{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T04:39:32Z","timestamp":1792557572720,"version":"4.5.0"},"reference-count":39,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T00:00:00Z","timestamp":1792454400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T00:00:00Z","timestamp":1792454400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100012553","name":"Chang Gung Memorial Hospital","doi-asserted-by":"publisher","award":["BMRP849"],"award-info":[{"award-number":["BMRP849"]}],"id":[{"id":"10.13039\/100012553","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To examine factors associated with advance directive (AD) completion among nursing home residents in Taiwan, focusing on family visitation patterns and the perceived meaning of family involvement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A cross\u2010sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data from 134 family caregivers and their corresponding nursing home residents from seven nursing homes in northern Taiwan were analysed. Family caregiver data were collected using validated questionnaires, including the Family Meaning of Nursing Home Visits (FMNHV) scale. Multiple logistic regression was conducted, with candidate variables specified based on the study's conceptual framework and prior literature and refined using AIC\u2010based forward and backward stepwise selection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The AD completion rate was 34.3%. Completion was associated with residents' prior expression of end\u2010of\u2010life preferences (OR\u2009=\u200914.33, 95% CI\u2009=\u20094.39\u201346.80) and caregivers' awareness of ADs (OR\u2009=\u20094.20, 95% CI\u2009=\u20091.29\u201313.65). Compared with daily visits, weekly visits were associated with lower odds of completion (OR\u2009=\u20090.23, 95% CI\u2009=\u20090.07\u20130.81), as were visits lasting 61\u2009min or longer compared with those lasting less than 30\u2009min (OR\u2009=\u20090.16, 95% CI\u2009=\u20090.03\u20130.79). Higher scores on the FMNHV responsibility for care quality subscale were associated with greater odds of completion (OR\u2009=\u20091.24, 95% CI\u2009=\u20091.11\u20131.39).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Family involvement in AD completion extends beyond visitation patterns to include the perceived meaning of involvement. Both behavioural and interpretive dimensions should be considered when understanding AD completion in nursing homes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for the Profession and\/or Patient Care<\/jats:title>\n                    <jats:p>Nurses should consider both visitation patterns and the perceived meaning of family involvement when facilitating discussions about AD completion with residents and their families.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>This study identifies family involvement\u2010related factors associated with AD completion and provides insights for nursing practice, staff training and advance care planning in long\u2010term care settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>We adhered to the STROBE guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>No patient or public contribution.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.70798","type":"journal-article","created":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T03:52:53Z","timestamp":1792554773000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Beyond Visitation: Perceived Meaning of Family Involvement and Advance Directive Completion in Nursing Homes"],"prefix":"10.1111","author":[{"given":"Hou\u2010Ju","family":"Chen","sequence":"first","affiliation":[{"name":"Nursing Department Taipei Veterans General Hospital  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3532-2943","authenticated-orcid":false,"given":"Po\u2010Chung","family":"Feng","sequence":"additional","affiliation":[{"name":"Doctoral Program, Department of Nursing, College of Nursing National Yang Ming Chiao Tung University  Taipei Taiwan"},{"name":"Department of Internal Medicine National Taiwan University Hospital Hsinchu Branch  Hsinchu Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4277-7542","authenticated-orcid":false,"given":"Hsiu\u2010Li","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Long\u2010Term Care, College of Health Technology National Taipei University of Nursing and Health Sciences  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9678-8215","authenticated-orcid":false,"given":"Hsiu\u2010Hsin","family":"Tsai","sequence":"additional","affiliation":[{"name":"School of Nursing, College of Medicine Chang Gung University  Taoyuan Taiwan"},{"name":"Department of Psychiatry New Taipei Municipal TuCheng Hospital  New Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9279-0721","authenticated-orcid":false,"given":"Chen\u2010Hsiu","family":"Chen","sequence":"additional","affiliation":[{"name":"School of Nursing National Taipei University of Nursing and Health Sciences  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0224-1268","authenticated-orcid":false,"given":"Yue\u2010Cune","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Mathematics Tamkang University  New Taipei city Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chia\u2010Yih","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Psychiatry New Taipei Municipal TuCheng Hospital  New Taipei Taiwan"},{"name":"Department of Medicine Chang Gung University  Tao\u2010Yuan Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,20]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.3928\/0098\u20109134\u201020030901\u201004"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/016402757914002"},{"issue":"4","key":"e_1_2_14_4_1","first-page":"781","article-title":"Looking Back at Withdrawal of Life\u2010Support Law and Policy to See What Lies Ahead for Medical Aid\u2010in\u2010Dying","volume":"92","author":"Capron A. 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