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Advanced care planning in care homes for older people: a qualitative study of the views of care staff and families
Stewart F, Goddard C, Schiff R, Hall S.. Age and ageing, 2011-02-22
Topic: Risk, prevention and care in population studies
Objective to explore views on advance care planning in care homes for older people. Design qualitative exploration of views from care home staff and the family of residents in care homes for older people. Setting all care homes for the elderly in two London Boroughs. Participants staff (care managers, nurses and care assistants), community nurses and families. Methods individual semi-structured interviews. Results themes of the analysis: (i) Benefits staff and family revealed positive opinions towards advance care planning. Staff felt it provided choice for residents and encouraged better planning. (ii) Barriers: staff and families perceived residents as reluctant to discuss advance care planning. Some care assistants were reluctant to be involved. Furthermore, families and staff reported prevalence of dementia among residents as another barrier. Nurses and care managers identified both family involvement and unforeseen medical circumstances as problematic. (iii) Facilitators: (a) early initiation of discussions (b) family involvement to establish preferences (c) residents and staff being well-known to each other and (d) staff training, were perceived to facilitate ACP. Conclusions overall, staff and families support the concept of ACP. Methods to overcome the identified barriers are required to embed ACP within end of life care in care homes.
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APA 7th
Stewart, F., Goddard, C., Schiff, R., & Hall, S. (2011). Advanced care planning in care homes for older people: a qualitative study of the views of care staff and families. Age and ageing. https://doi.org/10.1093/ageing/afr006
Vancouver
Stewart F, Goddard C, Schiff R, Hall S. Advanced care planning in care homes for older people: a qualitative study of the views of care staff and families. Age and ageing. 2011. doi:10.1093/ageing/afr006. PMID: 21345840.
BibTeX
@article{stewart2011-21345840,
author = {Stewart, F. and Goddard, C. and Schiff, R. and Hall, S.},
title = {{Advanced care planning in care homes for older people: a qualitative study of the views of care staff and families}},
journal = {Age and ageing},
year = {2011},
doi = {10.1093/ageing/afr006},
pmid = {21345840},
url = {https://doi.org/10.1093/ageing/afr006}
}
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Key findings
- Results themes of the analysis: (i) Benefits staff and family revealed positive opinions towards advance care planning.
- Conclusions overall, staff and families support the concept of ACP.
Study details
- Evidence strengthLow
How this study scored 36/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, effect reported, studied in people and randomized / blinded because the record does not state it. We have no data on journal's citation record, times cited, citations per year, impact for its field and year, cited by studies here, still being cited, senior author's track record, institution's track record and multicenter collaboration, so those were left out: it earned 21 of the 58 points we could judge it on, which is 36 out of 100.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Age and ageing) |
| Journal's citation record | — / 4 | No journal record from OpenAlex — left out of this score |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 1 / 5 | 2011 — within 20 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomized / blinded | 0 / 2 | No randomization or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | — / 7 | No citation count (not found in OpenAlex) — left out of this score |
| Citations per year | — / 5 | No citation count or no year — left out of this score |
| Impact for its field and year | — / 6 | No field-weighted citation impact (OpenAlex has none yet) — left out of this score |
| Cited by studies here | — / 6 | Not yet checked against this library's citation graph — left out of this score |
| Still being cited | — / 4 | No yearly citation counts — left out of this score |
| Senior author's track record | — / 4 | Senior author's record not available — left out of this score |
| Institution's track record | — / 3 | No institution listed in OpenAlex — left out of this score |
| Multicenter collaboration | — / 3 | Institutions not listed — left out of this score |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 21345840) |
| Free to read | 0 / 2 | Behind a paywall — scores zero |
| Points | 21 / 58 | Scored on 11 of 20 parts. We have no data for the rest, so they are left out: 21 of the 58 points we could judge it on is 36 out of 100. |
| Total | 36 / 100 | — |
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