{"id":"https://openalex.org/W3208942239","doi":null,"title":"Goals-of-Care & End-of-Life Quality in Relapsed High-Risk Leukemia: Silent Conversations","display_name":"Goals-of-Care & End-of-Life Quality in Relapsed High-Risk Leukemia: Silent Conversations","publication_year":2021,"publication_date":"2021-01-01","ids":{"openalex":"https://openalex.org/W3208942239","mag":"3208942239"},"language":"en","primary_location":{"id":"pmh:oai:digitalcommons.pittstate.edu:dnp-1061","doi":null,"is_oa":true,"landing_page_url":"https://digitalcommons.pittstate.edu/dnp/48","pdf_url":"https://digitalcommons.pittstate.edu/cgi/viewcontent.cgi?article=1061&context=dnp","source":{"id":"https://openalex.org/S4377196570","display_name":"Pittsburg State University Digital Commons (Pittsburg State University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4780363","host_organization_name":"Pittsburg State University","host_organization_lineage":["https://openalex.org/I4780363"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Doctor of Nursing Practice Scholarly Project","raw_type":"text"},"volume":null,"type":"article","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://digitalcommons.pittstate.edu/cgi/viewcontent.cgi?article=1061&context=dnp","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5003202249","display_name":"Lacy Jo Graham","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Lacy Jo Graham","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5003202249"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"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":0.9965999722480774,"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":0.9965999722480774,"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":0.002300000051036477,"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/T10827","display_name":"Patient-Provider Communication in Healthcare","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/goals-of-care-conversations","display_name":"goals of care discussions","score":0.9240000247955322},{"id":"https://openalex.org/keywords/end-of-life-care","display_name":"end-of-life care","score":0.9700000286102295},{"id":"https://openalex.org/keywords/hematologists","display_name":"hematologists","score":0.6430000066757202},{"id":"https://openalex.org/keywords/advance-care-planning","display_name":"advance care planning","score":0.6690000295639038},{"id":"https://openalex.org/keywords/communication-barriers","display_name":"communication barriers","score":0.5929999947547913},{"id":"https://openalex.org/keywords/prognostic-uncertainty","display_name":"prognostic uncertainty","score":0.9300000071525574},{"id":"https://openalex.org/keywords/patient-values-and-preferences","display_name":"patient values and preferences","score":0.6880000233650208},{"id":"https://openalex.org/keywords/hospitalization","display_name":"hospitalization","score":0.6320000290870667}],"concepts":[{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.44999659061431885},{"id":"https://openalex.org/C2778461978","wikidata":"https://www.wikidata.org/wiki/Q29496","display_name":"Leukemia","level":2,"score":0.44747185707092285},{"id":"https://openalex.org/C2777200299","wikidata":"https://www.wikidata.org/wiki/Q52943","display_name":"Conversation","level":2,"score":0.42701074481010437},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4082908034324646},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.3322784900665283},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.2973085641860962},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.25039905309677124},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.24289104342460632},{"id":"https://openalex.org/C46312422","wikidata":"https://www.wikidata.org/wiki/Q11024","display_name":"Communication","level":1,"score":0.1852368414402008}],"mesh":[],"locations_count":2,"locations":[{"id":"pmh:oai:digitalcommons.pittstate.edu:dnp-1061","doi":null,"is_oa":true,"landing_page_url":"https://digitalcommons.pittstate.edu/dnp/48","pdf_url":"https://digitalcommons.pittstate.edu/cgi/viewcontent.cgi?article=1061&context=dnp","source":{"id":"https://openalex.org/S4377196570","display_name":"Pittsburg State University Digital Commons (Pittsburg State University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4780363","host_organization_name":"Pittsburg State University","host_organization_lineage":["https://openalex.org/I4780363"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Doctor of Nursing Practice Scholarly Project","raw_type":"text"},{"id":"mag:3208942239","doi":null,"is_oa":false,"landing_page_url":"https://digitalcommons.pittstate.edu/cgi/viewcontent.cgi?article=1061&context=dnp","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":{"id":"pmh:oai:digitalcommons.pittstate.edu:dnp-1061","doi":null,"is_oa":true,"landing_page_url":"https://digitalcommons.pittstate.edu/dnp/48","pdf_url":"https://digitalcommons.pittstate.edu/cgi/viewcontent.cgi?article=1061&context=dnp","source":{"id":"https://openalex.org/S4377196570","display_name":"Pittsburg State University Digital Commons (Pittsburg State University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4780363","host_organization_name":"Pittsburg State University","host_organization_lineage":["https://openalex.org/I4780363"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Doctor of Nursing Practice Scholarly Project","raw_type":"text"},"sustainable_development_goals":[{"score":0.98580002784729,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3208942239.pdf","grobid_xml":"https://content.openalex.org/works/W3208942239.grobid-xml"},"referenced_works_count":150,"referenced_works":["https://openalex.org/W16835969","https://openalex.org/W345600904","https://openalex.org/W1512100281","https://openalex.org/W1537220202","https://openalex.org/W1575318381","https://openalex.org/W1587003863","https://openalex.org/W1590968393","https://openalex.org/W1602814570","https://openalex.org/W1736667178","https://openalex.org/W1830474205","https://openalex.org/W1865557532","https://openalex.org/W1971078070","https://openalex.org/W1975085671","https://openalex.org/W1979494626","https://openalex.org/W1983041567","https://openalex.org/W1989327107","https://openalex.org/W1990619432","https://openalex.org/W1992627307","https://openalex.org/W1997057673","https://openalex.org/W1999086901","https://openalex.org/W2003674775","https://openalex.org/W2005689675","https://openalex.org/W2007671328","https://openalex.org/W2008726732","https://openalex.org/W2009989010","https://openalex.org/W2020155291","https://openalex.org/W2020781595","https://openalex.org/W2021323880","https://openalex.org/W2024138516","https://openalex.org/W2025607112","https://openalex.org/W2041741066","https://openalex.org/W2041758568","https://openalex.org/W2045932891","https://openalex.org/W2047474588","https://openalex.org/W2048997100","https://openalex.org/W2058562152","https://openalex.org/W2059226718","https://openalex.org/W2059605689","https://openalex.org/W2065477282","https://openalex.org/W2075851341","https://openalex.org/W2077649563","https://openalex.org/W2081688598","https://openalex.org/W2083507189","https://openalex.org/W2083569957","https://openalex.org/W2090140412","https://openalex.org/W2092269722","https://openalex.org/W2096448257","https://openalex.org/W2098472703","https://openalex.org/W2099192919","https://openalex.org/W2104424709","https://openalex.org/W2104830962","https://openalex.org/W2105046091","https://openalex.org/W2106543129","https://openalex.org/W2107249415","https://openalex.org/W2108805951","https://openalex.org/W2109608360","https://openalex.org/W2121875608","https://openalex.org/W2122986980","https://openalex.org/W2128519825","https://openalex.org/W2130322800","https://openalex.org/W2134666189","https://openalex.org/W2135894244","https://openalex.org/W2137401089","https://openalex.org/W2138295416","https://openalex.org/W2138618575","https://openalex.org/W2139118963","https://openalex.org/W2142147644","https://openalex.org/W2142389745","https://openalex.org/W2143205720","https://openalex.org/W2148666312","https://openalex.org/W2149626936","https://openalex.org/W2151329344","https://openalex.org/W2152126933","https://openalex.org/W2154104512","https://openalex.org/W2154482662","https://openalex.org/W2157122373","https://openalex.org/W2158243193","https://openalex.org/W2159107311","https://openalex.org/W2160595404","https://openalex.org/W2160733129","https://openalex.org/W2160834915","https://openalex.org/W2165335733","https://openalex.org/W2168279738","https://openalex.org/W2169467289","https://openalex.org/W2169839082","https://openalex.org/W2178766736","https://openalex.org/W2259097884","https://openalex.org/W2286896906","https://openalex.org/W2302801691","https://openalex.org/W2310716991","https://openalex.org/W2319458929","https://openalex.org/W2320755191","https://openalex.org/W2340640928","https://openalex.org/W2342614263","https://openalex.org/W2400962444","https://openalex.org/W2402665219","https://openalex.org/W2439808616","https://openalex.org/W2461813586","https://openalex.org/W2464171437","https://openalex.org/W2471761637","https://openalex.org/W2504299602","https://openalex.org/W2539085932","https://openalex.org/W2542405702","https://openalex.org/W2564908857","https://openalex.org/W2571458453","https://openalex.org/W2587416630","https://openalex.org/W2590431175","https://openalex.org/W2608540277","https://openalex.org/W2610868466","https://openalex.org/W2611459963","https://openalex.org/W2730923810","https://openalex.org/W2731297127","https://openalex.org/W2744502332","https://openalex.org/W2750641773","https://openalex.org/W2753257903","https://openalex.org/W2753432434","https://openalex.org/W2756245626","https://openalex.org/W2761234780","https://openalex.org/W2765890034","https://openalex.org/W2766040004","https://openalex.org/W2803395722","https://openalex.org/W2806477581","https://openalex.org/W2888679969","https://openalex.org/W2888740467","https://openalex.org/W2890770862","https://openalex.org/W2904065638","https://openalex.org/W2912976675","https://openalex.org/W2915005632","https://openalex.org/W2915581616","https://openalex.org/W2920985268","https://openalex.org/W2921480715","https://openalex.org/W2938523005","https://openalex.org/W2942122773","https://openalex.org/W2944707386","https://openalex.org/W2944825803","https://openalex.org/W2951622876","https://openalex.org/W2969444712","https://openalex.org/W2979393889","https://openalex.org/W2983033302","https://openalex.org/W2992527029","https://openalex.org/W2995380197","https://openalex.org/W2995848932","https://openalex.org/W2996518820","https://openalex.org/W2998840265","https://openalex.org/W3003066459","https://openalex.org/W3006597007","https://openalex.org/W3008090823","https://openalex.org/W3015860370","https://openalex.org/W3022316941","https://openalex.org/W3048186107"],"related_works":["https://openalex.org/W4385266423","https://openalex.org/W4409195308","https://openalex.org/W4415012625","https://openalex.org/W2924841632","https://openalex.org/W2979922760","https://openalex.org/W2591365482","https://openalex.org/W2160595404","https://openalex.org/W4404755382","https://openalex.org/W3169241292","https://openalex.org/W2802078410"],"abstract_inverted_index":{"BACKGROUND:":[0],"The":[1,42],"distorted":[2],"association":[3],"of":[4,6,11,31,46,54,91,116,118,127,134,164],"\u201cend":[5],"life":[7],"(EOL)\u201d":[8],"with":[9,21,36,151],"\u201cgoals":[10],"care":[12,32],"(GOC)\u201d":[13],"has":[14],"\u201csilenced\u201d":[15],"crucial":[16],"goals":[17,45],"discussions":[18],"in":[19,56,105,161],"patients":[20],"relapsed":[22],"high-risk":[23],"leukemia,":[24],"which":[25,135],"raises":[26],"concerns":[27],"for":[28,122],"the":[29,89,106,111,149,173],"provision":[30],"that":[33],"is":[34],"inconsistent":[35],"patient\u2019s":[37],"values":[38],"and":[39,69,94,141,159,169],"preferences.":[40],"AIM:":[41],"two":[43,62,112,152,174],"main":[44],"this":[47],"study":[48],"were":[49,172],"to":[50,71,148],"quantify":[51],"hematologists":[52,100,146],"rate":[53],"participation":[55],"a":[57,138],"GOC":[58,73,123,143,165],"pathway":[59,124],"initiative":[60],"during":[61,88],"separate":[63],"months,":[64,113],"then":[65],"explore":[66],"their":[67,162],"definition":[68],"barriers":[70],"having/documenting":[72],"discussions.":[74,166],"DESIGN:":[75],"Mixed-methods,":[76],"explanatory":[77],"sequential":[78],"design":[79],"(follow-up":[80],"explanations":[81],"variant).":[82],"SAMPLE:":[83],"Quan:":[84],"Hematology":[85],"inpatient":[86],"admissions":[87,119],"months":[90],"October":[92],"2020":[93],"January":[95],"2021.":[96],"Qual:":[97],"Eighteen":[98],"leukemia":[99],"from":[101],"one":[102],"dedicated":[103],"cancer":[104],"United":[107],"States.":[108],"RESULTS:":[109],"During":[110],"an":[114,130],"average":[115],"36%":[117],"met":[120],"criteria":[121],"initiation,":[125],"19%":[126],"those":[128],"had":[129,137],"appropriate":[131],"initiation":[132],"order,":[133],"15.5%":[136],"properly":[139],"documented":[140],"billed":[142],"discussion.":[144],"Nine":[145],"responded":[147],"SurveyMonkey":[150],"questions.":[153],"All":[154],"nine":[155],"included":[156],"clinical":[157],"situation":[158],"communication":[160],"definition/components":[163],"Time":[167],"required":[168],"prognostic":[170],"uncertainty":[171],"most":[175],"mentioned":[176],"barriers.":[177]},"counts_by_year":[],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2021-11-08T00:00:00"}
