Evidence map›Paper›PMID 33020093›Full record

ArticleBMJ open2020

Information sharing challenges in end-of-life care: a qualitative study of patient, family and professional perspectives on the potential of an Electronic Palliative Care Co-ordination System.

Holly Standing, Rebecca Patterson, Mark Lee, Sonia Michelle Dalkin, Monique Lhussier, Angela Bate, Catherine Exley, Katie Brittain

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 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
1.3field-weighted citation impact, top 18% 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, 18 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 2 institutions in 1 country.

Holly StandingDepartment of Nursing, Midwifery and Health, Northumbria University, Newcastle upon Tyne, UK holly.standing@northumbria.ac.uk.ORCID 0000-0002-7806-8596
Rebecca PattersonResearch and Innovation Services, Northumbria University, Newcastle upon Tyne, UK.
Mark LeeSt Benedict's Hopsice and Specialist Palliative Care Centre, Sunderland, UK.
Sonia Michelle DalkinDepartment of Social Work, Education and Community Wellbeing, Northumbria University, Newcastle upon Tyne, UK.ORCID 0000-0002-3266-5926
Monique LhussierDepartment of Social Work, Education and Community Wellbeing, Northumbria University, Newcastle upon Tyne, UK.
Angela BateDepartment of Nursing, Midwifery and Health, Northumbria University, Newcastle upon Tyne, UK.
Catherine ExleyPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, Tyne and Wear, UK.
Katie BrittainPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, Tyne and Wear, UK.
Northumbria University · GBNewcastle University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo explore current challenges in interdisciplinary management of end-of-life care in the community and the potential of an Electronic Palliative Care Co-ordination System (EPaCCS) to facilitate the delivery of care that meets patient preferences.

designQualitative study using interviews and focus groups.

settingHealth and Social Care Services in the North of England.

participants71 participants, 62 health and social care professionals, 9 patients and family members.

resultsFour key themes were identified: information sharing challenges; information sharing systems; perceived benefits of an EPaCCS and barriers to use and requirements for an EPaCCS. Challenges in sharing information were a source of frustration for health and social care professionals as well as patients, and were suggested to result in inappropriate hospital admissions. Current systems were perceived by participants to not work well-paper advance care planning (ACP) documentation was often unavailable or inaccessible, meaning it could not be used to inform decision-making at the point of care. Participants acknowledged the benefits of an EPaCCS to facilitate information sharing; however, they also raised concerns about confidentiality, and availability of the increased time and resources required to access and maintain such a system.

conclusionsEPaCCS offer a potential solution to information sharing challenges in end-of-life care. However, our findings suggest that there are issues in the initiation and documentation of end-of-life discussions that must be addressed through investment in training in order to ensure that there is sufficient information regarding ACP to populate the system. There is a need for further qualitative research evaluating use of an EPaCCS, which explores benefits and challenges, uptake and reasons for disparities in use to better understand the potential utility and implications of such systems.

Indexed as

Palliative CareTerminal CareElectronicsEnglandHumansInformation DisseminationQualitative Researchinformation technologyorganisation of health servicespalliative carequalitative research

Identifiers

PMID33020093
PMCPMC7537426
OpenAlexW3090596315

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.