Evidence map›Paper›PMID 33763991›Full record

ArticleJournal of renal care2022

Nurse-perceived facilitators and barriers to palliative care in patients with kidney disease: A European Delphi survey.

Ilaria de Barbieri, Veronica Strini, Helen Noble, Stefano Amatori, Davide Sisti

Open access · hybridAbstract read
In one paragraph

Article in Journal of renal care, 2022. 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
2.4field-weighted citation impact, top 12% 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

7 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. 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

5 authors at 3 institutions in 2 countries.

Ilaria de BarbieriDepartment of Health Professions, University Hospital of Padova, Padova, Italy.ORCID http://orcid.org/0000-0002-7006-0733
Veronica StriniProjects and Clinical Research Unit, University Hospital of Padova, Padova, Italy.
Helen NobleSchool of Nursing and Midwifery, Queens's University Belfast, Belfast, UK.
Stefano AmatoriDepartment of Biomolecular Sciences, Service of Biostatistics, University of Urbino Carlo Bo, Urbino, Italy.ORCID http://orcid.org/0000-0001-7497-755X
Davide SistiDepartment of Biomolecular Sciences, Service of Biostatistics, University of Urbino Carlo Bo, Urbino, Italy.
University of Padua · ITUniversity of Urbino · ITQueen's University Belfast · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe palliative care phenomenon is increasingly invested in all medicine and nursing fields, as care for people with kidney disease who do not wish to embark on dialysis: it encompasses a palliative approach to shared decision-making. To deliver patient-centred optimal care, nephrology healthcare staff should be knowledgeable about palliative care and the appropriate conservative management approach.

objectiveThis paper aimed to explore, using a Delphi survey, the barriers and facilitators to palliative care in patients with kidney disease.

designAn e-Delphi technique with three questionnaire rounds was performed; statements were generated using Likert scales. PARTICIPANTS AND MEASUREMENTS: A list of 80 statements related to palliative care in patients with kidney disease was divided into facilitators and barriers. Questionnaires were administered to 13 nephrology nurse experts in some European countries.

resultsSeven items were removed from the list of 80 statements after the first round of the Delphi study; eight items achieved a significant change of the mean between round two and three, whereas internal stability emerged in all the remaining items.

conclusionsSpecific training and education in palliative care emerged as a facilitator, as well as the role of spiritual and beliefs and the role of family and caregiver. The main barriers were represented by the differences in cultures, beliefs, and practices and by the lack of experience in the role of the staff in palliative care. These statements provide a platform for future research to improve palliative care practice in patients with kidney disease.

Indexed as

Kidney DiseasesPalliative CareCaregiversDelphi TechniqueHumansRenal Dialysisconservative managementDelphi studiesend-stage kidney diseasenursepalliative care

Identifiers

PMID33763991
PMCPMC9135123
OpenAlexW3136674107

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.