Evidence map›Paper›PMID 37966418›Full record

ArticleJournal of emergency nursing2024

Emergency Nurses' Perceived Barriers and Solutions to Engaging Patients With Life-Limiting Illnesses in Serious Illness Conversations: A United States Multicenter Mixed-Method Analysis.

Oluwaseun Adeyemi, Laura Walker, Elizabeth Sherrill Bermudez, Allison M Cuthel, Nicole Zhao, Nina Siman, Keith Goldfeld, Abraham A Brody, Jean-Baptiste Bouillon-Minois, Charles DiMaggio and 3 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Journal of emergency nursing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Observational
  5. 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.

Oluwaseun Adeyemi
Laura Walker
Elizabeth Sherrill Bermudez
Allison M Cuthel
Nicole Zhao
Nina Siman
Keith Goldfeld
Abraham A Brody
Jean-Baptiste Bouillon-Minois
Charles DiMaggio
Joshua Chodosh
Corita R Grudzen
PRIM-ER investigators

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Research Education ComponentP30AG066512 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Mary Sherman Mittelman · 2020 to 2026
$28.4M
NIH Health Care Systems Research Collaboratory-Coordinating Center (U24)U24AT009676 · NCCIH · DUKE UNIVERSITY · PI LESLEY H CURTIS, Adrian Hernandez · 2017 to 2026
$21.5M
Primary Palliative Care for Emergency MedicineUH3AT009844 · NCCIH · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI GOLDFELD, KEITH, GRUDZEN, CORITA R · 2019 to 2022
$7.9M
Primary Palliative Care for Emergency MedicineUG3AT009844 · NCCIH · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI GRUDZEN, CORITA R · 2018 to 2018
$984k
NCCIH NIH HHS U24 AT009676NCCIH NIH HHS UG3 AT009844NCCIH NIH HHS UH3 AT009844NCI NIH HHS P30 CA008748NIA NIH HHS P30 AG066512
6 · The paper itself

Abstract

introductionThis study aimed to assess emergency nurses' perceived barriers toward engaging patients in serious illness conversations.

methodsUsing a mixed-method (quant + QUAL) convergent design, we pooled data on the emergency nurses who underwent the End-of-Life Nursing Education Consortium training across 33 emergency departments. Data were extracted from the End-of-Life Nursing Education Consortium post-training questionnaire, comprising a 5-item survey and 1 open-ended question. Our quantitative analysis employed a cross-sectional design to assess the proportion of emergency nurses who report that they will encounter barriers in engaging seriously ill patients in serious illness conversations in the emergency department. Our qualitative analysis used conceptual content analysis to generate themes and meaning units of the perceived barriers and possible solutions toward having serious illness conversations in the emergency department.

resultsA total of 2176 emergency nurses responded to the survey. Results from the quantitative analysis showed that 1473 (67.7%) emergency nurses reported that they will encounter barriers while engaging in serious illness conversations. Three thematic barriers-human factors, time constraints, and challenges in the emergency department work environment-emerged from the content analysis. Some of the subthemes included the perceived difficulty of serious illness conversations, delay in daily throughput, and lack of privacy in the emergency department. The potential solutions extracted included the need for continued training, the provision of dedicated emergency nurses to handle serious illness conversations, and the creation of dedicated spaces for serious illness conversations. DISCUSSION: Emergency nurses may encounter barriers while engaging in serious illness conversations. Institutional-level policies may be required in creating a palliative care-friendly emergency department work environment.

Indexed as

Emergency Service, HospitalNursesCross-Sectional StudiesDeathHumansSurveys and QuestionnairesUnited StatesEmergency nursesEnd-of-Life Nursing Education ConsortiumMixed-methodsPalliative careSerious illness conversation

Identifiers

PMID37966418
PMCPMC10939973
OpenAlexW4388686592

What OpenQuestion holds

Textmetadata
LicenceTDM
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.