Evidence map›Paper›PMID 37924037›Full record

ArticleBMC palliative care2023

Implementation of the Richmond Agitation-Sedation Scale (palliative version) on an inpatient palliative care unit.

Shirley H Bush, Katarzyna Bronicki, Michel Dionne, Natasha Lelievre, Peter G Lawlor, Monisha Kabir

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC palliative care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Trial
  2. 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.

Shirley H BushDepartment of Medicine, Division of Palliative Care, University of Ottawa, Ottawa, ON, Canada. sbush@bruyere.org.ORCID http://orcid.org/0000-0001-8907-1283
Katarzyna BronickiDepartment of Radiation Medicine, The Ottawa Hospital Cancer Centre, Ottawa, ON, Canada.ORCID http://orcid.org/0000-0003-0407-1183
Michel DionneDepartment of Medicine, Division of Palliative Care, University of Ottawa, Ottawa, ON, Canada.ORCID http://orcid.org/0000-0002-3328-9168
Natasha LelievreBruyère Research Institute, Ottawa, ON, Canada.ORCID http://orcid.org/0000-0003-3991-5008
Peter G LawlorDepartment of Medicine, Division of Palliative Care, University of Ottawa, Ottawa, ON, Canada.ORCID http://orcid.org/0000-0001-7319-1395
Monisha KabirBruyère Research Institute, Ottawa, ON, Canada.ORCID http://orcid.org/0000-0002-4456-7661

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Richmond Agitation-Sedation Scale - Palliative version (RASS-PAL) tool is a brief observational tool to quantify a patient's level of agitation or sedation. The objective of this study was to implement the RASS-PAL tool on an inpatient palliative care unit and evaluate the implementation process.

methodsQuality improvement implementation project using a short online RASS-PAL self-learning module and point-of-care tool. Participants were staff working on a 31-bed inpatient palliative care unit who completed the RASS-PAL self-learning module and online evaluation survey.

resultsThe self-learning module was completed by 49/50 (98%) of regular palliative care unit staff (nurses, physicians, allied health, and other palliative care unit staff). The completion rate of the self-learning module by both regular and casual palliative care unit staff was 63/77 (82%). The follow-up online evaluation survey was completed by 23/50 (46%) of respondents who regularly worked on the palliative care unit. Respondents agreed (14/26; 54%) or strongly agreed (10/26; 38%) that the self-learning module was implemented successfully, with 100% agreement that it was effective for their educational needs.

conclusionUsing an online self-learning module is an effective method to engage and educate interprofessional staff on the RASS-PAL tool as part of an implementation strategy.

Indexed as

Hospice and Palliative Care NursingPalliative CareHumansHypnotics and SedativesInpatientsIntensive Care UnitsHypnotics and SedativesEnd-of-life careImplementationPalliative carePalliative sedationRichmond Agitation-Sedation Scale (palliative version) – RASS-PALSelf-learning module

Identifiers

PMID37924037
PMCPMC10625230

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.