Evidence map›Paper›PMID 35078794›Full record

ArticleClinical medicine (London, England)2022

A multidisciplinary simulation programme to improve advance care planning skills and engagement across primary and secondary care.

Lucy Owen, Anna Steel, Kristin Goffe, Joanna Pleming, Elizabeth L Sampson

Abstract read
In one paragraph

Article in Clinical medicine (London, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

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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

5 authors.

Lucy Owen, Barnet Hospital, London, UK.
Anna Steel, Barnet Hospital, London, UK.
Kristin Goffe, Barnet Hospital, London, UK.
Joanna Pleming, stroke and general internal medicine, Barnet Hospital, London, UK.
Elizabeth L Sampsonconsultant liaison psychiatrist, North Middlesex University Hospital, London, UK and clinical professor in dementia and palliative care, University College London, London, UK.

Funding

Marie Curie MCCC-FCO-11-U
6 · The paper itself

Abstract

backgroundIn the context of an ageing population, many healthcare professionals have limited experience and confidence in having necessary advance care planning (ACP) conversations.

methodsWe conducted nine half-day simulation sessions, using professional actors. One-hundred and thirty-two participants attended from multidisciplinary backgrounds across primary and secondary care.

resultsFollowing the course, 90.2% felt confident or very confident initiating conversations, compared with 14.4% beforehand. Understanding of when ACP is appropriate also increased from 70% to 100%. Post-course, 98% of participants stated that they would be more likely to initiate an ACP. Three months later, 86% had a sustained change in practice. All participants said they would recommend this simulation course and multidisciplinary approach.

conclusionMultidisciplinary simulation training is an effective way to teach ACP to doctors, nurses and allied healthcare professionals. The simulation was shown to improve participant understanding, confidence and reduce barriers to discussions, both immediately and 3 months later.

Indexed as

Advance Care PlanningSecondary Health CareCommunicationComputer SimulationHealth PersonnelHumansadvance care planningfrailtymultidisciplinarypalliative caresimulation teaching

Identifiers

PMID35078794
PMCPMC8813010

What OpenQuestion holds

Textmetadata
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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.