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Text
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<a href="http://doi.org/10.1016/j.jpainsymman.2011.03.023" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.jpainsymman.2011.03.023</a>
Pages
10–19
Issue
1
Volume
43
Dublin Core
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Title
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Professional judgments about advance care planning with community-dwelling consumers.
Publisher
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Journal of pain and symptom management
Date
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2012
2012-01
Subject
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*Attitude of Health Personnel; *Decision Making; *Health Care Surveys; Advance Care Planning; Advance Care Planning/organization & administration/*statistics & numerical data; Attitude of Health Personnel; Consumer Behavior/*statistics & numerical data; Consumer Satisfaction – Statistics and Numerical Data; Decision Making; Human; Humans; Management; Midwestern United States; Models; Organizational; Patient Satisfaction – Statistics and Numerical Data; Patient Satisfaction/*statistics & numerical data; Population Surveillance; Questionnaires; Randomized Controlled Trials; Surveys; Surveys and Questionnaires
Creator
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Baughman Kristin R; Ludwick Ruth E; Merolla David M; Palmisano Barbara; Hazelett Susan; Winchell Janice; Hewit Michael
Description
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CONTEXT: There is limited research on how community-based long-term care (CBLTC) providers' personal characteristics and attitudes affect their decisions to initiate advance care planning (ACP) conversations with consumers. OBJECTIVES: To examine judgments by CBLTC providers as to whether a consumer was in need of ACP and to compare the relative influence of situational features of the consumer with the influence of personal characteristics of the CBLTC provider. METHODS: Factorial surveys with vignettes with randomly assigned situational features of a hypothetical consumer were obtained from 182 CBLTC providers at three Area Agencies on Aging located in the Midwestern U.S. Measures included the consumer's situational features, such as demographics, diagnosis, pain level, level of functioning, and caregiver involvement. Personal characteristics of the CBLTC provider included demographics, discipline, past experience with ACP, and attitudes toward ACP. RESULTS: Hierarchical linear models indicated that most variability in ACP decisions was the result of differences among CBLTC providers (64%) rather than consumers' situational features. Positive decisions to discuss ACP were associated with consumers who needed assistance with legal issues and had a cancer diagnosis; these variables explained 8% of the vignette level variance. Significant personal characteristics of the CBLTC provider included a nursing background, less direct contact with consumers, past experience with ACP, and positive attitudes toward ACP; these variables explained 41% of the person-level variance. CONCLUSION: This study shows the lack of normative consensus about ACP and highlights the need for consistent educational programs regarding the role of the CBLTC provider in the ACP process.
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<a href="http://doi.org/10.1016/j.jpainsymman.2011.03.023" target="_blank" rel="noreferrer noopener">10.1016/j.jpainsymman.2011.03.023</a>
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*Attitude of Health Personnel
*Decision Making
*Health Care Surveys
2012
advance care planning
Advance Care Planning/organization & administration/*statistics & numerical data
Attitude of Health Personnel
Baughman Kristin R
Consumer Behavior/*statistics & numerical data
Consumer Satisfaction – Statistics and Numerical Data
Decision Making
Department of Family & Community Medicine
Hazelett Susan
Hewit Michael
Human
Humans
Journal of pain and symptom management
Ludwick Ruth E
Management
Merolla David M
Midwestern United States
Models
NEOMED College of Medicine
Organizational
Palmisano Barbara
Patient Satisfaction – Statistics and Numerical Data
Patient Satisfaction/*statistics & numerical data
Population Surveillance
Questionnaires
RANDOMIZED controlled trials
Surveys
Surveys and Questionnaires
Winchell Janice