Evidence map›Paper›PMID 39223032›Full record

SynthesisJournal of advanced nursing2025

Family perspectives on and experiences with advance care planning in nursing homes: A thematic synthesis.

Hye Ri Choi, Ho Nee Chu, Shumin Jia, Xiaohang Liu, Tongyao Wang, Chia-Chin Lin

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of advanced nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. 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

6 authors.

Hye Ri ChoiSchool of Nursing, University of Hong Kong, Pokfulam, Hong Kong.ORCID https://orcid.org/0000-0002-8290-6644
Ho Nee ChuHelping Hand, Pokfulam, Hong Kong.
Shumin JiaSchool of Nursing, University of Hong Kong, Pokfulam, Hong Kong.
Xiaohang LiuSchool of Nursing, University of Hong Kong, Pokfulam, Hong Kong.
Tongyao WangSchool of Nursing, University of Hong Kong, Pokfulam, Hong Kong.
Chia-Chin LinSchool of Nursing, University of Hong Kong, Pokfulam, Hong Kong.ORCID https://orcid.org/0000-0001-5101-0266

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo synthesize family members' experiences and perspectives on advance care planning (ACP) in nursing homes.

methodsThe thematic synthesis is reported following the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) statement. A systematic search of the APA PsycINFO, CINAHL Plus, Embase and PubMed databases is initially conducted in October 2022, and the search is updated in January 2024. Qualitative studies that presented family members' quotes regarding advance care planning in nursing homes published in a peer-reviewed journal were included. Screening and data extraction were independently performed by two reviewers, and any discrepancies were resolved with the assistance of the third author.

resultsA total of 1027 articles were identified, and 23 articles were included in the full-text review. Subsequently, a total of 17 studies were ultimately included, and 127 quotes were extracted and analysed. The main findings were categorized into three themes: (1) invitation to conversation and care, (2) the resident's surrogate and (3) nurses. Considering the importance of family members' roles in ACP conversations in a nursing home setting, this study provided an in-depth understanding of family members' perceptions and experiences of ACP by synthesizing qualitative studies. Family members' lack of knowledge regarding the timing and pursuits of ACP was also identified.

conclusionThe findings of this study provide synthesized qualitative evidence of family members' perspectives on ACP, which can inform care and treatment in nursing homes. As this study synthesizes the experiences of family members in nursing homes about ACP, the findings of this study contribute to reflecting family members' experiences and providing evidence for nursing home healthcare professionals. PATIENT OR PUBLIC CONTRIBUTION: This study reports the experiences of family members in ACP nursing homes. The findings of this study contribute to reflecting family members' experiences and building evidence for nursing home healthcare professionals.

Indexed as

Advance Care PlanningFamilyNursing HomesAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedQualitative Researchadvance care planningend‐of‐life decision‐makingmeta‐synthesisnursing homequalitative approaches

Identifiers

PMID39223032
PMCPMC11810491

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.