Evidence map›Paper›PMID 31533807›Full record

ArticleScandinavian journal of trauma, resuscitation and emergency medicine2019

Palliative care in the emergency department as seen by providers and users: a qualitative study.

Silvia Di Leo, Sara Alquati, Cristina Autelitano, Massimo Costantini, Gianfranco Martucci, Francesco De Vincenzo, Beata Kuczynska, Alessandra Morini, Laura Trabucco, Raffaella Ursicelli and 2 more

Open access · goldAbstract read
In one paragraph

Article in Scandinavian journal of trauma, resuscitation and emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
5.5field-weighted citation impact, top 4% 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

16 citing papers in PubMed, 57 citations in OpenAlex.

  1. Article
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  4. Article
  5. Review
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  7. Article
  8. Mapping the future for research in emergency medicine palliative care: A research roadmap.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2022
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Palliative care in the emergency department during a COVID-19 pandemic.The American journal of emergency medicine · 2021
    Article
  14. Review
  15. Delivery of end-of-life care in an emergency department-based intensive care unit.Journal of the American College of Emergency Physicians open · 2020
    Article
  16. Review
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

12 authors at 2 institutions in 1 country.

Silvia Di LeoPsycho-oncology Unit, Azienda USL - IRCCS di Reggio Emilia, Reggio Emilia, Italy. silvia.dileo@ausl.re.it.
Sara AlquatiPalliative Care Unit, Azienda USL - IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Cristina AutelitanoPalliative Care Unit, Azienda USL - IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Massimo CostantiniScientific Directorate, Azienda USL - IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Gianfranco MartucciPalliative Care Unit, Azienda USL - IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Francesco De VincenzoPsycho-oncology Unit, Azienda USL - IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Beata KuczynskaDepartment of Emergency Medicine, Azienda USL - IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Alessandra MoriniDay Surgery, Azienda USL - IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Laura TrabuccoDepartment of Emergency Medicine, Azienda USL - IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Raffaella UrsicelliDepartment of Emergency Medicine, Azienda USL - IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Gianluca CataniaDepartment of Health Sciences, University of Genoa, Genova, Italy.
Luca GhirottoQualitative Research Unit, Azienda USL - IRCCS di Reggio Emilia, Reggio Emilia, Italy. luca.ghirotto@ausl.re.it.ORCID http://orcid.org/0000-0001-7632-1271
Azienda Sanitaria Unità Locale di Reggio Emilia · ITUniversity of Genoa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMuch effort has been made to explore how patients with advanced chronic illness and their families experience care when they attend the Emergency Department, and many studies have investigated how healthcare professionals perceive Palliative Care provision in the Emergency Department. Various models exist, but nonetheless incorporating palliative care into the Emergency Department remains challenging. Considering both healthcare professionals' and users' perspective on problems encountered in delivering and receiving appropriate palliative care within this context may provide important insight into meaningful targets for improvements in quality of care. Accordingly, this study aims at exploring issues in delivering palliative care in the Emergency Department from the perspective of both providers and users, as part of a larger project on the development and implementation of a quality improvement program in Italian Emergency Departments.

methodsA qualitative study involving focus group interviews with Emergency Department professionals and semi-structured interviews with patients with palliative care needs in the Emergency Department and their relatives was conducted. Both datasets were analyzed using Thematic Analysis.

resultsTwenty-one healthcare professionals, 6 patients and 5 relatives participated in this study. Five themes were identified: 1) shared priorities in Emergency Department among healthcare professionals and patients, 2) the information provided by healthcare professionals and that desired by relatives, 3) perception of environment and time, 4) limitations and barriers to the continuity of care, and 5) the contrasting interpretations of giving and receiving palliative care.

conclusionsThis study provides insights into targets for changes in Italian Emergency Departments. Room for improvement relates to training for healthcare professionals on palliative care, the development of a shared care pathway for patients with palliative care needs, and the optimization of Emergency Department environment. These targets will be the basis for the development of a quality improvement program in Italian Emergency Departments.

Indexed as

Attitude of Health PersonnelQualitative ResearchAgedAged, 80 and overChronic DiseaseEmergency Service, HospitalFemaleHealth PersonnelHumansMaleMiddle AgedPalliative CareEmergency DepartmentHealthcare professionalImprovement programPalliative CarePatientQualitative researchRelative

Identifiers

PMID31533807
PMCPMC6751856
OpenAlexW2973599677

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.