Evidence map›Paper›PMID 30979774›Full record

ArticleCanadian family physician Medecin de famille canadien2019

Provision of comprehensive, culturally competent palliative care in the Qikiqtaaluk region of Nunavut: Health care providers' perspectives.

Daniel Vincent, Jill Rice, Jessica Chan, Pamela Grassau

Abstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
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

4 authors.

Daniel VincentFamily physician and Lecturer in the Division of Palliative Care in the Department of Medicine at the University of Ottawa in Ontario, and Medical Director of Hospice Care Ottawa. dvincent@toh.ca.
Jill RicePhysician and Chief in the Department of Palliative Care for Bruyère Continuing Care, member of the Bruyère Research Institute in Ottawa, Assistant Professor in the Division of Palliative Care in the Department of Medicine at the University of Ottawa, and Ontario Palliative Care Network Clinical Co-Lead (Champlain).
Jessica ChanResident in the Division of Radiation Oncology at the Ottawa Hospital.
Pamela GrassauAssistant Professor in the School of Social Work at Carleton University in Ottawa, Lecturer in the Division of Palliative Care in the Department of Medicine at the University of Ottawa, and Affiliated Investigator with the Bruyère Research Institute.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore health care providers' perceptions of the provision of palliative care in the Qikiqtaaluk (formerly known as Baffin) region of Nunavut.

designAn exploratory, qualitative, cross-sectional design using in-depth, semistructured interviews.

settingQikiqtaaluk region of Nunavut.

participantsSeven physicians and 6 registered nurses who worked in Iqaluit or other northern Inuit communities in the Qikiqtaaluk region of Nunavut.

methodsThirteen health care providers participated in in-person or telephone semistructured interviews, which were audiorecorded and transcribed verbatim. MAIN

findingsInterviews with the participating health care providers in the Qikiqtaaluk region of Nunavut revealed 5 complex and interwoven themes that influence the provision of comprehensive, culturally competent palliative care services to Indigenous patients: respecting Inuit culture, end-of-life care planning, and the role of family; recognizing the importance of the northern community (sense of home); being aware of the limited health care resources; recognizing the critical role of medical interpreters; and improving the quality of palliative care programs and resources, as well as health care provider training in palliative care and Inuit end-of-life care.

conclusionHealth care providers in the Qikiqtaaluk region of Nunavut have identified several important themes that influence the provision of culturally sensitive and comprehensive palliative care, most notably the need to develop palliative care resources and programs. It is hoped that the results of this study can be used to help guide palliative care strategies including program development and educational initiatives for health care providers. These initiatives can help build community capacity within a currently underserviced population and improve end-of-life care services available to Nunavut patients and their families. Further studies are required to determine the perspectives of medical interpreters, as well as palliative care patients and their families.

Indexed as

Attitude of Health PersonnelAdvance Care PlanningCross-Sectional StudiesCulturally Competent CareHumansInuitNunavutPalliative CareProfessional-Family RelationsQualitative Research

Identifiers

PMID30979774
PMCPMC6467661

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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.