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Characteristics of Advance Care Planning Interventions Across Dementia Stages: A Systematic Review
Hyejin Kim, Jeonghyun Cho, Won Seok Park, Sang Suk Kim. Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing, 2021-01-21
Topic: Health services, long-term care and technology
Three ACP interventions focused on mild dementia and seven on advanced dementia. We observed four primary findings. First, we found a major difference in intervention recipients between the two dementia stages. Second, most ACP interventions included structured discussions regarding the person's life goals and values, goals of care, and preferences concerning future care via individual, face-to-face interactions. Third, ACP interventions designed to promote ongoing discussions and documentation were lacking. Finally, nurses played important roles in implementing ACP interventions. The findings suggest more nurse-led, dementia-related ACP interventions. In addition, ACP interventions should promote ongoing discussions and documentation and target persons with dementia and their surrogates in various countries. CLINICAL RELEVANCE: Many persons with dementia and their surrogates have limited knowledge about ACP; thus, more nurse-led ACP programs that reflect dementia stages may help them prepare for the situations in which persons with dementia lack decision-making capacity.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Kim, H., Cho, J., Park, W. S., & Kim, S. S. (2021). Characteristics of Advance Care Planning Interventions Across Dementia Stages: A Systematic Review. Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing. https://doi.org/10.1111/jnu.12624
Vancouver
Kim H, Cho J, Park WS, Kim SS. Characteristics of Advance Care Planning Interventions Across Dementia Stages: A Systematic Review. Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing. 2021. doi:10.1111/jnu.12624. PMID: 33476479.
BibTeX
@article{kim2021-33476479,
author = {Kim, Hyejin and Cho, Jeonghyun and Park, Won Seok and Kim, Sang Suk},
title = {{Characteristics of Advance Care Planning Interventions Across Dementia Stages: A Systematic Review}},
journal = {Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing},
year = {2021},
doi = {10.1111/jnu.12624},
pmid = {33476479},
url = {https://doi.org/10.1111/jnu.12624}
}
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Key findings
- Three ACP interventions focused on mild dementia and seven on advanced dementia.
- First, we found a major difference in intervention recipients between the two dementia stages.
- Second, most ACP interventions included structured discussions regarding the person's life goals and values, goals of care, and preferences concerning future care via individual, face-to-face interactions.
- Third, ACP interventions designed to promote ongoing discussions and documentation were lacking.
- Finally, nurses played important roles in implementing ACP interventions.
Study details
- Study designsystematic review
- Evidence strengthHigh
How this study scored 70/100
Published in a peer-reviewed journal, and it is a systematic review of all the studies on the question. Scored zero for sample size, effect reported and studied in people 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, multi-centre collaboration and free to read, so those were left out: it earned 39 of the 56 points we could judge it on, which is 70 out of 100.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing) |
| Journal's citation record | — / 4 | No journal record from OpenAlex — left out of this score |
| Study design | 12 / 12 | A systematic review of all the studies on the question |
| Strength of evidence | 5 / 5 | Rated “high” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 3 / 5 | 2021 — within 6 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) |
| Randomised / blinded | 0 / 2 | A review of other studies — randomisation is not credited here |
| 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 |
| Multi-centre collaboration | — / 3 | Institutions not listed — left out of this score |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 33476479) |
| Free to read | — / 2 | Access not recorded — left out of this score |
| Points | 39 / 56 | Scored on 10 of 20 parts. We have no data for the rest, so they are left out: 39 of the 56 points we could judge it on is 70 out of 100. |
| Total | 70 / 100 | — |
What each of these 20 components measures, and what this score is not →
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