{"id":"https://openalex.org/W2803575116","doi":"https://doi.org/10.1111/jocn.14531","title":"A broader understanding of care managers\u2019 attitudes of advance care planning: A concurrent nested design","display_name":"A broader understanding of care managers\u2019 attitudes of advance care planning: A concurrent nested design","publication_year":2018,"publication_date":"2018-05-18","ids":{"openalex":"https://openalex.org/W2803575116","doi":"https://doi.org/10.1111/jocn.14531","mag":"2803575116","pmid":"https://pubmed.ncbi.nlm.nih.gov/29775994"},"language":"en","primary_location":{"id":"doi:10.1111/jocn.14531","doi":"https://doi.org/10.1111/jocn.14531","is_oa":false,"landing_page_url":"https://doi.org/10.1111/jocn.14531","pdf_url":null,"source":{"id":"https://openalex.org/S180106345","display_name":"Journal of Clinical Nursing","issn_l":"0962-1067","issn":["0962-1067","1365-2702"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Clinical Nursing","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5010758752","display_name":"Julie M. Aultman","orcid":"https://orcid.org/0000-0002-9423-5788","observed_orcids":["https://orcid.org/0000-0002-9423-5788"]},"institutions":[{"id":"https://openalex.org/I95240055","display_name":"Northeast Ohio Medical University","ror":"https://ror.org/04q9qf557","country_code":"US","type":"education","lineage":["https://openalex.org/I95240055"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Julie Aultman","raw_affiliation_strings":["Family and Community Medicine Northeast Ohio Medical University Rootstown Ohio"],"raw_orcid":"https://orcid.org/0000-0002-9423-5788","affiliations":[{"raw_affiliation_string":"Family and Community Medicine Northeast Ohio Medical University Rootstown Ohio","institution_ids":["https://openalex.org/I95240055"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5074567616","display_name":"Kristin R. Baughman","orcid":"https://orcid.org/0000-0002-3128-3627","observed_orcids":["https://orcid.org/0000-0002-3128-3627"]},"institutions":[{"id":"https://openalex.org/I95240055","display_name":"Northeast Ohio Medical University","ror":"https://ror.org/04q9qf557","country_code":"US","type":"education","lineage":["https://openalex.org/I95240055"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kristin R Baughman","raw_affiliation_strings":["Family and Community Medicine Northeast Ohio Medical University Rootstown Ohio"],"raw_orcid":"https://orcid.org/0000-0002-3128-3627","affiliations":[{"raw_affiliation_string":"Family and Community Medicine Northeast Ohio Medical University Rootstown Ohio","institution_ids":["https://openalex.org/I95240055"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5057826579","display_name":"Ruth E. Ludwick","orcid":"https://orcid.org/0000-0002-2384-2599","observed_orcids":["https://orcid.org/0000-0002-2384-2599"]},"institutions":[{"id":"https://openalex.org/I149910238","display_name":"Kent State University","ror":"https://ror.org/049pfb863","country_code":"US","type":"education","lineage":["https://openalex.org/I149910238"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ruth Ludwick","raw_affiliation_strings":["College of Nursing Kent State University Kent Ohio"],"raw_orcid":"https://orcid.org/0000-0002-2384-2599","affiliations":[{"raw_affiliation_string":"College of Nursing Kent State University Kent Ohio","institution_ids":["https://openalex.org/I149910238"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5010758752"],"corresponding_institution_ids":["https://openalex.org/I95240055"],"apc_list":{"value":5450,"currency":"USD","value_usd":5450},"apc_paid":null,"fwci":0.7137,"has_fulltext":false,"cited_by_count":8,"citation_normalized_percentile":{"value":0.72107976,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":97},"biblio":{"volume":"27","issue":"19-20","first_page":"3572","last_page":"3582"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13340","display_name":"Palliative and Oncologic Care","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13147","display_name":"Ethics and bioethics in healthcare","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/advance-care-planning","display_name":"advance care planning","score":0.9990000128746033},{"id":"https://openalex.org/keywords/care-managers","display_name":"care managers","score":0.996999979019165},{"id":"https://openalex.org/keywords/barriers-to-advance-care-planning","display_name":"barriers to advance care planning","score":0.7910000085830688},{"id":"https://openalex.org/keywords/aging-services","display_name":"aging services","score":0.41499999165534973},{"id":"https://openalex.org/keywords/time-constraints","display_name":"time constraints","score":0.5460000038146973},{"id":"https://openalex.org/keywords/physician-involvement","display_name":"physician participation","score":0.972000002861023},{"id":"https://openalex.org/keywords/team-based-care","display_name":"team-based care","score":0.4230000078678131}],"concepts":[{"id":"https://openalex.org/C56995899","wikidata":"https://www.wikidata.org/wiki/Q1126687","display_name":"Focus group","level":2,"score":0.7339066863059998},{"id":"https://openalex.org/C122980154","wikidata":"https://www.wikidata.org/wiki/Q205555","display_name":"Feeling","level":2,"score":0.7326411604881287},{"id":"https://openalex.org/C87156501","wikidata":"https://www.wikidata.org/wiki/Q7268708","display_name":"Qualitative property","level":2,"score":0.6872615218162537},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.5390689969062805},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.495700478553772},{"id":"https://openalex.org/C198477413","wikidata":"https://www.wikidata.org/wiki/Q7647069","display_name":"Survey data collection","level":2,"score":0.4612826704978943},{"id":"https://openalex.org/C156393514","wikidata":"https://www.wikidata.org/wiki/Q6934800","display_name":"Multimethodology","level":2,"score":0.4547930359840393},{"id":"https://openalex.org/C2779318504","wikidata":"https://www.wikidata.org/wiki/Q1438035","display_name":"Research design","level":2,"score":0.4435079097747803},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3785735070705414},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.32624149322509766},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.28385990858078003},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.1636989414691925},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.12646538019180298},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.09752792119979858},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.09071585536003113},{"id":"https://openalex.org/C19417346","wikidata":"https://www.wikidata.org/wiki/Q7922","display_name":"Pedagogy","level":1,"score":0.0},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.0},{"id":"https://openalex.org/C105795698","wikidata":"https://www.wikidata.org/wiki/Q12483","display_name":"Statistics","level":1,"score":0.0},{"id":"https://openalex.org/C119857082","wikidata":"https://www.wikidata.org/wiki/Q2539","display_name":"Machine learning","level":1,"score":0.0},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001291","descriptor_name":"Attitude of Health Personnel","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006297","descriptor_name":"Health Services Accessibility","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007722","descriptor_name":"Health Knowledge, Attitudes, Practice","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011795","descriptor_name":"Surveys and Questionnaires","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017144","descriptor_name":"Focus Groups","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D032722","descriptor_name":"Advance Care Planning","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D036301","descriptor_name":"Qualitative Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1111/jocn.14531","doi":"https://doi.org/10.1111/jocn.14531","is_oa":false,"landing_page_url":"https://doi.org/10.1111/jocn.14531","pdf_url":null,"source":{"id":"https://openalex.org/S180106345","display_name":"Journal of Clinical Nursing","issn_l":"0962-1067","issn":["0962-1067","1365-2702"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Clinical Nursing","raw_type":"journal-article"},{"id":"pmid:29775994","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/29775994","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of clinical nursing","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9537000060081482,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320318311","display_name":"Northeast Ohio Medical University","ror":"https://ror.org/04q9qf557"}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":22,"referenced_works":["https://openalex.org/W1973160427","https://openalex.org/W1984020729","https://openalex.org/W1996185744","https://openalex.org/W2010839471","https://openalex.org/W2018557652","https://openalex.org/W2023316955","https://openalex.org/W2058652269","https://openalex.org/W2064953814","https://openalex.org/W2083135985","https://openalex.org/W2098972373","https://openalex.org/W2109685530","https://openalex.org/W2110861469","https://openalex.org/W2124743631","https://openalex.org/W2139242598","https://openalex.org/W2158602627","https://openalex.org/W2159096955","https://openalex.org/W2159112235","https://openalex.org/W2167195020","https://openalex.org/W2565028108","https://openalex.org/W2586622672","https://openalex.org/W2753659610","https://openalex.org/W4229509016"],"related_works":["https://openalex.org/W2733175919","https://openalex.org/W2112736638","https://openalex.org/W3022684098","https://openalex.org/W2083135985","https://openalex.org/W3021342137","https://openalex.org/W2001568207","https://openalex.org/W2084175701","https://openalex.org/W4407071919","https://openalex.org/W2999006335","https://openalex.org/W4399279797"],"abstract_inverted_index":{"AIMS":[0],"AND":[1],"OBJECTIVES:":[2],"To":[3],"examine":[4],"barriers":[5,51],"of":[6,32,60,125,191],"advance":[7],"care":[8,13,274],"planning":[9,275],"(ACP)":[10],"experienced":[11],"by":[12,111,299],"managers":[14,241,255],"(CMs)":[15],"through":[16,248],"a":[17,29,89,133,142,249],"mixed":[18,97,251],"methods":[19,98,252],"approach.":[20,145],"A":[21,94],"concurrent":[22,134],"nested":[23,135],"design":[24,136],"was":[25,100,167,178],"used":[26],"to":[27,35,53,80,86,183],"acquire":[28],"deeper":[30],"understanding":[31],"ACP":[33,166,259,294,308],"and":[34,40,58,65,68,85,104,120,141,155,225,266,282,289,320],"identify":[36,81],"nuances":[37,305],"between":[38,152],"quantitative":[39,45,154,213],"qualitative":[41,78,156,200,220],"data.":[42,157],"BACKGROUND:":[43],"Past":[44],"studies":[46],"on":[47,118,162,187,322],"providers":[48],"have":[49,70],"identified":[50],"related":[52,182],"time,":[54],"culture,":[55],"knowledge,":[56,198],"responsibility":[57],"availability":[59],"legal":[61],"documents.":[62],"These":[63],"barriers,":[64],"accompanying":[66],"attitudes":[67,226,244],"feelings,":[69],"been":[71],"taken":[72],"at":[73,114],"face":[74],"value":[75],"without":[76],"rich":[77],"data":[79,139,144,174,201,214],"under":[82],"what":[83,87],"conditions":[84],"extent":[88],"barrier":[90],"impacts":[91],"care.":[92],"DESIGN:":[93],"two-part":[95],"multisite,":[96],"study":[99],"conducted":[101],"using":[102,132],"surveys":[103],"focus":[105,127,172],"groups.":[106,128],"METHODS:":[107],"Surveys":[108],"were":[109,130,148,215,227],"completed":[110],"458":[112],"CMs":[113,160,290],"10":[115],"Area":[116],"Agencies":[117],"Aging":[119],"62":[121],"participated":[122],"in":[123,211,218,306],"one":[124],"eight":[126],"Data":[129],"analysed":[131],"with":[137,232,286],"individual":[138],"analysis":[140],"merged":[143],"RESULTS:":[146],"There":[147],"three":[149],"main":[150],"distinctions":[151],"the":[153,163,188,192,207,212,219,300,307,314],"First,":[158],"while":[159],"reported":[161,194,208,242],"survey":[164,189],"that":[165,176,310],"not":[168],"too":[169],"time":[170,177],"consuming,":[171],"group":[173],"revealed":[175,202],"an":[179],"issue":[180],"especially":[181],"competing":[184],"priorities.":[185],"Second":[186],"60%":[190],"CMS":[193],"they":[195],"had":[196],"enough":[197],"but":[199,261],"about":[203,245],"more":[204,236],"nuances.":[205],"Last,":[206],"comfort":[209],"levels":[210],"less":[216],"overt":[217],"date":[221],"where":[222],"additional":[223],"feelings":[224],"revealed,":[228],"for":[229,235,278,316],"example,":[230],"frustration":[231],"families,":[233],"preferences":[234],"physician":[237],"involvement.":[238],"CONCLUSIONS:":[239],"Care":[240,254],"their":[243],"ACP,":[246],"clarified":[247],"rigorous":[250],"analysis.":[253],"can":[256,291],"successfully":[257],"lead":[258],"discussions,":[260,318],"require":[262],"further":[263],"education,":[264],"resources":[265],"team-based":[267],"guidance.":[268],"RELEVANCE":[269],"TO":[270],"CLINICAL":[271],"PRACTICE:":[272],"Advance":[273],"is":[276],"essential":[277],"reducing":[279],"emotional,":[280],"social":[281],"financial":[283],"burdens":[284],"associated":[285],"healthcare":[287],"decision-making,":[288],"positively":[292],"impact":[293],"discussions":[295],"when":[296],"appropriately":[297],"supported":[298],"clinical":[301],"community.":[302],"The":[303],"many":[304],"process":[309],"we":[311],"found":[312],"illustrate":[313],"need":[315],"ongoing":[317],"education":[319],"research":[321],"this":[323],"important":[324],"topic.":[325]},"counts_by_year":[{"year":2024,"cited_by_count":3},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":1},{"year":2020,"cited_by_count":1},{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2018-06-01T00:00:00"}