ArticleBMC palliative care2018
End-of-life situations in cardiology: a qualitative study of physicians' and nurses' experience in a large university hospital.
Article in BMC palliative care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 32 citations in OpenAlex.
- Emergency nurses' perspectives on advance care planning and their role in end-of-life decision-making: a focus group study.BMC nursing · 2026Article
- Palliative care for cardiovascular patients: comparison of the motives of referral by cardiologists and the actual care provided by the mobile palliative care team.European geriatric medicine · 2025Article
- Registered nurses' experiences of communication with patients after the end-of-life breakpoint communication: A pilot interview study.International journal of nursing studies advances · 2024Article
- Nurses' Insights and Experiences in Palliative Chemotherapy Care.Asian Pacific journal of cancer prevention : APJCP · 2024Article
- Criteria deemed important by ICU patients when designating a reference person.Journal of intensive medicine · 2022Article
- Understanding the surgeon's behaviour during robot-assisted surgery: protocol for the qualitative Behav'Robot study.BMJ open · 2022Article
- Article
- Building a telepalliative care strategy in nursing homes: a qualitative study with mobile palliative care teams.BMC palliative care · 2021Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundProfessional societies call for integration of end-of-life discussions early in the trajectory of heart failure, yet it remains unclear where current practices stand in relation to these recommendations. We sought to describe the perceptions and attitudes of caregivers in cardiology regarding end-of-life situations.
methodsWe performed a qualitative study using semi-directive interviews in the cardiology department of a university teaching hospital in France. Physicians, nurses and nurses' aides working full-time in the department at the time of the study were eligible. Participants were asked to describe how they experienced end-of-life situations. Interviews were recorded, transcribed and coded using thematic analysis to identify major and secondary themes.
resultsAll physicians (N = 16)(average age 43.5 ± 13 years), 16 nurses (average age 38.5 ± 7.6 years) and 5 nurses' aides (average age 49 ± 7.8 years) participated. Interviews were held between 30 March and 17 July 2017. The main themes to emerge from the physicians' discourse were the concept of cardiology being a very active discipline, and a very curative frame of mind was prevalent. Communication (with paramedical staff, patients and families) was deemed to be important. Advance directives were thought to be rare, and not especially useful. Nurses also reported communication as a major issue, but their form of communication is bounded by several factors (physicians' prior discourse, legislation). They commonly engage in reconciling: between the approach (curative or palliative) and the reality of the treatment prescribed; performing curative interventions in patients they deem to be dying cases causes them distress. The emergency context prevents nurses from taking the time necessary to engage in end-of-life discussions. They engage in comfort-giving behaviors to maximize patient comfort.
conclusionCurrent perceptions and practices vis-à-vis end-of-life situations in our department are individual, heterogeneous and not yet aligned with recommendations of professional societies.
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