Overcoming hesitancy to submit manuscripts for peer review

Publishing completed research is essential for knowledge dissemination and career advancement, yet many academics experience submission anxiety. Reasons include fear of rejection, imposter syndrome, and perfectionism. This commentary reviews drivers of submission hesitancy and outlines evidence-based strategies to empower manuscript submission. Consequences of delays are detrimental for individual productivity and scientific progress. Indicators of unhelpful rumination during endless revisions include excessive time re-reviewing background literature or endlessly analyzing data. Plagiarism angst can also stall submission. Strategies to promote manuscript submission include setting readiness checklists and timeline goals, seeking mentor perspectives on drafts, forming peer writing groups for accountability, understanding text reuse conventions, viewing peer input as collaborative, and reframing rejection as an expected part of review. While incentives must be reformed, mindset shifts can initiate positive norms amid existing pressures. Scientists have a responsibility to disseminate timely research and can implement techniques to do so

Advance care planning and outpatient visits among older adults across cognitive levels

Advance care planning (ACP) can help reduce end-of-life care challenges for persons with Alzheimer's disease and related dementia and their care partners. Building on our previous work, we examined the impact of ACP on outpatient/doctor visits in older adults with dementia/impaired cognition and normal cognition. Using datasets from the 2014 Health and Retirement Study (HRS), we conducted a cross-sectional study of 17,698 participants aged 51 years and older. Our analyses included survey descriptive and logistic regression procedures. Our findings indicated that having at least one ACP measure was significantly associated with a higher mean number of outpatient visits in both cognition groups. Based on our findings, we recommend considering healthcare access and use as an intervening variable in future ACP research