ArticleAge and ageing2022
Using the recommended summary plan for emergency care and treatment (ReSPECT) in care homes: a qualitative interview study.
Article in Age and ageing, 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.
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Who cites it
6 citing papers in PubMed.
- Investigating Person-Centred Care Planning in Care Homes Across England: An Exploratory Study of Practices and Contextual Factors.Journal of advanced nursing · 2026Article
- Experiences of using the Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) in English general practice: a qualitative study among key primary health and social care professionals, patients, and their relatives.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Article
- Public attitudes to emergency care treatment plans: a population survey of Great Britain.BMJ open · 2024Article
- GPs' views on emergency care treatment plans: an online survey.BJGP open · 2024Article
- Patient and relative experiences of the ReSPECT process in the community: an interview-based study.BMC primary care · 2024Article
- "I'd rather wait and see what's around the corner": A multi-perspective qualitative study of treatment escalation planning in frailty.PloS one · 2023Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
backgroundThe Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) is an advance care planning process designed to facilitate discussion and documentation of preferences for care in a medical emergency. Advance care planning is important in residential and nursing homes.
aimTo explore the views and experiences of GPs and care home staff of the role of ReSPECT in: (i) supporting, and documenting, conversations about care home residents' preferences for emergency care situations, and (ii) supporting decision-making in clinical emergencies. SETTING/
participantsSixteen GPs providing clinical care for care home residents and 11 care home staff in the West of England.
methodsA qualitative research design using semi-structured interviews.
resultsParticipants' accounts described the ReSPECT process as facilitating person-centred conversations about residents' preferences for care in emergency situations. The creation of personalised scenarios supported residents to consider their preferences. However, using ReSPECT was complex, requiring interactional work to identify and incorporate resident or relative preferences. Subsequent translation of preferences into action during emergency situations also proved difficult in some cases. Care staff played an important role in facilitating and supporting ReSPECT conversations and in translating it into action.
conclusionsThe ReSPECT process in care homes was positive for GPs and care home staff. We highlight challenges with the process, communication of preferences in emergency situations and the importance of balancing detail with clarity. This study highlights the potential for a multi-disciplinary approach engaging care staff more in the process.
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