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Text
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<a href="http://doi.org/10.1177/1049909120979977" target="_blank" rel="noreferrer noopener">http://doi.org/10.1177/1049909120979977</a>
Pages
1049909120979977
ISSN
1938-2715 1049-9091
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Update Year & Number
December 2020 List
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NEOMED College of Medicine
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Department of Family & Community Medicine
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Title
A name given to the resource
Multi-Site Study of Provider Self-Efficacy and Beliefs in Explaining Judgments About Need and Responsibility for Advance Care Planning.
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The American Journal Of Hospice & Palliative Care
Date
A point or period of time associated with an event in the lifecycle of the resource
2020
2020-12-09
Subject
The topic of the resource
advance care planning; nurses; social workers; factorial survey; self-efficacy; decision-making; skilled nursing facilities; beliefs
Creator
An entity primarily responsible for making the resource
Baughman KR; Ludwick R; Jarjoura D; Yeager M; Kropp D
Description
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BACKGROUND AND OBJECTIVES: We examined the impact of advance care planning (ACP) self-efficacy and beliefs in explaining skilled nursing facility (SNF) provider judgments about resident need and provider responsibility for initiating ACP conversations. RESEARCH DESIGN AND METHODS: This observational multi-site study of 348 registered nurses, licensed practical nurses, and social workers within 29 SNFs used an anonymous survey in which providers judged vignettes with assigned situational features of a typical SNF resident. Mixed modeling was used to analyze the vignette responses. RESULTS: Providers who had more negative beliefs about ACP were less likely to judge residents in need of ACP and less likely to feel responsible for ensuring ACP took place. Self-efficacy did not have a significant impact on judgments of need, but did significantly increase judgments of responsibility for ensuring ACP conversations. Providers with the highest levels of ACP self-efficacy were most likely to feel responsible for ensuring ACP conversations. In an exploratory analysis, these relationships remained the same whether responding to high or low risk residents (i.e., based on risk of hospitalization, type of diagnosis, functional status, and rate of declining health). DISCUSSION AND IMPLICATIONS: Both negative beliefs about ACP and self-efficacy in one's ability to conduct ACP discussions were associated with professional judgments regarding ACP. The findings illustrate the importance of addressing negative beliefs about ACP and increasing provider ACP self-efficacy through education and policies that empower nurses and social workers.
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<a href="http://doi.org/10.1177/1049909120979977" target="_blank" rel="noreferrer noopener">10.1177/1049909120979977</a>
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journalArticle
2020
advance care planning
Baughman KR
beliefs
December 2020 List
Decision-making
factorial survey
Jarjoura D
journalArticle
Kropp D
Ludwick R
nurses
self-efficacy
Skilled Nursing Facilities
social workers
The American journal of hospice & palliative care
Yeager M
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1093/geront/gnx129" target="_blank" rel="noreferrer noopener">http://doi.org/10.1093/geront/gnx129</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
338-338
Issue
2
Volume
59
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Title
A name given to the resource
Advance Care Planning in Skilled Nursing Facilities: A Multisite Examination of Professional Judgments
Publisher
An entity responsible for making the resource available
The Gerontologist
Date
A point or period of time associated with an event in the lifecycle of the resource
2019
2019-04
Subject
The topic of the resource
Advance directives; African Americans; CONFIDENCE intervals; Gerontology And Geriatrics; Judgments; Nurses; Nursing; Quality of care; Quality of life; Race; Racism; Research design; Residential segregation; Rural areas; Rural education; Rural urban differences; Segregation; Social science research; Social workers; Urban education
Creator
An entity primarily responsible for making the resource
Baughman Kristin R; Ludwick PhD R N-B C C N S F A A N Ruth; Jarjoura PhD David; Kropp BS Denise; Shenoy BS Vimal
Description
An account of the resource
Background and Objectives Lack of advance care planning (ACP) may increase hospitalizations and impact the quality of life for skilled nursing facility (SNF) residents, especially African American residents who may be less likely to receive ACP discussions. We examined the professional judgments of SNF providers to see if race of SNF residents and providers, and risk for hospitalization for residents influenced professional judgments as to when ACP was needed and feelings of responsibility for ensuring ACP discussions Research Design and Methods Nurses and social workers (n = 350) within 29 urban SNFs completed surveys and rated vignettes describing eight typical SNF residents. Linear mixed modeling was used to examine factors that impacted ratings of need for ACP and responsibility for ensuring ACP. Results Neither the race of the provider, resident, nor the interaction of the two were associated with either outcome variable. In contrast, providers rated (on a 9-point scale) residents at high risk for hospitalization as more in need of ACP (estimate = 0.86, confidence interval [CI] 0.65, 1.07) and felt more responsible for ensuring ACP (estimate = 0.60, CI 0.42, 0.78) Discussion and Implications Research on ACP is continuing to evolve and these results show the primacy of disease trajectory variables on providers' judgments about ACP. Differences between providers indicate a need for stronger policies and education. Further, research comparing rural, suburban, and urban SNFs is needed to explore possible forms of structural racism such as residential and SNF segregation.
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An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1093/geront/gnx129" target="_blank" rel="noreferrer noopener">10.1093/geront/gnx129</a>
2019
Advance Directives
African Americans
Baughman Kristin R
Confidence Intervals
Department of Family & Community Medicine
Gerontology And Geriatrics
Jarjoura PhD David
Judgments
Kropp BS Denise
Ludwick PhD R N-B C C N S F A A N Ruth
NEOMED College of Medicine
nurses
Nursing
Quality of care
Quality of Life
Race
RACISM
Research Design
Residential segregation
Rural Areas
Rural education
Rural urban differences
Segregation
September 2019 Update
Shenoy BS Vimal
Social science research
social workers
The Gerontologist
Urban education
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1177/1049909114530039" target="_blank" rel="noreferrer noopener">http://doi.org/10.1177/1049909114530039</a>
Pages
510–515
Issue
5
Volume
32
Dublin Core
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Title
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The Relationship Between Organizational Characteristics and Advance Care Planning Practices.
Publisher
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The American journal of hospice & palliative care
Date
A point or period of time associated with an event in the lifecycle of the resource
2015
2015-08
Subject
The topic of the resource
Administrative Personnel; Adult; advance care planning; Advance Care Planning; Advance Care Planning/*organization & administration/standards; area agency on aging; Attitude of Health Personnel; care management; Case Management; Case Managers; Chi Square Test; Clinical Protocols/standards; community-based long-term care; Confidence Intervals; Cross Sectional Studies; Cross-Sectional Studies; Data Analysis Software; Descriptive Research; Descriptive Statistics; Female; Funding Source; Government Agencies; Human; Humans; Inservice Training/organization & administration; Interviews; Logistic Regression; Long Term Care; Male; Medicaid; Medicaid/statistics & numerical data; Middle Age; Middle Aged; Midwestern United States; Multivariate Analysis; nurses; Odds Ratio; Ohio; organizational characteristics; Organizational Culture; Practice Guidelines as Topic; Questionnaires; Registered Nurses; Rural Areas; social workers; Social Workers; Surveys; T-Tests; Telephone; United States; Urban Areas
Creator
An entity primarily responsible for making the resource
Baughman Kristin R; Ludwick Ruth; Palmisano Barbara; Hazelett Susan; Sanders Margaret
Description
An account of the resource
Organizational characteristics may impede the uniform adoption of advance care planning (ACP) best practices. We conducted telephone interviews with site directors of a Midwestern state's Medicaid waiver program administered by the Area Agencies on Aging and surveyed the 433 care managers (registered nurses and social workers) employed within these 9 agencies. Care managers at 2 agencies reported more frequent ACP discussions and higher levels of confidence. Both sites had ACP training programs, follow-up protocols, and informational packets available for consumers that were not consistently available at the other agencies. The findings point to the need for consistent educational programs and policies on ACP and more in depth examination of the values, beliefs, and resources that account for organizational differences in ACP.
Identifier
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<a href="http://doi.org/10.1177/1049909114530039" target="_blank" rel="noreferrer noopener">10.1177/1049909114530039</a>
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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).
2015
Administrative Personnel
Adult
advance care planning
Advance Care Planning/*organization & administration/standards
area agency on aging
Attitude of Health Personnel
Baughman Kristin R
care management
Case Management
Case Managers
Chi Square Test
Clinical Protocols/standards
community-based long-term care
Confidence Intervals
Cross Sectional Studies
Cross-Sectional Studies
Data Analysis Software
Department of Family & Community Medicine
Descriptive Research
Descriptive Statistics
Female
Funding Source
Government Agencies
Hazelett Susan
Human
Humans
Inservice Training/organization & administration
interviews
Logistic Regression
Long Term Care
Ludwick Ruth
Male
Medicaid
Medicaid/statistics & numerical data
Middle Age
Middle Aged
Midwestern United States
Multivariate Analysis
NEOMED College of Medicine
nurses
Odds Ratio
Ohio
organizational characteristics
Organizational Culture
Palmisano Barbara
Practice Guidelines as Topic
Questionnaires
registered nurses
Rural Areas
Sanders Margaret
social workers
Surveys
T-Tests
Telephone
The American journal of hospice & palliative care
United States
Urban Areas
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1111/jocn.14531" target="_blank" rel="noreferrer noopener">http://doi.org/10.1111/jocn.14531</a>
Pages
3572–3582
Issue
19
Volume
27
Dublin Core
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Title
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A broader understanding of care managers' attitudes of advance care planning: A concurrent nested design.
Publisher
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Journal of clinical nursing
Date
A point or period of time associated with an event in the lifecycle of the resource
2018
2018-10
Subject
The topic of the resource
*Attitude of Health Personnel; *Health Knowledge; Adult; Advance Care Planning; Advance Care Planning/*standards; Attitudes; Case Managers; Chi Square Test; community health; Concurrent Prospective Studies; Convenience Sample; decision-making; Discussion; end of life; Female; Focus Groups; Funding Source; Health Services Accessibility/standards; Human; Humans; Male; Middle Age; Middle Aged; Midwestern United States; Multicenter Studies; Multimethod Studies; Nurse Attitudes; nurses; Practice; qualitative; Qualitative Research; quantitative; Questionnaires; Surveys; Surveys and Questionnaires; Thematic Analysis
Creator
An entity primarily responsible for making the resource
Aultman Julie; Baughman Kristin R; Ludwick Ruth
Description
An account of the resource
AIMS AND OBJECTIVES: To examine barriers of advance care planning (ACP) experienced by care managers (CMs) through a mixed methods approach. A concurrent nested design was used to acquire a deeper understanding of ACP and to identify nuances between quantitative and qualitative data. BACKGROUND: Past quantitative studies on providers have identified barriers related to time, culture, knowledge, responsibility and availability of legal documents. These barriers, and accompanying attitudes and feelings, have been taken at face value without rich qualitative data to identify under what conditions and to what extent a barrier impacts care. DESIGN: A two-part multisite, mixed methods study was conducted using surveys and focus groups. METHODS: Surveys were completed by 458 CMs at 10 Area Agencies on Aging and 62 participated in one of eight focus groups. Data were analysed using a concurrent nested design with individual data analysis and a merged data approach. RESULTS: There were three main distinctions between the quantitative and qualitative data. First, while CMs reported on the survey that ACP was not too time consuming, focus group data revealed that time was an issue especially related to competing priorities. Second on the survey 60% of the CMS reported they had enough knowledge, but qualitative data revealed about more nuances. Last, the reported comfort levels in the quantitative data were less overt in the qualitative date where additional feelings and attitudes were revealed, for example, frustration with families, preferences for more physician involvement. CONCLUSIONS: Care managers reported their attitudes about ACP, clarified through a rigorous mixed methods analysis. Care managers can successfully lead ACP discussions, but require further education, resources and team-based guidance. RELEVANCE TO CLINICAL PRACTICE: Advance care planning is essential for reducing emotional, social and financial burdens associated with healthcare decision-making, and CMs can positively impact ACP discussions when appropriately supported by the clinical community. The many nuances in the ACP process that we found illustrate the need for ongoing discussions, education and research on this important topic.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1111/jocn.14531" target="_blank" rel="noreferrer noopener">10.1111/jocn.14531</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Attitude of Health Personnel
*Health Knowledge
2018
Adult
advance care planning
Advance Care Planning/*standards
Attitudes
Aultman Julie
Baughman Kristin R
Case Managers
Chi Square Test
College of Graduate Studies
Community health
Concurrent Prospective Studies
Convenience Sample
Decision-making
Department of Family & Community Medicine
Discussion
end of life
Female
Focus Groups
Funding Source
Health Services Accessibility/standards
Human
Humans
Journal of clinical nursing
Ludwick Ruth
Male
Middle Age
Middle Aged
Midwestern United States
Multicenter Studies
Multimethod Studies
NEOMED College of Graduate Studies
NEOMED College of Medicine
Nurse Attitudes
nurses
Practice
Qualitative
Qualitative Research
quantitative
Questionnaires
Surveys
Surveys and Questionnaires
Thematic Analysis
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1111/jocn.12794" target="_blank" rel="noreferrer noopener">http://doi.org/10.1111/jocn.12794</a>
Pages
2184–2191
Issue
15
Volume
24
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Surveying the hidden attitudes of hospital nurses' towards poverty.
Publisher
An entity responsible for making the resource available
Journal of clinical nursing
Date
A point or period of time associated with an event in the lifecycle of the resource
2015
2015-08
Subject
The topic of the resource
*Attitude of Health Personnel; *Healthcare Disparities; *Poverty; Adult; Age Factors; Attitude Measures; attitudes; Coefficient Alpha; Convenience Sample; Cross Sectional Studies; Cross-Sectional Studies; Descriptive Research; Descriptive Statistics; Educational Status; Female; health disparities; health inequities; Health Status Disparities; Hospital; Hospital/*psychology; Human; Humans; Income; Job Experience; Male; Middle Age; Middle Aged; Multivariate Analysis; Nurse Attitudes – Evaluation; nurses; Nursing Staff; Ohio; Politics; poverty; Poverty; Registered Nurses; Regression; Regression Analysis; Summated Rating Scaling; Surveys and Questionnaires; Young Adult
Creator
An entity primarily responsible for making the resource
Wittenauer James; Ludwick Ruth; Baughman Kristin; Fishbein Rebecca
Description
An account of the resource
AIMS AND OBJECTIVES: To explore the attitudes held by registered nurses about persons living in poverty. BACKGROUND: As a profession, nursing has strong commitment to advocating for the socioeconomically disadvantaged. The links among poverty and health disparities are well established and research demonstrates that attitudes of providers can influence how those in poverty use health services. Although nurses are the largest sector of healthcare providers globally, little research has been published on their attitudes towards patients they care for who live in poverty. DESIGN: Cross-sectional survey. METHODS: Used a convenience sample of 117 registered nurses who completed the Attitudes Towards Poverty Short Form that contained three subscales. Regression analysis was used to examine the associations between the nurses' age, education, and years of experience, political views and financial security with their total score and subscale scores. RESULTS: Nurses were more likely to agree with stigmatising statements than statements that attributed poverty to personal deficiency or structural factors. In the multivariate analysis, years of experience were associated with more positive attitudes towards those living in poverty. Nurses with the most experience had less stigmatising beliefs about poverty and were more likely to endorse structural explanations. Those with a baccalaureate education were also more likely to endorse structural explanations for poverty. CONCLUSIONS: Gaining knowledge about attitudes towards and the factors influencing those attitudes, for example, education, are important in helping combat the disparities associated with poverty. RELEVANCE TO CLINICAL PRACTICE: Nurses have a duty to evaluate their individual attitudes and biases towards those living in poverty and how those attitudes and biases may influence daily practice. Assessing nurses' attitudes towards poverty may aid in better means of empowering nurses to seek solutions that will improve health conditions for those living in poverty.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1111/jocn.12794" target="_blank" rel="noreferrer noopener">10.1111/jocn.12794</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Attitude of Health Personnel
*Healthcare Disparities
*Poverty
2015
Adult
Age Factors
Attitude Measures
Attitudes
Baughman Kristin
Coefficient Alpha
Convenience Sample
Cross Sectional Studies
Cross-Sectional Studies
Department of Family & Community Medicine
Descriptive Research
Descriptive Statistics
Educational Status
Female
Fishbein Rebecca
Health disparities
health inequities
Health Status Disparities
Hospital
Hospital/*psychology
Human
Humans
Income
Job Experience
Journal of clinical nursing
Ludwick Ruth
Male
Middle Age
Middle Aged
Multivariate Analysis
NEOMED College of Medicine
Nurse Attitudes – Evaluation
nurses
Nursing Staff
Ohio
Politics
Poverty
registered nurses
Regression
Regression Analysis
Summated Rating Scaling
Surveys and Questionnaires
Wittenauer James
Young Adult