Evidence map›Paper›PMID 31151438›Full record

ArticleBMC palliative care2019

Evaluation of person-centeredness in nursing homes after a palliative care intervention: pre- and post-test experimental design.

Christina Bökberg, Lina Behm, Birgitta Wallerstedt, Gerd Ahlström

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC palliative care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02708498 (Implementation of Knowledge-Based Palliative Care for Frail Older Persons in Nursing Homes), which is not on this map. Cited by 25 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 4 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.

NCT02708498 nacompletednot on this map

Implementation of Knowledge-Based Palliative Care for Frail Older Persons in Nursing Homes

TypeinterventionalSponsorLund UniversityRan2015 to 2017Enrolled1,151ConditionsAgeingArmsEducational Intervention
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  20. Next of kin's quality of life before and after implementation of a knowledge-based palliative care intervention in nursing homes.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2019
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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

4 authors.

Christina BökbergDepartment of Health Sciences, Faculty of Medicine, Lund University, P.O. Box 157, SE-221 00, Lund, Sweden. christina.bokberg@med.lu.se.ORCID http://orcid.org/0000-0002-0821-1959
Lina BehmDepartment of Health Sciences, Faculty of Medicine, Lund University, P.O. Box 157, SE-221 00, Lund, Sweden.
Birgitta WallerstedtDepartment of Health and Caring Sciences, Faculty of Health and Life Sciences, Centre for Collaborative Palliative Care Linnaeus University, Växjö, Sweden.
Gerd AhlströmDepartment of Health Sciences, Faculty of Medicine, Lund University, P.O. Box 157, SE-221 00, Lund, Sweden.

Funding

Greta och Johan Kocks stiftelser ..Gyllenstiernska Krapperupsstiftelsen ..Linnéuniversitetet ..Lunds stad ..Medicinska Fakulteten, Lunds Universitet ..Ribbingska Minnesfonden ..Vårdalstiftelsen 2014-0071Vetenskapsrådet VR 2014-2759
6 · The paper itself

Abstract

backgroundThe needs of care based on palliative principles are stressed for all people with progressive and/or life-limiting conditions, regardless of age and the place in which care is provided. Person-centred palliative care strives to make the whole person visible and prioritizes the satisfaction of spiritual, existential, social, and psychological needs to the same extent as physical needs. However, person-centred palliative care for older persons in nursing homes seems to be sparse, possibly because staff in nursing homes do not have sufficient knowledge, skills, and training in managing symptoms and other aspects of palliative care.

methodsThis study aimed to evaluate whether an educational intervention had any effect on the staff's perception of providing person-centred palliative care for older persons in nursing homes.

methodsA knowledge-based palliative care intervention consisting of five 2-h seminars during a 6-month period was implemented at 20 nursing homes in Sweden. In total, 365 staff members were participated, 167 in the intervention group and 198 in the control group. Data were collected using two questionnaires, the Person-centred Care Assessment Tool (P-CAT) and the Person-Centred Climate Questionnaire (PCQ-S), answered before (baseline) and 3 months after (follow-up) the educational intervention was completed. Descriptive, comparative, and univariate logistical regression analyses were performed.

resultsBoth the intervention group and the control group revealed high median scores in all subscales at baseline, except for the subscale amount of organizational and environmental support in the P-CAT. The staff's high rating level of person-centred care before the intervention provides limited space for further improvements at follow-up.

conclusionThis study shows that staff perceived that managers' and the organization's amount of support to them in their everyday work was the only area for improvement in order to maintain person-centred care. The experiences among staff are crucial knowledge in understanding how palliative care can be made person-centred in spite of often limited resources in nursing homes. The dose and intensity of education activities of the intervention model need to be tested in future research to develop the most effective implementation model.

trial registrationNCT02708498 . Date of registration 26 February 2016.

Indexed as

AdultAgedFemaleHumansMaleMiddle AgedNursing HomesPalliative CarePatient-Centered CareSurveys and QuestionnairesSwedenTeachingNursing homeOlder personsPalliative carePerson-centred careStaff education

Identifiers

PMID31151438
PMCPMC6543575

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.