ReviewImplementation science : IS2015
Implementation of improvement strategies in palliative care: an integrative review.
Review in Implementation science : IS, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis 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
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Tools to help healthcare professionals recognize palliative care needs in patients with advanced heart failure: A systematic review.Palliative medicine · 2021Pooled it
- Managers' experiences of implementing palliative care in nursing homes: a qualitative follow-up study after an educational intervention for the staff.BMC palliative care · 2026Trial
- A Novel Screening Method to Identify Late-Stage Dementia Patients for Palliative Care Research and Practice.Journal of pain and symptom management · 2018Trial
- Using evidence briefs to support future implementation planning: the case of early fibrinolysis for myocardial infarction and rehabilitation for the amputee patient in Colombia.Health research policy and systems · 2026Article
- Models of care for palliative care in residential aged care facilities: a scoping review.BMC geriatrics · 2026Article
- Building a presence: implementation strategies used to expand palliative care services across six diverse health systems in a longitudinal mixed methods study.BMC palliative care · 2026Article
- How and in what circumstances does facilitation work for residential aged care staff in the implementation of palliative care interventions? A realist review.Palliative medicine · 2026Review
- A Program to Improve General Palliative Cancer Care Guideline Implementation: Development, Acceptability, and Feasibility of Implementation Strategies.Journal of evaluation in clinical practice · 2025Article
- Promising Concept, Challenging Implementation of a Minimally Invasive Intervention (MINI) to Identify Patients in Their Last Year of Life-A Multi-Methods Feasibility Study at a German University Hospital.Healthcare (Basel, Switzerland) · 2025Article
- Desired dementia care towards end of life: Development and experiences of implementing a new approach to improve person-centred dementia care.Journal of advanced nursing · 2025Article
- Improving Palliative Care in Residential Aged Care Using Telehealth: Protocol for a Realist Process Evaluation Embedded in a Stepped-Wedge Cluster Randomized Controlled Trial.JMIR research protocols · 2025Article
- A joint hospital initiative to strengthen general palliative care in the hospital: an action research study on challenges and facilitators.BMC palliative care · 2025Article
- Article
- Implementation of a palliative care intervention for patients with COPD - a mixed methods process evaluation of the COMPASSION study.BMC palliative care · 2022Article
- Professionals' Expectations and Preparedness to Implement Knowledge-Based Palliative Care at Nursing Homes before an Educational Intervention: A Focus Group Interview Study.International journal of environmental research and public health · 2021Article
- A cluster randomized controlled trial on a multifaceted implementation strategy to promote integrated palliative care in COPD: study protocol of the COMPASSION study.BMC palliative care · 2020Article
- Knowledge, attitude, confidence, and educational needs of palliative care in nurses caring for non-cancer patients: a cross-sectional, descriptive study.BMC palliative care · 2020Article
- Barriers to home-based palliative care in people with cancer: A qualitative study of the perspective of caregivers.Nursing open · 2020Article
- Strategies for the implementation of palliative care education and organizational interventions in long-term care facilities: A scoping review.Palliative medicine · 2020Article
- Evaluation of the Measuring and Improving Quality in Palliative Care Survey.Journal of oncology practice · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe European population is ageing, and as a consequence, an increasing number of patients are in need of palliative care, including those with dementia. Although a growing number of new insights and best practices in palliative care have been published, they are often not implemented in daily practice. The aim of this integrative review is to provide an overview of implementation strategies that have been used to improve the organisation of palliative care.
methodsUsing an integrative literature review, we evaluated publications with strategies to improve the organisation of palliative care. Qualitative analysis of the included studies involved categorisation of the implementation strategies into subgroups, according to the type of implementation strategy.
resultsFrom the 2379 publications identified, 68 studies with an experimental or quasi-experimental design were included. These studies described improvements using educational strategies (n = 14), process mapping (n = 1), feedback (n = 1), multidisciplinary meetings (n = 1) and multi-faceted implementation strategies (n = 51). Fifty-three studies reported positive outcomes, 11 studies reported mixed effects and four studies showed a limited effect (two educational and two multi-faceted strategies).
conclusionsThis review is one of the first to provide an overview of the available literature in relation to strategies used to improve the organisation of palliative care. Since most studies reported positive results, further research is needed to identify and improve the effects of strategies aiming to improve the organisation of palliative care.
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.