Evidence map›Paper›PMID 32404166›Full record

ArticleBMC palliative care2020

Role of nurses in medication management at the end of life: a qualitative interview study.

Bregje A A Huisman, Eric C T Geijteman, Marianne K Dees, Noralie N Schonewille, Margriet Wieles, Lia van Zuylen, Karolina M Szadek, Agnes van der Heide

Open access · goldAbstract read
PubMed Full text at PMC Publisher
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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.5field-weighted citation impact, top 10% 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

9 citing papers in PubMed, 23 citations in OpenAlex.

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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

8 authors at 5 institutions in 1 country.

Bregje A A HuismanDepartment of Anesthesiology, Amsterdam UMC, Vrije Universiteit Amsterdam, De Boelelaan 1117, 1081 HV, Amsterdam, Netherlands. b.huisman@amsterdamumc.nl.ORCID http://orcid.org/0000-0003-0198-7620
Eric C T GeijtemanDepartment of Medical Oncology, Erasmus MC Cancer Institute, Rotterdam, Netherlands.
Marianne K DeesDepartment of Primary and Community Care, Radboud University Medical Center, Nijmegen, Netherlands.
Noralie N SchonewilleDepartment of Anesthesiology, Amsterdam UMC, Vrije Universiteit Amsterdam, De Boelelaan 1117, 1081 HV, Amsterdam, Netherlands.
Margriet WielesHospice Kuria, Amsterdam, Netherlands.
Lia van ZuylenDepartment of Medical Oncology, Erasmus MC Cancer Institute, Rotterdam, Netherlands.
Karolina M SzadekDepartment of Anesthesiology, Amsterdam UMC, Vrije Universiteit Amsterdam, De Boelelaan 1117, 1081 HV, Amsterdam, Netherlands.
Agnes van der HeideDepartment of Public Health, Erasmus University Medical Center, Rotterdam, Netherlands.
Amsterdam University Medical Centers · NLErasmus MC · NLErasmus MC Cancer Institute · NLOLVG · NLRadboud University Nijmegen · NL

Funding

ZonMw 80-82100-98-210
6 · The paper itself

Abstract

backgroundPatients in the last phase of their lives often use many medications. Physicians tend to lack awareness that reviewing the usefulness of medication at the end of patients' lives is important. The aim of this study is to gain insight into the perspectives of patients, informal caregivers, nurses and physicians on the role of nurses in medication management at the end of life.

methodsSemi-structured interviews were conducted with patients in the last phase of their lives, in hospitals, hospices and at home; and with their informal caregivers, nurses and physicians. Data were qualitatively analyzed using the constant comparative method.

resultsSeventy-six interviews were conducted, with 17 patients, 12 informal caregivers, 15 nurses, 20 (trainee) medical specialists and 12 family physicians. Participants agreed that the role of the nurse in medication management includes: 1) informing, 2) supporting, 3) representing and 4) involving the patient, their informal caregivers and physicians in medication management. Nurses have a particular role in continuity of care and proximity to the patient. They are expected to contribute to a multidimensional assessment and approach, which is important for promoting patients' interest in medication management at the end of life.

conclusionsWe found that nurses can and should play an important role in medication management at the end of life by informing, supporting, representing and involving all relevant parties. Physicians should appreciate nurses' input to optimize medication management in patients at the end of life. Health care professionals should recognize the role the nurses can have in promoting patients' interest in medication management at the end of life. Nurses should be reinforced by education and training to take up this role.

Indexed as

DeathAdultAgedAged, 80 and overAttitude of Health PersonnelFemaleHumansInterviews as TopicMaleMedication SystemsMiddle AgedNurse's RolePalliative CareQualitative ResearchDecision makingDrug therapyEnd-of-life careInterdisciplinary communicationInterviewMedication therapy managementNursingPalliative carePolypharmacy

Identifiers

PMID32404166
PMCPMC7222510
OpenAlexW3028463069

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.