Evidence map›Paper›PMID 40598292›Full record

ArticleBMC nursing2025

'Early planning makes for a good death': residential aged care nurses' views on caring for those in the last months of life.

Priyanka Vandersman, Jennifer Tieman

Abstract read
In one paragraph

Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

2 authors.

Priyanka VandersmanResearch Centre for Palliative Care, Death and Dying (RePaDD), Flinders University, Adelaide, South Australia, 5042, Australia. Priyanka.Vandersman@flinders.edu.au.
Jennifer TiemanResearch Centre for Palliative Care, Death and Dying (RePaDD), Flinders University, Adelaide, South Australia, 5042, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe residential aged care (RAC) sector provides care to a significant number of older people across frail and vulnerable years, all the way through to death. As such, palliative care, and considerations for end-of-life caring, need to be considered as core in aged care practice in Australia.

aimTo explore how RAC nurses understand, describe, and provide care to people who are in the last months of life.

methodsA qualitative descriptive research study design based on the secondary analysis of data collected as part of a larger study. Focus groups and semi-structured interviews were conducted with RAC nurses working in Australia using video conferencing software and telephone. Data collected was managed using the NVivo software and analysed using reflexive thematic analysis.

resultsSixty-four participants from 14 RAC services across three Australian States took part in study. Four themes emerged from the analysis of the data, namely: (1) The last months of life have unique caring needs; (2) Identifying the last months of life is complex (3), Care provision is driven by task orientation, and (4) Good end-of-life care is acknowledged yet limited. Participants highlighted differences in the needs of older people experiencing gradual decline versus those in the terminal stage. Early discussions about death with families and residents were deemed valuable, but resource constraints limited the opportunities of quality one-on-one care.

conclusionNurses see value in recognising early health decline and identifying residents nearing end-of-life, but workflow and resource limitations hinder their ability to engage effectively. Developing and implementing resources and processes to enable nurses to identify early decline and deliver timely, quality end-of-life care is imperative.

Indexed as

Early deteriorationEnd-of-life careNursesPalliative careResidential aged care

Identifiers

PMID40598292
PMCPMC12211810

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.