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Text
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URL Address
<a href="http://doi.org/10.1177/1049909112464692" target="_blank" rel="noreferrer noopener">http://doi.org/10.1177/1049909112464692</a>
Pages
717–725
Issue
7
Volume
30
Dublin Core
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Title
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Disentangling consumer and provider predictors of advance care planning.
Publisher
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The American journal of hospice & palliative care
Date
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2013
2013-11
Subject
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*Advance Care Planning; *Long-Term Care; Adult; advance care planning; Advance Care Planning; Age Factors; area agencies on aging; Attitude of Health Personnel; care management; Caregivers; community-based care; Conceptual Framework; Consumers; Data Analysis Software; Discussion; Factorial Design; factorial surveys; Female; Human; Humans; Judgment; Long Term Care; long-term care; Middle Age; Multivariate Analysis; Quasi-Experimental Studies; Questionnaires; Random Sample; Registered Nurses; Social Workers; Surveys; Surveys and Questionnaires; Vignettes
Creator
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Baughman Kristin R; Ludwick Ruth; Merolla David; Palmisano Barbara; Hazelett Susan; Allen Kyle R; Sanders Margaret
Description
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Factorial surveys were used to examine community-based long-term care providers' judgments about consumers' need for advance care planning (ACP) and comfort levels in discussing ACP. Providers (448 registered nurses and social workers) judged vignettes based on hypothetical consumers. Hierarchical linear models indicated providers judged consumers who were older, had end-stage diagnoses, multiple emergency department visits, and uninvolved caregivers as most in need of ACP. These variables explained 10% of the variance in judgments. Providers' beliefs about ACP predicted judgments of need for ACP and comfort level in discussing ACP. Provider characteristics explained more variance in comfort levels (44%) than in judgments of need (20%). This study demonstrates the need for tailored educational programs to increase comfort levels and address ACP misconceptions.
Identifier
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<a href="http://doi.org/10.1177/1049909112464692" target="_blank" rel="noreferrer noopener">10.1177/1049909112464692</a>
Rights
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Advance Care Planning
*Long-Term Care
2013
Adult
advance care planning
Age Factors
Allen Kyle R
area agencies on aging
Attitude of Health Personnel
Baughman Kristin R
care management
Caregivers
community-based care
Conceptual Framework
Consumers
Data Analysis Software
Department of Family & Community Medicine
Discussion
Factorial Design
factorial surveys
Female
Hazelett Susan
Human
Humans
Judgment
Long Term Care
Long-Term Care
Ludwick Ruth
Merolla David
Middle Age
Multivariate Analysis
NEOMED College of Medicine
Palmisano Barbara
Quasi-Experimental Studies
Questionnaires
Random Sample
registered nurses
Sanders Margaret
social workers
Surveys
Surveys and Questionnaires
The American journal of hospice & palliative care
Vignettes