Evidence map›Paper›PMID 34794399›Full record

ArticleBMC palliative care2021

Challenges of paediatric palliative care in Romania: a focus groups study.

Nadia Pacurari, Eva De Clercq, Monica Dragomir, Anca Colita, Tenzin Wangmo, Bernice S Elger

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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

9 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. 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

6 authors at 3 institutions in 2 countries.

Nadia PacurariInstitute for Biomedical Ethics, University of Basel, Bernoullistrasse 28, 4056, Basel, CH, Switzerland.
Eva De ClercqInstitute for Biomedical Ethics, University of Basel, Bernoullistrasse 28, 4056, Basel, CH, Switzerland. Eva.declercq@unibas.ch.
Monica DragomirDepartment of Pediatric Oncology, The Institute of Oncology, Prof. Dr. Alexandru Trestioreanu, Bucharest, Romania.
Anca ColitaDepartment of Pediatric Hemato-Oncology & Bone Marrow Transplantation, Fundeni Clinical Institute, Bucharest, Romania.
Tenzin WangmoInstitute for Biomedical Ethics, University of Basel, Bernoullistrasse 28, 4056, Basel, CH, Switzerland.
Bernice S ElgerInstitute for Biomedical Ethics, University of Basel, Bernoullistrasse 28, 4056, Basel, CH, Switzerland.
University of Basel · CHInstitutul Clinic Fundeni · ROInstitutul Oncologic Bucuresti · RO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe availability of palliative care facilities for children vary considerably among the European member states. In Romania, a country where health expenditure is among the lowest in Europe, palliative care has been mainly provided by charitable organizations. Despite the high number of children needing palliative care, there is scant literature and research available on paediatric palliative care in Romania. The study explores the viewpoints of various paediatric oncology providers with regard to paediatric palliative care provision in Romania.

methodsFour mixed focus groups were conducted at four university-affiliated paediatric oncology centres located in three distinct Romanian regions (Bucuresti-llfov, Nord-Est and Nord-Vest). The focus groups were analyzed using thematic coding.

resultsFor many healthcare professionals, emotional burden inherent to the profession; unhealthy work-life balance and understaffing were among the biggest barriers to the successful integration of pediatric palliative care. The lack of staff was attributed to a shortage of financial resources, and to the persisting cultural stigma surrounding palliative care and oncology. Also political turmoil was identified as an important obstacle to palliative care implementation.

conclusionSignificant barriers persist limiting the broader implementation of pediatric palliative care in Romania. In order to render palliative care in pediatric oncology more sustainable, more attention should be paid to the mental health care of healthcare professionals working in this field, to the development of mobile palliative care services and to the emigration of skilled medical staff.

Indexed as

Hospice and Palliative Care NursingPalliative CareChildFocus GroupsHumansQualitative ResearchRomaniabarrierspaediatric oncologyPalliative carequalitative researchRomania

Identifiers

PMID34794399
PMCPMC8598931
OpenAlexW3211619245

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.