ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2008
Interprofessional relationships and communication in primary palliative care: impact of the Gold Standards Framework.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
32 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Timely short-term specialized palliative care service intervention for older people with frailty and their family carers in primary care: Development and modelling of the frailty+ intervention using theory of change.Palliative medicine · 2021Pooled it
- Pooled it
- Challenges experienced by GPs when providing palliative care in the UK: a systematic qualitative literature review.BJGP open · 2023Article
- Scoping review to identify strategies and interventions improving interprofessional collaboration and integration in primary care.BMJ open · 2022Article
- Article
- Service change and innovation in community end-of-life care during the COVID-19 pandemic: Qualitative analysis of a nationwide primary care survey.Palliative medicine · 2022Article
- The Overlap Between Geriatric Medicine and Palliative Care: A Scoping Literature Review.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2021Article
- Article
- Organizational determinants of information transfer in palliative care teams: A structural equation modeling approach.PloS one · 2021Article
- Communication between Dutch community nurses and general practitioners lacks structure: An explorative mixed methods study .The European journal of general practice · 2020Article
- GPs' decisions about prescribing end-of-life anticipatory medications: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020Article
- The association between PaTz and improved palliative care in the primary care setting: a cross-sectional survey.BMC family practice · 2019Article
- Primary palliative care team perspectives on coordinating and managing people with advanced cancer in the community: a qualitative study.BMC family practice · 2018Observational
- Improving palliative care provision in primary care: a pre- and post-survey evaluation among PaTz groups.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018Article
- Teamwork in primary palliative care: general practitioners' and specialised oncology nurses' complementary competencies.BMC health services research · 2018Article
- Multidisciplinary team meetings in primary care: could they help to attract the GPs of tomorrow?The British journal of general practice : the journal of the Royal College of General Practitioners · 2017Article
- Knowledge structure and theme trends analysis on general practitioner research: A Co-word perspective.BMC family practice · 2016Article
- Conceptual foundations of a palliative approach: a knowledge synthesis.BMC palliative care · 2016Article
- Comparison of end-of-life care for older people living at home and in residential homes: a mortality follow-back study among GPs in the Netherlands.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015Article
- PaTz groups for primary palliative care: reinventing cooperation between general practitioners and district nurses in palliative care: an evaluation study combining data from focus groups and a questionnaire.BMC family practice · 2014Article
Corrections and comments
- Commented on by
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHigh quality end-of-life care in the community is achieved with effective multidisciplinary teamwork, interprofessional communication between GPs and district nurses, and early referral of patients to district nurses. These aspects of palliative care are highlighted in the Gold Standards Framework, a programme recently established in UK primary care.
aimTo investigate the extent to which the framework influences interprofessional relationships and communication, and to compare GPs' and nurses' experiences. DESIGN OF STUDY: Qualitative interview case study.
settingFifteen participating practices from three primary care trusts in England.
methodThirty-eight semi-structured interviews were undertaken with GPs, district nurses, Macmillan nurses, and framework facilitators.
resultsAdoption of the framework often resulted in earlier referral of palliative care patients to district nurses. Multidisciplinary team meetings enabled communication for sharing knowledge, discussing management problems, and keeping colleagues informed; however, arranging and maintaining such meetings was often problematic. Nurses particularly valued formal meetings while GPs generally preferred informal ad hoc dialogue. GPs largely maintained control of the mode of multidisciplinary working. The best functioning teams used a mixture of formal and informal meetings with a relatively non-hierarchical working style.
conclusionImplementing the framework enabled processes of communication associated with high quality palliative care in general practice, but there was marked variation in how this worked in individual teams. In general, hierarchical doctor-nurse relationships persisted.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.