Evidence map›Paper›PMID 31363078›Full record

SynthesisRevista espanola de salud publica2019

[Healthcare professionals' perceptions and confrontation at patients' end-of-life in emergency departments: A qualitative systematic review].

Daniel Vázquez-García, Marisa De-la-Rica-Escuín, Concepción Germán-Bes, Ana-Luisa Caballero-Navarro

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Revista espanola de salud publica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 29% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Observational
  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 at 1 institution in 1 country.

Daniel Vázquez-GarcíaDepartamento de Fisiatría y Enfermería. Universidad de Zaragoza. Zaragoza. España.
Marisa De-la-Rica-EscuínDepartamento de Fisiatría y Enfermería. Universidad de Zaragoza. Zaragoza. España.
Concepción Germán-BesDepartamento de Fisiatría y Enfermería. Universidad de Zaragoza. Zaragoza. España.
Ana-Luisa Caballero-NavarroDepartamento de Fisiatría y Enfermería. Universidad de Zaragoza. Zaragoza. España.
Universidad de Zaragoza · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEmergency services are specialized in population's severe illness care. However, the increasing trend of chronic patients which in some cases require of palliative care, has lead to a higher influx of this type of patients in emergency services, thus growing the rate of deaths consequently. How is this fact perceived by the health professionals and which strategies they count on to face patients' death? The aim of this work was to deeply review the perception and the strategies to face patients' death in the end-of-life (EOL) at emergency services.

methodsSystematic review of qualitative studies was made according to PRISMA statements. Research was performed in the following bibliographic databases: Pubmed, Web of Science, Scopus, EMBASE, CINAHL, VHL Regional portal, Cuiden, COCHRANE LIBRARY and JBI. Inclusion criteria were as follows: Physicians and Nurses with at least one year of working experience as health professionals, Pediatric care excluded. Methodological quality, data extraction and its inclusion process was made in agreement with the tools described in JBI.

resultsThe extracted findings were structured and added in 4 thematic categories: 1) Priority of professional attention according to the causes and origin of patient's death; 2) Environmental barriers in the department hindering attention at the EOL; 3) professionals' emotions dealing with patients' death; 4) Professional strategies dealing with patient' death.

conclusionsHealth care professionals (Physicians and nurses) face more efficiently patients' death when is caused by a critic disease than when is caused by chronic/palliative diseases. Environment and the lack of training have been identified as factors that difficult end-of-life attention in emergency services.

Indexed as

Attitude of Health PersonnelEmergency Service, HospitalHealth PersonnelAttentionEmergency Medical ServicesEmergency MedicineHumansNursesPhysiciansQualitative ResearchTerminal CareAttitude of health personnelAttitude to deathEmergency medical servicesEmergency service hospitalHospice and palliative care nursingHospice carePalliative medicineQualitative researchSpainTerminally ill

Identifiers

PMID31363078
PMCPMC11583049
OpenAlexW2987709674

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.