Evidence map›Paper›PMID 35457710›Full record

ArticleInternational journal of environmental research and public health2022

Communication about Prognosis and End-of-Life in Heart Failure Care and Experiences Using a Heart Failure Question Prompt List.

Lisa Hjelmfors, Jan Mårtensson, Anna Strömberg, Anna Sandgren, Maria Friedrichsen, Tiny Jaarsma

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Optimizing the design and implementation of question prompt lists to support person-centred care: A scoping review.Health expectations : an international journal of public participation in health care and health policy · 2023
    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.

Lisa HjelmforsDepartment of Health Medicine and Caring Sciences, Linköping University, 581 83 Linköping, Sweden.
Jan MårtenssonDepartment of Nursing, School of Health and Welfare, Jönköping University, 551 11 Jönköping, Sweden.
Anna StrömbergDepartment of Health Medicine and Caring Sciences, Linköping University, 581 83 Linköping, Sweden.ORCID 0000-0002-4259-3671
Anna SandgrenCenter for Collaborative Palliative Care, Department of Health and Caring Sciences, Linnaeus University, 351 95 Växjö, Sweden.ORCID 0000-0002-3155-575X
Maria FriedrichsenPalliative Education & Research Centre, Vrinnevi Hospital, 601 82 Norrköping, Sweden.
Tiny JaarsmaDepartment of Health Medicine and Caring Sciences, Linköping University, 581 83 Linköping, Sweden.ORCID 0000-0002-4197-4026

Funding

Medical Research Council of South east of Sweden FORSS-645591
6 · The paper itself

Abstract

backgroundTo further advance the use of a heart-failure-specific question prompt list (HF-QPL) for communication about prognosis and end-of-life care, knowledge about such communication and the perceptions and experiences of professionals is needed.

objectives1. to describe health care professionals' perceptions of communication about prognosis and end-of-life in heart failure (HF) care, and 2. to describe their experiences of using a HF-QPL.

designA qualitative design that analyzed material from written assignments of nurses and physicians who were using a HF-QPL while participating in a communication course.

methodsFifteen health care professionals from different regions in the south of Sweden were included. The data were collected from course assignments on 1. their reflection on the suitable timepoint for talking about prognosis for the first time, 2. their reflection on the HF-QPL, and 3. their experiences of using the HF-QPL in clinical practice. Data were analyzed using thematic analysis.

resultsFive overarching themes were identified. The first theme was awareness of professional role responsibilities that described the recognition of different responsibilities in these conversations within the HF team. The second theme described the importance of being optimally prepared, and the third that confidence and skills are required to use the HF-QPL. The fourth theme described the HF-QPL as a bridge in the communication between professionals, patients, and family members. The fifth theme identified challenges using the HF-QPL in HF care.

conclusionsUsing a HF-QPL in HF care has the potential to start conversation and facilitate discussion about the HF trajectory.

Indexed as

Heart FailureTerminal CareCommunicationDeathHumansPhysician-Patient Relationsheart failurepalliative carequestion prompt list

Identifiers

PMID35457710
PMCPMC9025789

What OpenQuestion holds

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Registered trials

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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.