Evidence map›Paper›PMID 33775172›Full record

ArticlePalliative medicine2021

The benefits and challenges of embedding specialist palliative care teams within homeless hostels to enhance support and learning: Perspectives from palliative care teams and hostel staff.

Megan Armstrong, Caroline Shulman, Briony Hudson, Niamh Brophy, Julian Daley, Nigel Hewett, Patrick Stone

Abstract read
In one paragraph

Article in Palliative medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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

14 citing papers in PubMed.

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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

7 authors.

Megan ArmstrongPathway Charity, London, UK.ORCID 0000-0001-6773-9393
Caroline ShulmanPathway Charity, London, UK.
Briony HudsonMarie Curie, Vauxhall, London, UK.
Niamh BrophySt Ann's Hospice, Manchester, UK.
Julian DaleyPathway Charity, London, UK.
Nigel HewettPathway Charity, London, UK.ORCID 0000-0002-7049-9252
Patrick StoneMarie Curie Palliative Care Research Department, Division of Psychiatry, University College London, London, UK.

Funding

Marie Curie MCCC-FCH-18-UMarie Curie MCCC-FCO-11-U
6 · The paper itself

Abstract

backgroundPeople residing in UK homeless hostels experience extremely high rates of multi-morbidity, frailty and age-related conditions at a young age. However, they seldom receive palliative care with the burden of support falling to hostel staff.

aimTo evaluate a model embedding palliative specialists, trained as 'homelessness champions', into hostels for two half-days a month to provide support to staff and residents and facilitate a multidisciplinary approach to care.

designAn exploratory qualitative design. SETTING/

participantsFour homeless hostels in London, UK, including nine hostel managers/support staff and seven palliative care specialists (five nurses and two social workers).

resultsBenefits to introducing the model included: developing partnership working between hostel staff and palliative care specialists, developing a holistic palliative ethos within the hostels and improving how hostel staff seek support and connect with local external services. Challenges to implementation included limited time and resources, and barriers related to primary care.

conclusionThis is the first evaluation of embedding palliative care specialists within homeless hostels. Inequity in health and social care access was highlighted with evidence of benefit of this additional support for both hostel staff and residents. Considering COVID-19, future research should explore remote ways of working including providing in-reach support to homelessness services from a range of services and organisations.

Indexed as

COVID-19Ill-Housed PersonsHumansLondonPalliative CareSARS-CoV-2homelessnesshostelsPalliative carequalitative

Identifiers

PMID33775172
PMCPMC8189002

What OpenQuestion holds

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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.