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Papers by Jacqueline Michaels

Research paper thumbnail of Orchestrating Care: A Grounded Theory Study of Family Caregiving for Older Adults in Rural Areas

Qualitative health research, Apr 9, 2024

Research paper thumbnail of Family Outcomes and Perceptions of End-of-Life Care in the Intensive Care Unit: A Mixed-Methods Review

Journal of Palliative Care, Sep 23, 2019

The purpose of this review was to evaluate end-of-life care (EOLC) in the intensive care unit (IC... more The purpose of this review was to evaluate end-of-life care (EOLC) in the intensive care unit (ICU) from the perspective of family members. Sandelowski's segregated approach from Joanna Briggs Institute (JBI) Mixed-Methods Systematic Reviews guided this review. A search was conducted in PubMed, CINAHL, PsycINFO, EMBASE, and ProQuest databases and identified 50 papers (33 quantitative, 15 qualitative, and 2 mixed-methodology studies). Five synthesized themes (distressing emotions, shared decisionmaking, proactive communication, personalized end-of-life care, and valuing of nursing care) were identified. For quantitative results, study methodologies and interventions were heterogeneous and did not always improve family members' perceived quality of care and family members' psychological distress. Configuration of qualitative and quantitative data revealed ICU end-oflife interventions were ineffective because they were not guided by family members' reported needs and perceptions. To fulfill the family members' needs for the patients' EOLC in the ICU, researchers should develop a theory to explicitly explain how the family members experience ICU EOLC and implement a theory-based intervention to improve family psychological outcomes.

Research paper thumbnail of Supplemental Material, Appendix_1 - Family Outcomes and Perceptions of End-of-Life Care in the Intensive Care Unit: A Mixed-Methods Review

Supplemental Material, Appendix_1 for Family Outcomes and Perceptions of End-of-Life Care in the ... more Supplemental Material, Appendix_1 for Family Outcomes and Perceptions of End-of-Life Care in the Intensive Care Unit: A Mixed-Methods Review by Chiahui Chen, Jacqueline Michaels and Mary Ann Meeker in Journal of Palliative Care

Research paper thumbnail of End-of-Life Care in the Intensive Care Unit: A Systematic Review of Family Perceptions

Journal of Pain and Symptom Management

Research paper thumbnail of Family Outcomes and Perceptions of End-of-Life Care in the Intensive Care Unit: A Mixed-Methods Review

Journal of Palliative Care

The purpose of this review was to evaluate end-of-life care (EOLC) in the intensive care unit (IC... more The purpose of this review was to evaluate end-of-life care (EOLC) in the intensive care unit (ICU) from the perspective of family members. Sandelowski’s segregated approach from Joanna Briggs Institute (JBI) Mixed-Methods Systematic Reviews guided this review. A search was conducted in PubMed, CINAHL, PsycINFO, EMBASE, and ProQuest databases and identified 50 papers (33 quantitative, 15 qualitative, and 2 mixed-methodology studies). Five synthesized themes (distressing emotions, shared decision-making, proactive communication, personalized end-of- life care, and valuing of nursing care) were identified. For quantitative results, study methodologies and interventions were heterogeneous and did not always improve family members’ perceived quality of care and family members’ psychological distress. Configuration of qualitative and quantitative data revealed ICU end-of-life interventions were ineffective because they were not guided by family members’ reported needs and perceptions. To...

Research paper thumbnail of Navigating the caregiving abyss: A metasynthesis of how family caregivers manage end-of-life care for older adults at home

Palliative Medicine

Background: Demographic changes (global aging, decreased fertility, increased home deaths) will p... more Background: Demographic changes (global aging, decreased fertility, increased home deaths) will present a critical need for end-of-life family caregivers of older adults at home. In order to support these family caregivers, we need to better understand their experiences, struggles, and needs. Aim: To describe and explain the process of end-of-life caregiving as experienced by family caregivers of older adults residing in the home setting. Design: The Preferred Reporting Items for Systematic Reviews and Metaanalysis (PRISMA) guidelines and Sandelowski and Barroso’s procedural steps for a metasynthesis review guided this study. Data sources: Qualitative and mixed methods literature from CINAHL, Medline, PsycINFO, and EMBASE databases and information from professional organizations were reviewed for studies that focused on family caregivers providing end-of-life care to older adults residing in the home setting. Results: A total of 24 studies were identified. Family caregivers engaged ...

Research paper thumbnail of Orchestrating Care: A Grounded Theory Study of Family Caregiving for Older Adults in Rural Areas

Qualitative health research, Apr 9, 2024

Research paper thumbnail of Family Outcomes and Perceptions of End-of-Life Care in the Intensive Care Unit: A Mixed-Methods Review

Journal of Palliative Care, Sep 23, 2019

The purpose of this review was to evaluate end-of-life care (EOLC) in the intensive care unit (IC... more The purpose of this review was to evaluate end-of-life care (EOLC) in the intensive care unit (ICU) from the perspective of family members. Sandelowski's segregated approach from Joanna Briggs Institute (JBI) Mixed-Methods Systematic Reviews guided this review. A search was conducted in PubMed, CINAHL, PsycINFO, EMBASE, and ProQuest databases and identified 50 papers (33 quantitative, 15 qualitative, and 2 mixed-methodology studies). Five synthesized themes (distressing emotions, shared decisionmaking, proactive communication, personalized end-of-life care, and valuing of nursing care) were identified. For quantitative results, study methodologies and interventions were heterogeneous and did not always improve family members' perceived quality of care and family members' psychological distress. Configuration of qualitative and quantitative data revealed ICU end-oflife interventions were ineffective because they were not guided by family members' reported needs and perceptions. To fulfill the family members' needs for the patients' EOLC in the ICU, researchers should develop a theory to explicitly explain how the family members experience ICU EOLC and implement a theory-based intervention to improve family psychological outcomes.

Research paper thumbnail of Supplemental Material, Appendix_1 - Family Outcomes and Perceptions of End-of-Life Care in the Intensive Care Unit: A Mixed-Methods Review

Supplemental Material, Appendix_1 for Family Outcomes and Perceptions of End-of-Life Care in the ... more Supplemental Material, Appendix_1 for Family Outcomes and Perceptions of End-of-Life Care in the Intensive Care Unit: A Mixed-Methods Review by Chiahui Chen, Jacqueline Michaels and Mary Ann Meeker in Journal of Palliative Care

Research paper thumbnail of End-of-Life Care in the Intensive Care Unit: A Systematic Review of Family Perceptions

Journal of Pain and Symptom Management

Research paper thumbnail of Family Outcomes and Perceptions of End-of-Life Care in the Intensive Care Unit: A Mixed-Methods Review

Journal of Palliative Care

The purpose of this review was to evaluate end-of-life care (EOLC) in the intensive care unit (IC... more The purpose of this review was to evaluate end-of-life care (EOLC) in the intensive care unit (ICU) from the perspective of family members. Sandelowski’s segregated approach from Joanna Briggs Institute (JBI) Mixed-Methods Systematic Reviews guided this review. A search was conducted in PubMed, CINAHL, PsycINFO, EMBASE, and ProQuest databases and identified 50 papers (33 quantitative, 15 qualitative, and 2 mixed-methodology studies). Five synthesized themes (distressing emotions, shared decision-making, proactive communication, personalized end-of- life care, and valuing of nursing care) were identified. For quantitative results, study methodologies and interventions were heterogeneous and did not always improve family members’ perceived quality of care and family members’ psychological distress. Configuration of qualitative and quantitative data revealed ICU end-of-life interventions were ineffective because they were not guided by family members’ reported needs and perceptions. To...

Research paper thumbnail of Navigating the caregiving abyss: A metasynthesis of how family caregivers manage end-of-life care for older adults at home

Palliative Medicine

Background: Demographic changes (global aging, decreased fertility, increased home deaths) will p... more Background: Demographic changes (global aging, decreased fertility, increased home deaths) will present a critical need for end-of-life family caregivers of older adults at home. In order to support these family caregivers, we need to better understand their experiences, struggles, and needs. Aim: To describe and explain the process of end-of-life caregiving as experienced by family caregivers of older adults residing in the home setting. Design: The Preferred Reporting Items for Systematic Reviews and Metaanalysis (PRISMA) guidelines and Sandelowski and Barroso’s procedural steps for a metasynthesis review guided this study. Data sources: Qualitative and mixed methods literature from CINAHL, Medline, PsycINFO, and EMBASE databases and information from professional organizations were reviewed for studies that focused on family caregivers providing end-of-life care to older adults residing in the home setting. Results: A total of 24 studies were identified. Family caregivers engaged ...