ArticleBMJ open2016
'I'll be in a safe place': a qualitative study of the decisions taken by people with advanced cancer to seek emergency department care.
Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03518970 (Nursing Intervention to Manage Uncertainty in Illness in Palliative Care), which is not on this map. Cited by 34 papers, 2 of them syntheses that pooled it.
What it found
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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.
Nursing Intervention to Manage Uncertainty in Illness in Palliative Care: Feasibility and Acceptability Study in Family Caregivers
Who cites it
34 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pooled it
- How is community based 'out-of-hours' care provided to patients with advanced illness near the end of life: A systematic review of care provision.Palliative medicine · 2023Pooled it
- Trial
- Association between death literacy and life-sustaining treatment preferences in patients with advanced non-small cell lung cancer.Asia-Pacific journal of oncology nursing · 2026Article
- What is the quality of care at the end of life? Qualitative findings from a nationally-representative post-bereavement survey across England and Wales.Journal of health services research & policy · 2026Article
- Patient-reported symptom and urgent healthcare use in neuroendocrine tumors.Endocrine oncology (Bristol, England) · 2026Article
- 'People ring because they're frightened': findings from a realist evaluation on the impact of timely responsive care at home at the end of life.BMC palliative care · 2025Article
- Community out-of-hours palliative care - 'It's a patchwork of services': A qualitative study exploring care provision.Palliative medicine · 2025Article
- Providing 'professionalism with compassion'; how the time for caring communication can improve experiences at the end-of-life at home, findings from a realist evaluation.BMC palliative care · 2024Article
- Causes of death and patterns of metastatic disease at the end of life for patients with advanced melanoma in the immunotherapy era.Pigment cell & melanoma research · 2024Observational
- 'For Want of a Nail': developing a transparent approach to retroduction and early initial programme theory development in a realist evaluation of community end of life care services.International journal of social research methodology · 2024Article
- How Safe Do Dying People Feel at Home? Patients' Perception of Safety While Receiving Specialist Community Palliative Care.The American journal of hospice & palliative care · 2023Article
- Safety perception in patients with advanced idiopathic Parkinson's disease - a qualitative study.Frontiers in aging neuroscience · 2023Article
- Admission to the Emergency Department by Patients Being Followed up for Palliative Care Consultations.International journal of environmental research and public health · 2022Article
- A study of the factors associated with emergency department visits in advanced cancer patients receiving palliative care.BMC palliative care · 2022Article
- Characteristics and factors associated with mortality in palliative patients visiting the Emergency Department of a large tertiary hospital in Thailand.BMC palliative care · 2022Observational
- Enhancing Outpatient Symptom Management in Patients With Head and Neck Cancer: A Qualitative Analysis.JAMA otolaryngology-- head & neck surgery · 2022Article
- Predictive Modeling for Adverse Events and Risk Stratification Programs for People Receiving Cancer Treatment.JCO oncology practice · 2022Review
- Palliative care to cancer patients: how COVID-19 pandemic could affect quality of care.Einstein (Sao Paulo, Brazil) · 2022Article
- Acute home-based care for patients with cancer to avoid, substitute, and follow emergency department visits: a conceptual framework using Porter's Five Forces.Emergency cancer care · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo explore the decisions of people with advanced cancer and their caregivers to seek emergency department (ED) care, and understand the issues that influence the decision-making process.
designCross-sectional qualitative study incorporating semistructured patient and caregiver interviews.
methodsBetween December 2014 and July 2015, semistructured interviews were conducted with 18 people with advanced cancer, all of whom had recently attended the ED of a large university teaching hospital located in south-east London; and six of their caregivers. Interviews were audio recorded, transcribed verbatim and analysed using a constant comparative approach. Padgett and Brodsky's modified version of the 'Behavioral Model of Health Services Use' was used as a framework to guide the study.
resultsIssues influencing the decision-making process included: (1) disease-related anxiety-those with greater anxiety related to their cancer diagnosis interpreted their symptoms as more severe and/or requiring immediate attention; (2) prior patterns of health-seeking behaviour-at times of crisis participants defaulted to previously used services; (3) feelings of safety and familiarity with the hospital setting-many felt reassured by the presence of healthcare professionals and monitoring of their condition; and, (4) difficulties accessing community healthcare services-especially urgently and/or out-of-hours.
conclusionsThese data provide healthcare professionals and policymakers with a greater understanding of how systems of care may be developed to help reduce ED visits by people with advanced cancer. In particular, our findings suggest that the number of ED visits could be reduced with greater end-of-life symptom support and education, earlier collaboration between oncology and palliative care, and with increased access to community healthcare services.
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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.