Evidence map›Paper›PMID 41069776›Full record

ReviewInternational journal of nursing sciences2025

Advance care planning among stroke patients: A scoping review.

Margareta Hesti Rahayu, Sri Sutarni, Heny Suseani Pangastuti, Eva Marti

Abstract readReview
In one paragraph

Review in International journal of nursing sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Margareta Hesti RahayuDoctoral Program of Medical and Health Sciences, Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada, Yogyakarta, Indonesia.
Sri SutarniDepartment of Neurology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
Heny Suseani PangastutiDepartment of Medical-Surgical Nursing, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
Eva MartiDoctoral Program of Medical and Health Sciences, Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada, Yogyakarta, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aimed to describe the implementation of advance care planning (ACP) in patients with stroke. Methods: A scoping review was conducted according to the Arksey and O'Malley framework. Accordingly, we searched for articles published in ScienceDirect, PubMed, Scopus, ProQuest, and Medline. The inclusion criteria were original research on ACP among adult or elderly stroke patients, hospital- or community-based studies, and those published in English or Indonesian. Qualitative analysis was then used to identify keywords, categories, and themes. Results: Among the 1,050 articles identified, only 8 satisfied the inclusion criteria, indicating that limited studies were available for ACP interventions among stroke patients. Four themes were ultimately identified: the strategy implementation of ACP, the challenges of ACP implementation, the benefits of ACP, and the factors influencing ACP. Strategy ACP implementation included the ACP method, the communication style, participation role, media used, and ACP documentation. Lack of information about ACP, facilities, incapacitated patients, and reluctance to implement have become challenges to implementation in stroke. The benefits of ACP, particularly the outcomes of the ACP program, included awareness of ACP engagement, patients can express their wishes, and increased advance directive (AD) documentation. The factors influencing ACP included patient condition, knowledge, and appropriate ACP methods. Conclusion: ACP has not been widely used when providing interventions for stroke patients. The implementation of ACP in stroke patients is full of challenges due to various patient conditions. Effective strategies are needed to improve ACP in stroke patients. It is necessary to develop an ACP for stroke patients' method that involves interprofessional collaboration, and studies on ACP in stroke patients need to be further conducted through interprofessional collaboration.

Indexed as

Advance care planningPatientsScoping reviewStroke

Identifiers

PMID41069776
PMCPMC12504956

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.