Observational studyBMC palliative care2017
Nurse-led navigation to provide early palliative care in rural areas: a pilot study.
Observational study in BMC palliative care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 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
34 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A Systematic Review and Meta-Analysis on the Levels of Supportive Care Needs in Adults With Cancer.Psycho-oncology · 2026Pooled it
- Mapping the health management journey of allogeneic hematopoietic stem cell transplantation: a qualitative study.BMC health services research · 2026Article
- The evolving role and impact of patient navigators in serious illness care: a narrative review.Annals of palliative medicine · 2026Review
- Palliative care in rural, remote, and northern communities: a scoping review.BMC palliative care · 2026Article
- Article
- Transforming Palliative Care for Rural Patients with COPD Through Nurse-Led Models.Healthcare (Basel, Switzerland) · 2025Review
- Volunteer navigators to support people with life-limiting illness in the community.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2025Article
- Defining "early palliative care" for adults diagnosed with a life-limiting illness: a scoping review.BMC palliative care · 2025Article
- Systematic adaptation of public health palliative care interventions across settings using ADAPT guidance: Methodological learnings from the EU NAVIGATE project.Palliative medicine · 2025Article
- Article
- A longitudinal study of within-person trajectories in quality of life in patients receiving early palliative care.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024Article
- Article
- Navigation programs to support community-dwelling individuals with life-limiting illness: determinants of implementation.BMC health services research · 2024Article
- Adapting, implementing and evaluating a navigation intervention for older people with cancer and their family caregivers in six countries in Europe: the Horizon Europe-funded EU NAVIGATE project.Palliative care and social practice · 2024Article
- How do navigation programs address the needs of those living in the community with advanced, life-limiting Illness? A realist evaluation of programs in Canada.BMC palliative care · 2023Article
- Development of the palliative care referral system: proposal of a tool for the referral of cancer patients to specialized palliative care.BMC palliative care · 2022Article
- Interventions addressing functional abilities of older people in rural and remote areas: a scoping review of available evidence based on WHO functional ability domains.BMC geriatrics · 2022Article
- Scaling out a palliative compassionate community innovation: Nav-CARE.Palliative care and social practice · 2022Article
- Innovation in Rural Health Services Requires Local Actors and Local Action.Public health reviews · 2022Review
- Implementation of cancer screening in rural primary care practices after joining an accountable care organisation: a multiple case study.Family medicine and community health · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFew services are available to support rural older adults living at home with advancing chronic illness. The objective of this project was to pilot a nurse-led navigation service to provide early palliative support for rural older adults and their families living at home with advancing chronic illness.
methodsTwenty-five older adults and 11 family members living with advancing chronic illness received bi-weekly home visits by a nurse navigator over a 2-year period. Navigation services included symptom management, education, advance care planning, advocacy, mobilization of resources, and psychosocial support. The nurse navigator collected longitudinal data on older adult and family needs, and older adult quality of life and healthcare utilization.
resultsSatisfaction with the service was high. There was no attrition over the 2-year period except through death, and few cancelled visits, indicating a high degree of acceptability of the intervention. The navigator addressed complex, multi-faceted needs through connecting health, social, and informal community resources. Participants who indicated a preferred place of death were able to die in that preferred place (n = 7). Emergency room use by participants was minimal and largely unpreventable by the nurse navigator. Longitudinal health-related quality of life scores for many participants were poor, lending further support to the need for more focused attention to this upstream palliative population.
conclusionsUsing a nurse navigator to facilitate early palliative care for rural older adults living with advanced chronic illness is a promising innovation for meeting the needs of this population. Further research is required to evaluate outcomes on a larger scale.
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