Evidence map›Paper›PMID 34193142›Full record

ArticleBMC palliative care2021

Perceptions of healthcare professionals towards palliative care in internal medicine wards: a cross-sectional survey.

Jason Tay, Scott Compton, Gillian Phua, Qingyuan Zhuang, Shirlyn Neo, Guozhang Lee, Limin Wijaya, Min Chiam, Natalie Woong, Lalit Krishna

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 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.9field-weighted citation impact, top 6% 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

14 citing papers in PubMed, 29 citations in OpenAlex.

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  9. Myélome multiple et approche palliative des soins : étude théorique ancrée dans la pratique.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2024
    Article
  10. The experiences of living with multiple myeloma and a palliative approach to care: A grounded theory study.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2024
    Article
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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

10 authors at 4 institutions in 2 countries.

Jason TayDepartment of Internal Medicine, Singapore General Hospital, Outram Rd, Singapore, 169608, Singapore.
Scott ComptonDuke-NUS Medical School, 8 College Road, Singapore, 169857, Singapore.
Gillian PhuaDivision of Supportive and Palliative Care, National Cancer Centre Singapore, 11 Hospital Crescent, Singapore, 169610, Singapore.
Qingyuan ZhuangDivision of Supportive and Palliative Care, National Cancer Centre Singapore, 11 Hospital Crescent, Singapore, 169610, Singapore.
Shirlyn NeoDivision of Supportive and Palliative Care, National Cancer Centre Singapore, 11 Hospital Crescent, Singapore, 169610, Singapore.
Guozhang LeeDepartment of Internal Medicine, Singapore General Hospital, Outram Rd, Singapore, 169608, Singapore.
Limin WijayaDuke-NUS Medical School, 8 College Road, Singapore, 169857, Singapore.
Min ChiamDivision of Cancer Education, National Cancer Centre Singapore, 11 Hospital Crescent, Singapore, 169610, Singapore. chiam.min@nccs.com.sg.ORCID http://orcid.org/0000-0003-0145-6256
Natalie WoongDepartment of Internal Medicine, Singapore General Hospital, Outram Rd, Singapore, 169608, Singapore.
Lalit KrishnaDuke-NUS Medical School, 8 College Road, Singapore, 169857, Singapore.
National Cancer Centre Singapore · SGSingapore General Hospital · SGDuke-NUS Medical School · SGUniversity of Liverpool · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe extension of palliative care services to meet the needs of patients with chronic non-malignant life-limiting conditions faces misconceptions amongst healthcare professionals. A study of prevailing perceptions of healthcare professionals on this wider palliative care service was thus conducted to identify current obstacles, guide the education of local healthcare professionals and improve service accessibility.

methodsA cross-sectional study was carried out at the Singapore General Hospital. An anonymised and close-ended online questionnaire was disseminated to 120 physicians and 500 nurses in the Department of Internal Medicine. The online survey tool focused on participant demographics; perceptions of palliative care and its perceived benefits; roles and indications; and attitudes and behaviours towards palliative care referrals.

resultsForty four physicians and 156 nurses suggested that care of terminally ill patients with chronic non-malignant life-limiting conditions are compromised by concerns over the role of palliative care in non-cancer care and lapses in their prognostication and communication skills. Respondents also raised concerns about their ability to confront sociocultural issues and introduce palliative care services to patients and their families.

conclusionsGaps in understanding and the ability of nurses and physicians to communicate end of life issues, introduce palliative care services to patients and their families and confront sociocultural issues suggest the need for a longitudinal training program. With similar concerns likely prevalent in other clinical settings within this island nation, a concerted national education program targeting obstacles surrounding effective palliative care should be considered.

Indexed as

Hospice and Palliative Care NursingTerminal CareAttitude of Health PersonnelCross-Sectional StudiesHumansPalliative CarePerceptionEducation and trainingEnd of lifeInternal medicineNursesPalliative carePalliative medicinePhysiciansQuality of life

Identifiers

PMID34193142
PMCPMC8247075
OpenAlexW3174412716

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.