{"id":"https://openalex.org/W3187008300","doi":"https://doi.org/10.1097/njh.0000000000000793","title":"\"We Want to Sign It, But We Can't Do It\": Results From a Qualitative Pilot Study of Experiences Related to Advance Directives Among Families of Older Residents in a Long-term Care Facility.","display_name":"\"We Want to Sign It, But We Can't Do It\": Results From a Qualitative Pilot Study of Experiences Related to Advance Directives Among Families of Older Residents in a Long-term Care Facility.","publication_year":2021,"publication_date":"2021-12-01","ids":{"openalex":"https://openalex.org/W3187008300","doi":"https://doi.org/10.1097/njh.0000000000000793","mag":"3187008300","pmid":"https://pubmed.ncbi.nlm.nih.gov/34282074","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/8560144"},"language":"en","primary_location":{"id":"pmh:oai:pubmedcentral.nih.gov:8560144","doi":"https://doi.org/10.1097/njh.0000000000000793","is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC8560144/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC8560144/pdf/","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"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":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Hosp Palliat Nurs","raw_type":"Text"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC8560144/pdf/","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5040993728","display_name":"Hsin-Tzu Sophie Lee","orcid":"https://orcid.org/0000-0002-6916-7066","observed_orcids":["https://orcid.org/0000-0002-6916-7066"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Hsin-Tzu Sophie Lee","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034884524","display_name":"Chia-Ling Yang","orcid":"https://orcid.org/0000-0001-5086-3558","observed_orcids":["https://orcid.org/0000-0001-5086-3558"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Chia-Ling Yang","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5065150248","display_name":"Ting-Ru Chen","orcid":"https://orcid.org/0000-0002-1548-0938","observed_orcids":["https://orcid.org/0000-0002-1548-0938"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ting-Ru Chen","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5086173117","display_name":"Sei-Ven Leu","orcid":"https://orcid.org/0000-0003-4687-1277","observed_orcids":["https://orcid.org/0000-0003-4687-1277"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Sei-Ven Leu","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5011982545","display_name":"Wen\u2010Yu Hu","orcid":"https://orcid.org/0000-0001-5244-2458","observed_orcids":["https://orcid.org/0000-0001-5244-2458"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Wen-Yu Hu","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.2055,"has_fulltext":true,"cited_by_count":2,"citation_normalized_percentile":{"value":0.49582576,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":93},"biblio":{"volume":"23","issue":"6","first_page":"551","last_page":"556"},"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":0.9990000128746033,"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":0.9990000128746033,"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":0.0003000000142492354,"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/T11376","display_name":"Geriatric Care and Nursing Homes","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"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-directives","display_name":"advance directives","score":0.9950000047683716},{"id":"https://openalex.org/keywords/family-experiences","display_name":"family experiences","score":0.5170000195503235},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.8600000143051147},{"id":"https://openalex.org/keywords/long-term-care","display_name":"long-term care","score":0.8870000243186951},{"id":"https://openalex.org/keywords/end-of-life-care","display_name":"end-of-life care","score":0.9350000023841858},{"id":"https://openalex.org/keywords/chinese-culture","display_name":"Chinese culture","score":0.7350000143051147},{"id":"https://openalex.org/keywords/family-decision-making","display_name":"family decision-making","score":0.796999990940094},{"id":"https://openalex.org/keywords/patient-autonomy","display_name":"patient autonomy","score":0.597000002861023}],"concepts":[{"id":"https://openalex.org/C2779547435","wikidata":"https://www.wikidata.org/wiki/Q1121492","display_name":"Directive","level":2,"score":0.744860827922821},{"id":"https://openalex.org/C74196892","wikidata":"https://www.wikidata.org/wiki/Q7781188","display_name":"Thematic analysis","level":3,"score":0.6979011297225952},{"id":"https://openalex.org/C139676723","wikidata":"https://www.wikidata.org/wiki/Q1193832","display_name":"Sign (mathematics)","level":2,"score":0.6418734192848206},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.5832777619361877},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.5516548752784729},{"id":"https://openalex.org/C2779304628","wikidata":"https://www.wikidata.org/wiki/Q3503480","display_name":"Face (sociological concept)","level":2,"score":0.4514424800872803},{"id":"https://openalex.org/C162446236","wikidata":"https://www.wikidata.org/wiki/Q653137","display_name":"Content analysis","level":2,"score":0.4296819865703583},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.40957245230674744},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.3255006670951843},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.2541358470916748},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.17245137691497803},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.08071175217628479},{"id":"https://openalex.org/C199360897","wikidata":"https://www.wikidata.org/wiki/Q9143","display_name":"Programming language","level":1,"score":0.0},{"id":"https://openalex.org/C151730666","wikidata":"https://www.wikidata.org/wiki/Q7205","display_name":"Paleontology","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/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.0},{"id":"https://openalex.org/C134306372","wikidata":"https://www.wikidata.org/wiki/Q7754","display_name":"Mathematical analysis","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008134","descriptor_name":"Long-Term Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D009735","descriptor_name":"Nursing Homes","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010865","descriptor_name":"Pilot Projects","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013727","descriptor_name":"Terminal Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D016223","descriptor_name":"Advance Directives","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"pmh:oai:pubmedcentral.nih.gov:8560144","doi":"https://doi.org/10.1097/njh.0000000000000793","is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC8560144/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC8560144/pdf/","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"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":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Hosp Palliat Nurs","raw_type":"Text"},{"id":"pmid:34282074","doi":"https://doi.org/10.1097/njh.0000000000000793","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/34282074","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 hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association","raw_type":"Journal Article"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:8560144","doi":"https://doi.org/10.1097/njh.0000000000000793","is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC8560144/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC8560144/pdf/","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"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":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Hosp Palliat Nurs","raw_type":"Text"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.8560000061988831,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3187008300.pdf","grobid_xml":"https://content.openalex.org/works/W3187008300.grobid-xml"},"referenced_works_count":16,"referenced_works":["https://openalex.org/W2067404301","https://openalex.org/W2138664283","https://openalex.org/W2173576343","https://openalex.org/W2223919734","https://openalex.org/W2337509385","https://openalex.org/W2346566507","https://openalex.org/W2560217146","https://openalex.org/W2618801437","https://openalex.org/W2782115038","https://openalex.org/W2794130113","https://openalex.org/W2848111943","https://openalex.org/W2884399989","https://openalex.org/W2948245230","https://openalex.org/W3033760785","https://openalex.org/W3086264803","https://openalex.org/W3091126552"],"related_works":["https://openalex.org/W4288066077","https://openalex.org/W4378746273","https://openalex.org/W2346566507","https://openalex.org/W2413691518","https://openalex.org/W4311496589","https://openalex.org/W2517426230","https://openalex.org/W4313241309","https://openalex.org/W4407104346","https://openalex.org/W7138875279","https://openalex.org/W2026083742"],"abstract_inverted_index":{"This":[0],"study":[1],"aimed":[2],"to":[3,69,79,100,112,139],"clarify":[4],"the":[5,15,22,44,61,67,93,119,134,137],"experiences":[6],"of":[7,10,17,24,31,50,60,123,136],"family":[8,29],"members":[9,30],"older":[11,32],"adult":[12],"residents":[13,33,107],"regarding":[14,96,118],"signing":[16],"an":[18,115],"advance":[19,71],"directive":[20],"in":[21,34,40],"context":[23],"a":[25,35,47,131],"Chinese":[26],"culture.":[27],"Twenty":[28],"long-term":[36],"care":[37,99,125],"facility":[38],"participated":[39],"face-to-face":[41],"interviews,":[42],"and":[43,54,81,90,108,121,128],"researchers":[45],"conducted":[46],"thematic":[48],"analysis":[49,59],"observation":[51],"field":[52],"notes":[53],"interview":[55],"transcripts.":[56],"A":[57],"content":[58],"interviews":[62],"revealed":[63],"4":[64],"themes":[65],"concerning":[66],"refusal":[68],"sign":[70],"directives:":[72],"resident":[73],"decision,":[74,76],"group":[75],"not":[77],"entitled":[78],"decide,":[80],"random":[82],"decision.":[83],"Health":[84],"providers":[85],"may":[86],"serve":[87],"as":[88],"mediators":[89],"pass":[91],"on":[92],"residents'":[94],"views":[95],"their":[97,101,109],"end-of-life":[98],"families":[102,110],"after":[103],"holding":[104],"discussions":[105],"with":[106],"separately":[111],"ensure":[113],"that":[114,129],"agreeable":[116],"decision":[117,132],"modes":[120],"objectives":[122],"EOL":[124],"is":[126],"reached":[127],"such":[130],"respects":[133],"right":[135],"patient":[138],"choose.":[140]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2022,"cited_by_count":1}],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2021-08-02T00:00:00"}
