ArticlePalliative medicine2022
Using advance and emergency care plans during transfer decisions: A grounded theory interview study with care home staff.
Article in Palliative medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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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.
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.
Who cites it
6 citing papers in PubMed, 16 citations in OpenAlex.
- Anticipatory prescribing of injectable controlled drugs (ICDs) in care homes: a qualitative observational study of staff role, uncertain dying and hospital transfer at the end-of-life.BMC geriatrics · 2024Observational
- Facilitators and inhibitors of traumatic brain injury transfers: A fieldwork investigation.Nursing open · 2023Article
- Recognising and responding to acute deterioration in care home residents: a scoping review.BMC geriatrics · 2023Article
- What influences decisions to transfer older care-home residents to the emergency department? A synthesis of qualitative reviews.Age and ageing · 2022Article
- Using the recommended summary plan for emergency care and treatment (ReSPECT) in care homes: a qualitative interview study.Age and ageing · 2022Article
- 'Weighing up risks': a model of care home staff decision-making about potential resident hospital transfers.Age and ageing · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
backgroundAdvance care planning has been identified as one of few modifiable factors that could reduce hospital transfers from care homes. Several types of documents may be used by patients and clinicians to record these plans. However, little is known about how plans are perceived and used by care home staff at the time of deterioration.
aimTo describe care home staff experiences and perceptions of using written plans during in-the-moment decision-making about potential resident hospital transfers.
designQualitative semi-structured interviews analysed using the Straussian approach to grounded theory. SETTING/
participantsThirty staff across six care homes (with and without nursing) in the East and West Midlands of England.
resultsStaff preferred (in principle) to keep deteriorating residents in the care home but feared that doing so could lead to negative repercussions for them as individuals, especially when there was perceived discordance with family carers' wishes. They felt that clinicians should be responsible for these plans but were happy to take a supporting role. At the time of deterioration, written plans legitimised the decision to care for the resident within the home; however, staff were wary of interpreting broad statements and wanted plans to be detailed, specific, unambiguous, technically 'correct', understood by families and regularly updated.
conclusionsWritten plans provide reassurance for care home staff, reducing concerns about personal and professional risk. However, care home staff have limited discretion to interpret plans and transfers may occur if plans are not specific enough for care home staff to use confidently.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.