Evidence map›Paper›PMID 34336279›Full record

ArticleCritical care research and practice2021

An Exploratory Investigation into the Roles of Critical Care Response Teams in End-of-Life Care.

Adrienne Kwong, Stephanie Chenail, Aimee Sarti, Laura H Thompson, Marlena Dang Nguyen, Kwadwo Kyeremanteng, Michael Hartwick

Open access · goldAbstract read
In one paragraph

Article in Critical care research and practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 42% 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

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

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 at 2 institutions in 1 country.

Adrienne KwongDivision of Palliative Care, The Ottawa Hospital, Ottawa, Canada.ORCID https://orcid.org/0000-0001-8618-2367
Stephanie ChenailInstitut du Savoir Montfort, Ottawa, Canada.
Aimee SartiDivision of Critical Care, The Ottawa Hospital, Ottawa, Canada.
Laura H ThompsonOttawa Hospital Research Institute, Ottawa, Canada.
Marlena Dang NguyenOttawa Hospital Research Institute, Ottawa, Canada.ORCID https://orcid.org/0000-0001-5218-6474
Kwadwo KyeremantengDivision of Critical Care, The Ottawa Hospital, Ottawa, Canada.
Michael HartwickDivision of Palliative Care, The Ottawa Hospital, Ottawa, Canada.
Ottawa Hospital · CAInstitut du Savoir Montfort · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCritical Care Response Teams (CCRTs) represent an important interface between end-of-life care (EOLC) and critical care medicine (CCM). The aim of this study was to explore the roles and interactions of CCRTs in the provision of EOLC from the perspective of CCRT members.

methodsTwelve registered nurses (RNs) and four respiratory therapists (RTs) took part in focus groups, and one-on-one interviews were conducted with six critical care physicians. Thematic coding using a modified constructivist grounded theory approach was used to identify emerging themes through an iterative process involving a four-member coding team.

resultsThree main perspectives were identified that spoke to CCRT interactions and perceptions of EOLC encounters. CCRT members felt that they provide a unique skill set of multidisciplinary expertise in treating critically ill patients and evaluating the utility of intensive care treatments. However, despite feeling that they possessed the skills and resources to deliver quality EOLC, CCRT members were ambivalent with respect to whether EOLC was a part of their mandate. Challenges were also identified that impacted the ability of CCRTs to deliver quality EOLC.

conclusionsThis research aids in understanding for the first time CCRT roles in EOLC from the perspectives of individual CCRT members themselves. While CCRTs provide unique multidisciplinary expertise to evaluate the utility of intensive care treatments, opportunities exist to support CCRTs in EOLC, such as dedicated EOLC training, protocols for advance care planning, documentation, and transitions to palliative care.

Identifiers

PMID34336279
PMCPMC8324371
OpenAlexW3187052580

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.