Evidence map›Paper›PMID 41715043›Full record

ArticleBMC nursing2026

Emergency nurses' perspectives on advance care planning and their role in end-of-life decision-making: a focus group study.

JinShil Kim, KyungAh Cho, Jisun Yang, Hee Jung Kim, Sang Yi Baek, Seongkum Heo

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In one paragraph

Article in BMC nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

JinShil KimCollege of Nursing, Gachon University, 191 Hambakmeoro, Yeonsu-gu, Incheon, 21936, South Korea.
KyungAh ChoCollege of Nursing, Gachon University, 191 Hambakmeoro, Yeonsu-gu, Incheon, 21936, South Korea. jobari@gachon.ac.kr.ORCID http://orcid.org/0000-0001-9778-6246
Jisun YangGachon University Gil Medical Center, 21, Namdong-daero 774 beon-gil, Namdong-gu, Incheon, 21565, South Korea. jsun@gilhospital.com.ORCID http://orcid.org/0000-0001-7522-201X
Hee Jung KimCollege of Nursing, Gachon University, 191 Hambakmeoro, Yeonsu-gu, Incheon, 21936, South Korea.
Sang Yi BaekCollege of Nursing, Gachon University, 191 Hambakmeoro, Yeonsu-gu, Incheon, 21936, South Korea.
Seongkum HeoMercer University, Georgia Baptist College of Nursing, 3001 Mercer University Drive, Atlanta, Georgia, 30341, USA.

Funding

Ministry of Science and ICT, Republic of Korea RS-2025-00555305
6 · The paper itself

Abstract

backgroundThe demand for emergency nurses to engage in advance care planning (ACP) and end-of-life decision-making using advance directives (ADs) has increased. However, effective strategies to support their roles within emergency departments remain limited.

aimTo explore the perspectives on ACP and its role in end-of-life decision-making among emergency nurses.

methodsA qualitative study was conducted using focus group interviews with a purposive sample of emergency nurses divided into two groups. The interviews were thematically analyzed.

resultsFour themes emerged from the interviews with nine emergency nurses. First, suboptimal and inconsistent implementation of ACP was reported. Second, multilevel complex barriers were identified, with systemic, institutional, and personal obstacles hindering the implementation of ACP. Third, the nurses suggested multilevel comprehensive solutions and strategies to overcome these barriers. Fourth, distinct roles of healthcare providers were highlighted, with physicians focused on treatment-oriented care, while nurses provided explanations and emotional support to patients and caregivers.

conclusionsEmergency nurses face significant barriers to the implementation of ACP and ADs. To improve ACP engagement among emergency nurses, comprehensive strategies addressing barriers at the institutional, provider, and personal levels are required, including standardized systems, role clarification, and targeted training. CLINICAL

trial registrationNot applicable.

Indexed as

Advance care planningAdvance directivesEmergency servicesFocus groupsNurses

Identifiers

PMID41715043
PMCPMC13020370

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LicenceCC BY-NC-ND
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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.