Evidence map›Paper›PMID 32538311›Full record

ArticlePalliative medicine2020

The roles, responsibilities and practices of healthcare assistants in out-of-hours community palliative care: A systematic scoping review.

Anne Fee, Deborah Muldrew, Paul Slater, Sheila Payne, Sonja McIlfatrick, Tracey McConnell, Dori-Anne Finlay, Felicity Hasson

Abstract readScoping Review
In one paragraph

Article in Palliative medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 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.

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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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.

Anne FeeInstitute of Nursing and Health Research, Ulster University, Newtownabbey, UK.
Deborah MuldrewInstitute of Nursing and Health Research, Ulster University, Newtownabbey, UK.
Paul SlaterInstitute of Nursing and Health Research, Ulster University, Newtownabbey, UK.
Sheila PayneInternational Observatory on End of Life Care, Lancaster University, Lancaster, UK.ORCID 0000-0001-6982-9181
Sonja McIlfatrickInstitute of Nursing and Health Research, Ulster University, Newtownabbey, UK.ORCID 0000-0002-1010-4300
Tracey McConnellMarie Curie Hospice, Belfast, Belfast, UK.
Dori-Anne FinlayInstitute of Nursing and Health Research, Ulster University, Newtownabbey, UK.
Felicity HassonInstitute of Nursing and Health Research, Ulster University, Newtownabbey, UK.ORCID 0000-0002-8200-9732

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccess to community palliative care 'out-of-hours' - defined as care provided after the normal hours of work - is advocated globally. Healthcare assistants, who provide care under the direction of a qualified professional, are increasingly employed to help deliver such care, yet there is a little understanding regarding their role, responsibilities or contribution.

aimThe aim of this study was to identify the roles, responsibilities and contributions of healthcare assistants in out-of-hours community palliative care.

designScoping review. DATA SOURCES: Five bibliographic databases (CINAHL, MEDLINE, EMBASE, PsycINFO and Scopus) and grey literature were searched using a predefined search strategy. The review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews statement.

resultsThe search yielded six papers using quantitative, qualitative and mixed methods. Results highlighted a lack of recognition of the role and contribution of healthcare assistants. A concurrent theme was that healthcare assistants continually monitored and responded to patient's and family's physical and emotional needs; there was also self-reported evidence indicating patient and family benefit, such as maintaining a sense of normality and support to remain at home. DISCUSSION: This review highlighted a dearth of evidence relating to the healthcare assistant role in out-of-hours palliative care. Limited evidence suggests they play a role, but that it is hidden and undervalued. Such invisibility will have a significant impact on the planning and delivery of out-of-hours palliative care. Future research is needed on role development for the benefit of patients and caregivers.

Indexed as

After-Hours CareHospice and Palliative Care NursingAllied Health PersonnelCaregiversHumansPalliative Careadultafter-hourscommunityHealthcare assistanthome carepalliative carescoping review

Identifiers

PMID32538311
PMCPMC7448826

What OpenQuestion holds

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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.