Evidence map›Paper›PMID 29282050›Full record

ArticleBMC palliative care2017

Changes in professionals' beliefs following a palliative care implementation programme at a surgical department: a qualitative evaluation.

Pia Hahne, Staffan Lundström, Helena Leveälahti, Janet Winnhed, Joakim Öhlén

Open access · goldAbstract read
In one paragraph

Article 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 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 15% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
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  3. Article
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  5. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Pia HahneStockholms Sjukhem Foundation, Mariebergsgatan 22, 112 35, Stockholm, Sweden. pia.hahne@stockholmssjukhem.se.ORCID http://orcid.org/0000-0003-2429-8705
Staffan LundströmStockholms Sjukhem Foundation, Mariebergsgatan 22, 112 35, Stockholm, Sweden.
Helena LeveälahtiStockholms Sjukhem Foundation, Mariebergsgatan 22, 112 35, Stockholm, Sweden.
Janet WinnhedStockholms Sjukhem Foundation, Mariebergsgatan 22, 112 35, Stockholm, Sweden.
Joakim ÖhlénInstitute of Health and Care Sciences and University of Gothenburg Center for Person-Centered Care, Salgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.
Swedish Foundation for Strategic Research · SEUniversity of Gothenburg · SE

Funding

County council in Stockholm, Sweden 232100-0016
6 · The paper itself

Abstract

backgroundOne ambition regarding palliative care is that it should be more accessible to patients and families regardless of care setting. Previous studies show many difficulties and shortcomings in the care of patients with palliative care needs in acute care facilities, but also challenges regarding efforts to implement palliative care. The aim of this study is to evaluate how the implementation of palliative care, using a combination of integration and consultation strategies, can change beliefs regarding palliative care among professionals in a surgical department.

methodIn order to explore professionals' experiential outcome of an educational implementation strategy, a before-after qualitative design was used. The study was based on three focus group discussions. Two discussions were conducted before introducing the implementation strategy and one was conducted after. The participants consisted of five nurses and two specialist surgeons from a surgical department in Sweden. The focus group discussions revealed a variety of different attitudes and beliefs, which were analysed using qualitative systematic text condensation.

resultsBeliefs regarding palliative care were identified in seven areas; the importance of palliative care, working methods in palliative care, team collaboration in palliative care, collegial support, discussions about diagnosis, symptoms at the end of life, and families of patients in palliative care. Changes in beliefs were seen in all areas except one: team collaboration in palliative care.

conclusionIt is possible to change the beliefs of health care professionals in a surgical department regarding palliative care through the implementation of palliative knowledge. Beliefs were changed from an individual to a collective development where the group initiated a shared palliative working method. The changes observed were palliative care being described as more complex and participants differentiating between surgical care and palliative care.

Indexed as

Attitude of Health PersonnelPatients' RoomsAdultFemaleFocus GroupsHealth PersonnelHumansMalePalliative CareProgram EvaluationQualitative ResearchSwedenWorkforceFocus groupsGeneral surgeryHealth plan implementationPalliative carePalliative medicinePatient care teamQualitative research

Identifiers

PMID29282050
PMCPMC5745985
OpenAlexW2781000447

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.