Evidence map›Paper›PMID 35550117›Full record

ArticleBMC palliative care2022

Possible age-related differences in healthcare professionals' perspectives on younger and older patients' autonomy and decision-making in the context of sedation in specialised palliative care: exploratory secondary qualitative content and linguistic conversation analysis of interviews with healthcare professionals.

Sandra Kurkowski, Maria Heckel, Larissa Pfaller, Joachim Peters, Jeremias Bazata, Eva Schildmann, Christoph Ostgathe

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in BMC palliative care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.2field-weighted citation impact, top 22% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Sandra KurkowskiDepartment of Palliative Medicine, CCC Erlangen - EMN, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany. sandrakurkowski@web.de.
Maria HeckelDepartment of Palliative Medicine, CCC Erlangen - EMN, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany.
Larissa PfallerInstitute of Sociology, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.
Joachim PetersChair of German Linguistics, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.
Jeremias BazataDepartment of Palliative Medicine, University Hospital, LMU, Munich, Germany.
Eva SchildmannDepartment of Palliative Medicine, University Hospital, LMU, Munich, Germany.
Christoph OstgatheDepartment of Palliative Medicine, CCC Erlangen - EMN, Universitätsklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany.
Friedrich-Alexander-Universität Erlangen-Nürnberg · DELMU Klinikum · DELudwig-Maximilians-Universität München · DEUniversitätsklinikum Erlangen · DE

Funding

German Federal Ministry of Education and Research 01GY1702
6 · The paper itself

Abstract

backgroundChronic illnesses and multi-morbidity can threaten competence and independence, particularly in old age. Autonomy becomes increasingly important in the context of sedation, as in this case medication leads to (further) changes of consciousness. The study aimed to identify possible age-related differences in the perspectives of healthcare professionals on patients' autonomy, in the context of sedation in specialised palliative care.

methodSecondary analysis of interviews with healthcare professionals, analysed by qualitative content and linguistic conversation analysis. The interviews analysed span 51 healthcare professionals in specialised palliative care across 17 centres (adult inpatient and specialist palliative home care services) in Germany.

resultsThe study shows that the perspectives of healthcare professionals on patients' autonomy differs according to the age of the patient in the context of sedation in specialised palliative care. The different perspectives may lead to different ways of treating the patients, for example a greater space of autonomy and decision-making for younger patients.

conclusionIn particular, measures that may restrict consciousness (e.g. sedation) and thus influence patients' ability to fully exercise their autonomy and fully participate in decision-making require special attention by healthcare professionals with respect to possible influences on treatment, such as different perceptions by healthcare professionals based on the patient's age or age-related stereotypes.

trial registrationThe study "SedPall" is registered in the German Clinical Trials Register (ID: DRKS00015047 ).

Indexed as

Hospice and Palliative Care NursingPalliative CareAdultDelivery of Health CareHumansLinguisticsQualitative ResearchAgeAgeingAutonomyEnd of life careLinguistic conversation analysisPalliative careQualitative content analysis

Identifiers

PMID35550117
PMCPMC9101857
OpenAlexW4280498988

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.