SynthesisNursing open2025
Effectiveness of Nurse Led Advance Care Planning Intervention for Chronic Respiratory Diseases: A Meta-Analysis.
Synthesis in Nursing open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundChronic respiratory diseases present significant challenges for healthcare management, necessitating effective communication and planning for future care. Nurse-led advance care planning (ACP) interventions aim to improve patient outcomes by facilitating discussions about care preferences and treatment choices. This meta-analysis evaluates the effectiveness of nurse-led ACP interventions on various outcomes in patients with chronic respiratory diseases.
methodsComprehensive search was conducted across PubMed, Embase, Cochrane Central Register of Controlled Trials, Scopus, Web of Science, and Google Scholar up to May 2024. Randomised controlled trials and non-randomised trials assessing the impact of nurse-led ACP interventions were included. Pooled standardised mean differences (SMD) and odds ratios (OR) were calculated using a random-effects model, with heterogeneity assessed via I
resultsFor quality of life, pooled SMD was 0.073 (95% CI: -0.372 to 0.517), indicating negligible effect. Quality of communication showed pooled SMD of 2.137 (95% CI: -0.343 to 4.616). Anxiety had pooled SMD of -0.166 (95% CI: -0.628 to 0.296). Depression scores increased slightly (SMD = 0.756; 95% CI: -0.987 to 2.499). Hospital admissions (SMD = 0.127; 95% CI: -0.085 to 0.338) and length of hospital stay (SMD = 0.145; 95% CI: -0.091 to 0.382) both showed minimal effects with low heterogeneity. Discussions with physicians about treatment choices had OR of 1.773 (95% CI: 0.899 to 3.497), indicating positive but nonsignificant increase. Completion of advanced directives showed OR of 1.856 (95% CI: 0.999-3.488).
conclusionNurse-led ACP interventions have a significant impact on the quality of communication between patients and healthcare providers, though their effect on the quality of life and other clinical outcomes is less pronounced.
Indexed as
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Registered trials
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.