Evidence map›Paper›PMID 40062468›Full record

ArticleJournal of advanced nursing2025

Advance Care Planning in Oncology Nursing: An Interpretive Description Study.

Heather M Kilgour, Leah K Lambert, A Fuchsia Howard, Michael Mckenzie, Sally Thorne

Abstract read
In one paragraph

Article 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 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
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.

Heather M KilgourNursing and Allied Health Research and Knowledge Translation, BC Cancer, Vancouver, British Columbia, Canada.ORCID https://orcid.org/0009-0003-2743-1898
Leah K LambertNursing and Allied Health Research and Knowledge Translation, BC Cancer, Vancouver, British Columbia, Canada.
A Fuchsia HowardSchool of Nursing, University of British Columbia, Vancouver, British Columbia, Canada.
Michael MckenzieBC Cancer, Vancouver, British Columbia, Canada.
Sally ThorneSchool of Nursing, University of British Columbia, Vancouver, British Columbia, Canada.

Funding

BC Cancer FoundationCanadian Nurses FoundationGrand Chapter of California, Order of the Eastern StarRegistered Nurses Foundation of British ColumbiaSchool of Nursing, University of British Columbia
6 · The paper itself

Abstract

aimTo explore oncology nursing advance care planning practices and understand how to better support nurses in conducting advance care planning with patients and their families.

designQualitative interpretive descriptive methodology.

methodsSemi-structured, individual telephone or Zoom interviews with 19 oncology nurses in a Western province of Canada between May and August 2022. Interviews were audio-recorded, transcribed, de-identified, and analysed using inductive, thematic, and constant comparative techniques.

resultsOncology nurses highlighted several factors affecting their ability to engage in advance care planning, including (1) uncertainties related to the nursing role in advance care planning, such as how and when a nurse ought to engage; (2) the educational, experiential, and training environment; and (3) structural barriers, such as a lack of time, space, and privacy; models of care that inhibit nurses from developing longitudinal relationships with their patients; and team dynamics that affect advance care planning interdisciplinary collaboration.

conclusionTo create environments that support oncology nurses to conduct advance care planning, the findings suggest uncertainties be addressed through a clear and cohesive organisational approach to advance care planning and ongoing, integrated educational opportunities. Further, service delivery models may need to be restructured such that nurses have dedicated time and space for nurse-led advance care planning and opportunities to develop trusting relationships with both patients and their interdisciplinary colleagues. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Impact Oncology nurses recognised the value of advance care planning in supporting patient-centred care and shared decision making, yet they reported limited engagement in advance care planning in their practice. To support oncology nurses in conducting advance care planning, healthcare leaders may address (1) advance care planning-related uncertainties and (2) structural barriers that prevent nurses from engaging in advance care planning with patients and their families. Findings may guide modifications to care models, enhancing support for oncology nurses in conducting advance care planning. REPORTING

methodWe selected and adhered to the Consolidated Criteria for Reporting Qualitative Research (COREQ) as the most applicable guideline. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.

Indexed as

Advance Care PlanningNurse's RoleOncology NursingAdultAgedAttitude of Health PersonnelCanadaFemaleHumansInterviews as TopicMaleMiddle AgedNurse-Patient RelationsQualitative ResearchYoung Adult

Identifiers

PMID40062468
PMCPMC12460987

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.