Evidence map›Paper›PMID 32197609›Full record

ArticleBMC palliative care2020

A phenomenological study of nurses experience about their palliative approach and their use of mobile palliative care teams in medical and surgical care units in France.

Agnès Oude Engberink, Maryse Mailly, Valerie Marco, Daniele Bourrie, Jean-Pierre Benezech, Josyane Chevallier, Sandrine Vanderhoeven, Remy Crosnier, Gérard Bourrel, Béatrice Lognos

Abstract read
In one paragraph

Article in BMC palliative care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. The chronic disease Self-Management Programme: A phenomenological study for empowering vulnerable patients with chronic diseases included in the EFFICHRONIC project.Health expectations : an international journal of public participation in health care and health policy · 2022
    Article
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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

10 authors.

Agnès Oude EngberinkUniversity of montpellier CEPS platform, site Saint Charles, 34000, Montpellier, France. agnes.oude-engberink@umontpellier.fr.ORCID http://orcid.org/0000-0002-7122-2626
Maryse MaillyMobile Palliative Care Team, CHU Montpellier, Montpellier, France.
Valerie MarcoDepartment of General Medecine, University of Montpellier, avenue du Doyen Gaston Giraud, 34000, Montpellier, France.
Daniele BourrieDepartment of General Medecine, University of Montpellier, avenue du Doyen Gaston Giraud, 34000, Montpellier, France.
Jean-Pierre BenezechDepartment of General Medecine, University of Montpellier, avenue du Doyen Gaston Giraud, 34000, Montpellier, France.
Josyane ChevallierMobile Palliative Care Team, CHU Montpellier, Montpellier, France.
Sandrine VanderhoevenDepartment of General Medecine, University of Montpellier, avenue du Doyen Gaston Giraud, 34000, Montpellier, France.
Remy CrosnierMobile Palliative Care Team, CHU Montpellier, Montpellier, France.
Gérard BourrelMaison de Santé Pluriprofessionnelle Universitaire Avicenne, 2 rue IBN Sinai dit Avicenne, 66330, Cabestany, France.
Béatrice LognosUniversity of montpellier CEPS platform, site Saint Charles, 34000, Montpellier, France.

Funding

FONDATION de FRANCE 30200 euros
6 · The paper itself

Abstract

backgroundDespite a broad consensus and recommendations, numerous international reports or studies have shown the difficulties of implementing palliative care within healthcare services. The objective of this study was to understand the palliative approach of registered nurses in hospital medical and surgical care units and their use of mobile palliative care teams.

methodsQualitative study using individual in depth semi-structured interviews and focus group of registered nurses. Data were analyzed using a semiopragmatic phenomenological analysis. Expert nurses of mobile palliative care team carried out this study. 20 registered nurses from three different hospitals in France agreed to participate.

resultsNurses recognize their role as being witnesses to the patient's experience through their constant presence. This is in line with their professional values and gives them an "alert role" that can anticipate a patient-centered palliative approach. The physician's positioning on palliative care plays a key role in its implementation. The lack of recognition of the individual role of the nurse leads to a questioning of her/his professional values, causing inappropriate behavior and distress. According to nurses, "rethinking care within a team environment" allows for the anticipation of a patient-centered palliative approach. Mobile Palliative Care Team highlights the major role of physicians-nurses "balance" while providing personal and professional support.

conclusionsThe Physician's positioning and attitude toward palliative approach sets the tone for its early implementation and determines the behavior of different staff members within healthcare service. "Recognition at work", specifically "recognition of the individual role of nurse" is an essential concept for understanding what causes the delay in the implementation of a palliative approach. Interprofessional training (physicians and nurses) could optimize sharing expertise. Registered nurses consider MPCT as a "facilitating intermediary" within the healthcare service improving communication. Restoring a balance in sharing care and decision between physicians and other caregivers lead care teams to an anticipated and patient-centered palliative approach according to guidelines.

Indexed as

AdultAttitude of Health PersonnelFemaleFranceHumansMaleMiddle AgedMobile Health UnitsNursesPalliative CarePatients' RoomsQualitative ResearchMobile palliative care teamPatient-centered palliative approachPhenomenologyPhysician nurse balanceRecognition at work

Identifiers

PMID32197609
PMCPMC7085140

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Registered trials

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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.