Evidence map›Paper›PMID 39299657›Full record

ArticleJournal of pain and symptom management2024

Towards a Crisis Management Playbook: Hospice and Palliative Team Members' Views Amid COVID-19.

Dena Schulman-Green, Daniel David, Laura T Moreines, Jonelle Boafo, Emily Franzosa, Patricia Kim, Margaret V McDonald, Abraham A Brody, Melissa D Aldridge

Abstract read
In one paragraph

Article in Journal of pain and symptom management, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Dena Schulman-GreenNYU Rory Meyers College of Nursing (D.S.G., D.D., L.T.M., A.A.B.), New York, New York, USA; NYU Hartford Institute of Geriatric Nursing (D.S.G., D.D., L.T.M., A.A.B.), New York, New York, USA. Electronic address: dena.schulman-green@nyu.edu.
Daniel DavidNYU Rory Meyers College of Nursing (D.S.G., D.D., L.T.M., A.A.B.), New York, New York, USA; NYU Hartford Institute of Geriatric Nursing (D.S.G., D.D., L.T.M., A.A.B.), New York, New York, USA.
Laura T MoreinesNYU Rory Meyers College of Nursing (D.S.G., D.D., L.T.M., A.A.B.), New York, New York, USA; NYU Hartford Institute of Geriatric Nursing (D.S.G., D.D., L.T.M., A.A.B.), New York, New York, USA.
Jonelle BoafoIcahn School of Medicine at Mount Sinai (J.B., E.F., P.K., M.D.A.), New York, New York, USA.
Emily FranzosaIcahn School of Medicine at Mount Sinai (J.B., E.F., P.K., M.D.A.), New York, New York, USA; Geriatric Research, Education and Clinical Center (E.F., M.D.A.), James J. Peters VA Medical Center, Bronx New York, USA.
Patricia KimIcahn School of Medicine at Mount Sinai (J.B., E.F., P.K., M.D.A.), New York, New York, USA.
Margaret V McDonaldCenter for Home Care Policy & Research (M.V.M.D), VNS Health, New York, New York, USA.
Abraham A BrodyNYU Rory Meyers College of Nursing (D.S.G., D.D., L.T.M., A.A.B.), New York, New York, USA; NYU Hartford Institute of Geriatric Nursing (D.S.G., D.D., L.T.M., A.A.B.), New York, New York, USA; NYU Grossman School of Medicine (A.A.B), New York, New York, USA.
Melissa D AldridgeIcahn School of Medicine at Mount Sinai (J.B., E.F., P.K., M.D.A.), New York, New York, USA; Geriatric Research, Education and Clinical Center (E.F., M.D.A.), James J. Peters VA Medical Center, Bronx New York, USA.

Funding

The Impact of COVID-19 on End-of-Life Care for Vulnerable PopulationsR01NR019792 · NINR · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI ALDRIDGE, MELISSA DIANE · 2021 to 2023
$1.7M
Training Future Leaders in Aging ResearchT35AG067578 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI ALDRIDGE, MELISSA DIANE, SORIANO, RAINIER P · 2020 to 2024
$616k
NIA NIH HHS T35 AG067578NINR NIH HHS R01 NR019792
6 · The paper itself

Abstract

contextThe critical role of hospice and palliative care in response to the COVID-19 pandemic is well recognized, but there is limited evidence to guide healthcare leadership through future crises.

objectivesOur goal was to support future organizational resilience by exploring hospice and palliative team members' perspectives on crisis leadership during the COVID-19 pandemic in New York City (NYC).

methodsThis qualitative descriptive study used individual, semi-structured interviews of purposively sampled interdisciplinary team members. Enrollment sites were two large NYC metro hospice care organizations and one outpatient palliative care practice. We asked participants to complete a demographic form and a 45-60 minute interview. We used descriptive statistics and thematic analysis, respectively, for data analysis. We triangulated the data by presenting preliminary study findings to a group of clinicians (n=21) from one of the referring organizations.

resultsParticipants (n=30) were professionally diverse (e.g., nurses, physicians, social workers, chaplains, administrators), experienced (mean=17 years; 10 years in hospice), and highly educated (83% ≥ master's degree). About half (n=15) self-identified as white, non-Hispanic, and nearly half (n=13) self-identified as being from a racial/ethnic minoritized group. Two (n=2) did not wish to self-identify. We identified four themes that reflected challenges and adaptive responses to providing care during a crisis: Stay Open and Stay Safe; Act Flexibly; Lead Adaptively; and Create a Culture of Solidarity.

conclusionWhile additional work is indicated, findings offer direction for a crisis management playbook to guide leadership in hospice, palliative care, and other healthcare settings in future crises.

Indexed as

COVID-19Hospice CarePalliative CarePatient Care TeamQualitative ResearchAdultAttitude of Health PersonnelFemaleHealth PersonnelHumansLeadershipMaleMiddle AgedNew York CityCOVID-19Home hospiceleadershippandemicqualitative

Identifiers

PMID39299657
PMCPMC11534520

What OpenQuestion holds

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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.