Evidence map›Paper›PMID 33435954›Full record

ArticleBMC palliative care2021

Challenges for palliative care day services: a focus group study.

Felicity Hasson, Joanne Jordan, Laurie McKibben, Lisa Graham-Wisener, Anne Finucane, Kathy Armour, Shazia Zafar, Alistair Hewison, Kevin Brazil, W George Kernohan

Open access · goldAbstract read
In one paragraph

Article in BMC palliative care, 2021. 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
4.5field-weighted citation impact, top 5% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Optimizing hospice care: A scoping review of staffing strategies to enhance practice.International journal of nursing studies advances · 2026
    Review
  3. Article
  4. Establishment of Integrated Hospital-Based Supportive and Palliative Services: An Experience from Iran.International journal of hematology-oncology and stem cell research · 2026
    Review
  5. Observational
  6. Article
  7. Article
  8. 'When a patient chooses to die at home, that's what they want… comfort, home': Brilliance in community-based palliative care nursing.Health expectations : an international journal of public participation in health care and health policy · 2023
    Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
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 at 4 institutions in 1 country.

Felicity HassonUlster University, Institute of Nursing and Health Research, Shore Road, Newtownabbey, BT37 0QB, Northern Ireland. f.hasson@ulster.ac.uk.ORCID http://orcid.org/0000-0002-8200-9732
Joanne JordanUlster University, Institute of Nursing and Health Research, Shore Road, Newtownabbey, BT37 0QB, Northern Ireland.
Laurie McKibbenUlster University, Institute of Nursing and Health Research, Shore Road, Newtownabbey, BT37 0QB, Northern Ireland.ORCID https://orcid.org/0000-0002-6066-3557
Lisa Graham-WisenerSchool of Psychology, Queen's University Belfast, Belfast, BT7 1NN, Northern Ireland.ORCID https://orcid.org/0000-0001-6311-4978
Anne FinucaneMarie Curie Hospice, Frogston Road West, Edinburgh, EH10 7DR, Scotland.
Kathy ArmourMarie Curie Hospice, Marsh Lane Solihull, West Midlands, B91 2PQ, England.
Shazia ZafarUniversity of Birmingham, Institute of Clinical Sciences, School of Nursing, College of Medical & Dental Services, Birmingham, BT15 2TT, England.ORCID https://orcid.org/0000-0002-0448-8993
Alistair HewisonUniversity of Birmingham, Institute of Clinical Sciences, School of Nursing, College of Medical & Dental Services, Birmingham, BT15 2TT, England.ORCID https://orcid.org/0000-0002-8508-1967
Kevin BrazilSchool of Nursing and Midwifery Centre for Evidence and Social Innovation, Queens University, Belfast, BT7 1NN, Northern Ireland.ORCID https://orcid.org/0000-0003-2640-9413
W George KernohanUlster University, Institute of Nursing and Health Research, Shore Road, Newtownabbey, BT37 0QB, Northern Ireland.ORCID https://orcid.org/0000-0002-1309-446X
University of Ulster · GBMarie Curie Hospice · GBUniversity of Birmingham · GBQueen's University Belfast · GB

Funding

Marie Curie C38861/A17114Marie Curie MCCC-RP-14-A17114
6 · The paper itself

Abstract

backgroundPalliative care day services provide a safe environment for people with palliative care needs, enabling them to access a range of services while acting as a respite services for family caregivers. Viewed as marginal services, they are often under resourced and under researched. The aim of this study was to understand how palliative day care services contribute to client care from the perspective of management and hospice multidisciplinary teams.

methodsA descriptive qualitative study, using six focus groups conducted with staff at three United Kingdom hospices in England, Scotland and Northern Ireland. Thirty-five participants were recruited, including management and staff. Discussions were transcribed and analysed thematically.

resultsFour key themes emerged: (1) variations of care, beyond heterogeneity of patients; (2) unclear referrals and inconsistent patient population; (3) recognising strengths and challenges and (4) an uncertain future. A major focus of group discussions was the model of care and the benefits of the service, however the importance of demonstrating services' effectiveness and value for money was highlighted.

conclusionsManagement and hospice staff believed day-services to be a helpful introduction to palliative care, providing both social and medical support. Economic pressures and patient demand were influencing them to move from a social model to a hybrid model. Further research is needed to understand the effectiveness of the service.

Indexed as

Day Care, MedicalHealth PersonnelHospicesPalliative CareRespite CareAllied Health PersonnelCaregiversDelivery of Health CareFocus GroupsHealth Services AccessibilityHumansNurse AdministratorsNursesQualitative ResearchReferral and ConsultationUnited KingdomDay careHospice programPalliative careQualitative research

Identifiers

PMID33435954
PMCPMC7802306
OpenAlexW3120855512

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.