Evidence map›Paper›PMID 29972343›Full record

ArticlePalliative medicine2018

The palliative care knowledge of nursing home staff: The EU FP7 PACE cross-sectional survey in 322 nursing homes in six European countries.

Tinne Smets, Lara Pivodic, Ruth Piers, H Roeline W Pasman, Yvonne Engels, Katarzyna Szczerbińska, Marika Kylänen, Giovanni Gambassi, Sheila Payne, Luc Deliens and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Palliative medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 2 pooled it
14.9field-weighted citation impact, top 1% 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

47 citing papers in PubMed, 2 syntheses or guidelines pooled it, 123 citations in OpenAlex.

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  11. Advanced Care Plan Among Older Chinese in Residential Aged Care: A Retrospective Review.Journal of transcultural nursing : official journal of the Transcultural Nursing Society · 2025
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  12. Nursing Home Palliative Care Referral Process, Barriers, and Proposed Solutions: A Qualitative Study.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025
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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

11 authors at 8 institutions in 6 countries.

Tinne Smets1 Department of Family Medicine and Chronic Care, End-of-Life Care Research Group, Vrije Universiteit Brussel (VUB) and Ghent University, Brussels, Belgium.ORCID 0000-0003-1439-316X
Lara Pivodic1 Department of Family Medicine and Chronic Care, End-of-Life Care Research Group, Vrije Universiteit Brussel (VUB) and Ghent University, Brussels, Belgium.
Ruth Piers3 Department of Geriatric Medicine, Ghent University Hospital, Ghent, Belgium.
H Roeline W Pasman4 EMGO Institute for Health and Care Research, Expertise Center for Palliative Care, VU University Medical Center, Amsterdam, The Netherlands.ORCID 0000-0001-6856-2964
Yvonne Engels5 Radboud University Medical Center, IQ Healthcare, Nijmegen, The Netherlands.
Katarzyna Szczerbińska6 Unit for Research on Aging Society, Department of Sociology of Medicine, Epidemiology and Preventive Medicine Chair, Faculty of Medicine, Jagiellonian University Medical College, Krakow, Poland.
Marika Kylänen7 National Institute for Health and Welfare, Helsinki, Finland.
Giovanni Gambassi8 Università Cattolica del Sacro Cuoro, Rome, Italy.
Sheila Payne9 International Observatory on End-of-Life Care, Lancaster University, Lancaster, UK.ORCID 0000-0001-6982-9181
Luc Deliens1 Department of Family Medicine and Chronic Care, End-of-Life Care Research Group, Vrije Universiteit Brussel (VUB) and Ghent University, Brussels, Belgium.
Lieve Van den Block1 Department of Family Medicine and Chronic Care, End-of-Life Care Research Group, Vrije Universiteit Brussel (VUB) and Ghent University, Brussels, Belgium.
Vrije Universiteit Brussel · BEAmsterdam Public Health · NLFinnish Institute for Health and Welfare · FIGhent University Hospital · BEJagiellonian University · PLLancaster University · GBRadboud University Nijmegen · NLUniversità Cattolica del Sacro Cuore · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe provision of high-quality palliative care in nursing homes (NHs) is a major challenge and places demands on the knowledge and skills of the staff.

aimThis study assesses the palliative care knowledge of staff in NHs in Europe.

designCross-sectional study using structured survey Setting/participants: Nurses and care assistants working in 322 representative samples of NHs in Belgium, the Netherlands, England, Finland, Poland and Italy. Palliative care knowledge is measured with the Palliative Care Survey. Scores on the scales range between 0 and 1; higher scores indicate more knowledge.

resultsA total of 3392 NH-staff were given a questionnaire, and 2275 responded (67%). Knowledge of basic palliative care issues ranged between 0.20 in Poland (95% confidence interval (CI) 0.19; 0.24) and 0.61 in Belgium (95% CI 0.59; 0.63), knowledge of physical aspects that can contribute to pain ranged between 0.81 in Poland (95% CI 0.79; 0.84) and 0.91 in the Netherlands (95% CI 0.89; 0.93), and knowledge of psychological reasons that can contribute to pain ranged between 0.56 in England (95% CI 0.50; 0.62) and 0.87 in Finland (95% CI 0.83; 0.90). Factors associated with knowledge were country, professional role and having undertaken formal training in palliative care.

conclusionsKnowledge of nurses and care assistants concerning basic palliative care issues appears to be suboptimal in all participating countries, although there is substantial heterogeneity. Education of nursing staff needs to be improved across, but each country may require its own strategy to address the unique and specific knowledge gaps.

Indexed as

Health Knowledge, Attitudes, PracticeNursing HomesNursing StaffPalliative CareAdolescentAdultCross-Sectional StudiesEuropeFemaleHumansMaleMiddle AgedNeeds AssessmentSurveys and QuestionnairesYoung Adultcare homescross-sectional studiesend-of-life careNursing homesnursing staffpalliative care

Identifiers

PMID29972343
PMCPMC6158686
OpenAlexW2810840537

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.