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A review of the implementation and research strategies of advance care planning in nursing homes

Overview of attention for article published in BMC Geriatrics, January 2016
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (91st percentile)

Mentioned by

2 policy sources
17 tweeters


79 Dimensions

Readers on

172 Mendeley
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A review of the implementation and research strategies of advance care planning in nursing homes
Published in
BMC Geriatrics, January 2016
DOI 10.1186/s12877-016-0179-4
Pubmed ID

E. Flo, B. S. Husebo, P. Bruusgaard, E. Gjerberg, L. Thoresen, L. Lillemoen, R. Pedersen


Nursing home (NH) patients have complex health problems, disabilities and needs for Advance Care Planning (ACP). The implementation of ACP in NHs is a neglected research topic, yet it may optimize the intervention efficacy, or provide explanations for low efficacy. This scoping review investigates methods, design and outcomes and the implementation of ACP (i.e., themes and guiding questions, setting, facilitators, implementers, and promoters/barriers). A systematic search using ACP MESH terms and keywords was conducted in CINAHL, Medline, PsychINFO, Embase and Cochrane libraries. We excluded studies on home-dwelling and hospital patients, including only specific diagnoses and/or chart-based interventions without conversations. Sixteen papers were included. There were large variations in definitions and content of ACP, study design, implementation strategies and outcomes. Often, the ACP intervention or implementation processes were not described in detail. Few studies included patients lacking decision-making capacity, despite the fact that this group is significantly present in most NHs. The chief ACP implementation strategy was education of staff. Among others, ACP improved documentation of and adherence to preferences. Important implementation barriers were non-attending NH physicians, legal challenges and reluctance to participate among personnel and relatives. ACP intervention studies in NHs are few and heterogeneous. Variation in ACP definitions may be related to cultural and legal differences. This variation, along with sparse information about procedures, makes it difficult to collate and compare research results. Essential implementation considerations relate to the involvement and education of nurses, physicians and leaders.

Twitter Demographics

The data shown below were collected from the profiles of 17 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 172 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Japan 1 <1%
Spain 1 <1%
Australia 1 <1%
Unknown 169 98%

Demographic breakdown

Readers by professional status Count As %
Student > Master 29 17%
Student > Ph. D. Student 23 13%
Researcher 20 12%
Student > Doctoral Student 14 8%
Student > Bachelor 13 8%
Other 38 22%
Unknown 35 20%
Readers by discipline Count As %
Nursing and Health Professions 52 30%
Medicine and Dentistry 35 20%
Social Sciences 9 5%
Psychology 8 5%
Pharmacology, Toxicology and Pharmaceutical Science 4 2%
Other 21 12%
Unknown 43 25%

Attention Score in Context

This research output has an Altmetric Attention Score of 17. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 12 February 2020.
All research outputs
of 19,149,909 outputs
Outputs from BMC Geriatrics
of 2,326 outputs
Outputs of similar age
of 358,347 outputs
Outputs of similar age from BMC Geriatrics
of 1 outputs
Altmetric has tracked 19,149,909 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 92nd percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 2,326 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 10.2. This one has done well, scoring higher than 86% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 358,347 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 91% of its contemporaries.
We're also able to compare this research output to 1 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them