Evidence map›Paper›PMID 41168106›Full record

ArticleScandinavian journal of caring sciences2025

Decision-Making for Older Patients in Acute Prehospital Situations: A Scoping Review.

Anders Sterner, Bodil Holmberg, Anders Bremer, Anders Svensson, Henrik Andersson, Catharina Frank

Abstract readScoping Review
PubMed Full text at PMC Publisher
In one paragraph

Article in Scandinavian journal of caring sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

6 authors.

Anders SternerFaculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden.ORCID https://orcid.org/0000-0002-2430-5285
Bodil HolmbergCentre of Interprofessional Collaboration Within Emergency Care (CICE), Linnaeus University, Växjö, Sweden.ORCID https://orcid.org/0000-0002-8912-8101
Anders BremerCentre of Interprofessional Collaboration Within Emergency Care (CICE), Linnaeus University, Växjö, Sweden.ORCID https://orcid.org/0000-0001-7865-3480
Anders SvenssonCentre of Interprofessional Collaboration Within Emergency Care (CICE), Linnaeus University, Växjö, Sweden.ORCID https://orcid.org/0000-0001-7479-8092
Henrik AnderssonFaculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden.ORCID https://orcid.org/0000-0002-3308-7304
Catharina FrankCentre of Interprofessional Collaboration Within Emergency Care (CICE), Linnaeus University, Växjö, Sweden.ORCID https://orcid.org/0000-0003-2515-9774

Funding

Familjen Kamprads Stiftelse 20180157
6 · The paper itself

Abstract

backgroundShared decision-making aims to ensure that healthcare professionals and patients jointly make decisions regarding the patient's care. However, professionals often find it challenging to implement shared decision-making with older patients who have cognitive impairments or diminished decision-making capacity. Research indicates a significant gap in the understanding of how decision-making processes unfold in prehospital settings.

aimThe objective of this scoping review was to explore how decision-making involving older patients in acute prehospital situations is characterized. DESIGN AND

methodThis scoping review is based on the Joanna Briggs Institute's guidelines for scoping reviews and is reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Review (PRISMA-ScR). DATA SOURCES: CINAHL, PubMed, Scopus, PsychINFO and Web of Science were searched to identify relevant studies published between the years 2000 and 2024.

resultsThe results are based on 26 studies and indicate that decision-making among older patients is a conditional process, characterised by collaborative support involving the patient, significant others and healthcare professionals. Barriers to this process include hierarchical dynamics, fear of reprisals and uncertainty regarding the risk-benefit ratio. Factors that support decision-making include situationally relevant competence, organisational resources and the presence of specific symptoms and signs.

conclusionShared decision-making with older patients in acute prehospital settings is conditional, often resulting in decisions being made primarily by healthcare professionals. There is considerable room for improvement in how this process is systematically approached. A structured approach is needed-one that assesses the older patient's decision-making capacity, considers the perspectives of family members, and incorporates input from individuals who know the patient well, all while minimizing hierarchical barriers.

Indexed as

Decision MakingEmergency Medical ServicesPatient ParticipationAgedAged, 80 and overFemaleHumansMaleMiddle Ageddecision‐makingemergency medical servicesolder patientsprehospitalscoping review

Identifiers

PMID41168106
PMCPMC12575412

What OpenQuestion holds

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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.