University Health Network, Toronto, ON M5G 2A2, Canada.ORCID 0000-0001-9116-100X
Katherine S McGiltonKITE, Toronto Rehabilitation Institute-University Health Network, Toronto, ON M5G 2A2, Canada.ORCID 0000-0003-2470-9738

Funding

Maria and Walter Schroeder Not Applicable
6 · The paper itself

Abstract

Due to the interplay of multiple complex and interrelated factors, long-term care (LTC) home residents are increasingly vulnerable to sustaining poor outcomes in crisis situations such as the COVID-19 pandemic. While death is considered an unavoidable end for LTC home residents, the importance of facilitating a good death is one of the primary goals of palliative and end-of-life care. Nurse practitioners (NPs) are well-situated to optimize the palliative and end-of-life care needs of LTC home residents. This study explores the role of NPs in facilitating a dignified death for LTC home residents while also facing increased pressures related to the COVID-19 pandemic. The current exploratory qualitative study employed a phenomenological approach. A purposive sample of 14 NPs working in LTC homes was recruited. Data were generated using semi-structured interviews and examined using thematic analysis. Three categories were derived: (a) advance care planning and goals of care discussions; (b) pain and symptom management at the end-of-life; and (c) care after death. The findings suggest that further implementation of the NP role in LTC homes in collaboration with LTC home team and external partners will promote a good death and optimize the experiences of residents and their care partners during the end-of-life journey.

Indexed as

COVID-19dignified deathend-of-lifenurse practitionersnursing homeolder adultspalliative care

Identifiers

PMID34069545
PMCPMC8161387

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.