Evidence map›Paper›PMID 38637812›Full record

ArticleBMC palliative care2024

Continuous palliative sedation until death: a qualitative study of palliative care clinicians' experiences.

Alexandra Guité-Verret, Jessica Boivin, Andrew M R Hanna, James Downar, Shirley H Bush, Isabelle Marcoux, Diane Guay, Diane Tapp, Julie Lapenskie, Bruno Gagnon

Open access · goldAbstract 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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
7.6field-weighted citation impact, top 2% 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

6 citing papers in PubMed, 14 citations in OpenAlex.

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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

10 authors at 5 institutions in 2 countries.

Alexandra Guité-VerretDepartment of Psychology, Université du Québec à Montréal, Montréal, Canada.
Jessica BoivinRéseau Québécois de Recherche en Soins Palliatifs et de fin de vie, Québec, Canada.
Andrew M R HannaBruyère Research Institute, Ottawa, Canada.
James DownarBruyère Research Institute, Ottawa, Canada.
Shirley H BushBruyère Research Institute, Ottawa, Canada.
Isabelle MarcouxRéseau Québécois de Recherche en Soins Palliatifs et de fin de vie, Québec, Canada.
Diane GuayRéseau Québécois de Recherche en Soins Palliatifs et de fin de vie, Québec, Canada.
Diane TappRéseau Québécois de Recherche en Soins Palliatifs et de fin de vie, Québec, Canada.
Julie LapenskieBruyère Research Institute, Ottawa, Canada.
Bruno GagnonRéseau Québécois de Recherche en Soins Palliatifs et de fin de vie, Québec, Canada. gagnon.bruno@crchudequebec.ulaval.ca.
Bruyère · CACentre hospitalier de l'Université Laval · CAQuebec Network for Research on Aging · CAOttawa Hospital · CAUniversité de Sherbrooke · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe practice of continuous palliative sedation until death is the subject of much medical and ethical debate, which is reflected in the inconsistency that persists in the literature regarding the definition and indications of palliative sedation.

aimThis study aims to gain a better understanding of palliative care clinicians' experiences with continuous palliative sedation.

designWe conducted a qualitative study based on focus group discussions. SETTING/

participantsWe conducted six focus groups with a total of 28 palliative care clinicians (i.e., 15 nurses, 12 physicians, and 1 end-of-life doula) from diverse care settings across Canada, where assisted dying has recently been legalized.

resultsAn interpretative phenomenological analysis was used to consolidate the data into six key themes: responding to suffering; grappling with uncertainty; adapting care to ensure ongoing quality; grounding clinical practice in ethics; combining medical expertise, relational tact, and reflexivity; and offering an alternative to assisted death.

conclusionsInteraction with the patient's family, uncertainty about the patient's prognosis, the concurrent practice of assisted dying, and the treatment of existential suffering influence the quality of sedation and indicate a lack of clear palliative care guidelines. Nevertheless, clinicians exhibit a reflective and adaptive capacity that can facilitate good practice.

Indexed as

Deep SedationEuthanasiaTerminal CareFocus GroupsHumansPalliative CareQualitative ResearchAssisted dyingContinuous palliative sedationDeep sedationEnd-of-life careEuthanasiaMedical assistance in dyingPalliative careQualitative

Identifiers

PMID38637812
PMCPMC11027280
OpenAlexW4394932652

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.