Evidence map›Paper›PMID 38291401›Full record

ArticleBMC palliative care2024

Improving end-of-life care for people with dementia: a mixed-methods study.

Zoi Triandafilidis, Sally Carr, Daneill Davis, Sarah Yeun-Sim Jeong, Jacinta Hensby, Daniel Wong, John Attia, Nicholas Goodwin

Abstract read
In one paragraph

Article in BMC palliative care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

8 authors.

Zoi TriandafilidisCentral Coast Research Institute, Gosford, NSW, Australia. zoi.triandafilidis@newcastle.edu.au.
Sally CarrCentral Coast Local Health District, Gosford, NSW, Australia.
Daneill DavisCentral Coast Local Health District, Gosford, NSW, Australia.
Sarah Yeun-Sim JeongCentral Coast Local Health District, Gosford, NSW, Australia.
Jacinta HensbyCentral Coast Local Health District, Gosford, NSW, Australia.
Daniel WongCentral Coast Local Health District, Gosford, NSW, Australia.
John AttiaUniversity of Newcastle, Newcastle, NSW, Australia.
Nicholas GoodwinCentral Coast Research Institute, Gosford, NSW, Australia. nick.goodwin@health.nsw.gov.au.

Funding

Department of Health and Aged Care, Australian Government Medical Research Future Fund (MRFF) as part of the Rapid Applied Research Translation Program
6 · The paper itself

Abstract

backgroundImproving palliative and end-of-life care for people with dementia is a growing priority globally. This study aimed to integrate multiple perspectives on end-of-life care for people with dementia and carers, to identify clinically relevant areas for improvement.

methodsThe mixed-methods study involved surveys, interviews, and workshops with two participant groups: healthcare professionals and carers (individuals who provided care and support to a family member or friend). Healthcare professionals were invited to complete an online adapted version of the Australian Commission on Safety and Quality in Health Care, End-of-Life Care Toolkit: Clinician Survey Questions. Carers completed a hard copy or online adapted version of the Views of Informal Carers-Evaluation of Services (Short form) (VOICES-SF) questionnaire. Interview schedules were semi-structured, and workshops followed a co-design format. Findings were integrated narratively using a weaving approach.

resultsFive areas in which we can improve care for people with dementia at the end of life, were identified: 1) Timely recognition of end of life; 2) Conversations about palliative care and end of life; 3) Information and support for people with dementia and carers; 4) Person-and-carer-centred care; 5) Accessing quality, coordinated care.

conclusionsThere are multiple areas where we can improve the quality of end-of-life care people with dementia receive. The findings demonstrate that the heterogeneous and challenging experiences of living with and caring for people with dementia necessitate a multidisciplinary, multifaceted approach to end-of-life care. The identified solutions, including care coordination, can guide local development of co-designed models of end-of-life care for people with dementia.

Indexed as

DementiaTerminal CareAustraliaCaregiversDeathHumansPalliative CareCare coordinationCarersDeath & dyingDementiaEnd of lifeHealthcare professionalsMixed-methodsNeeds-based carePalliative carePerson-centred

Identifiers

PMID38291401
PMCPMC10825990

What OpenQuestion holds

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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.