Identifying the Factors Associated With Canadian Registered Nurses' Engagement in Advance Care Planning
Bibliographic record
Abstract
Advance care planning (ACP) is a series of discussions in which patient values and wishes for end-of-life care are made known. The purpose of this study was to determine the extent to which registered nurses (RNs) engaged in ACP with their patients and understand the factors associated with this practice decision in Canada. One hundred twenty-five RNs participated in this cross-sectional descriptive survey. Registered nurse participants agreed that end-of-life decision making is an important part of their work; however, the majority of respondents did not participate in ACP, especially those RNs who were employed in community settings. Study respondents cited barriers to implementing ACP into their practice such as limited organizational policy, limited expectations of others to engage in ACP, inadequate educational opportunities to learn about or practice ACP, and a lack of patient and family readiness for the conversation. Study conclusions support recommendations for continuing education topics and the importance of organizational support in ACP.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".