ArticleCritical care (London, England)2024
Triggers of intensive care patients with palliative care needs from nurses' perspective: a mixed methods study.
Article in Critical care (London, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Assessing palliative care practices in intensive care units and interpreting them using the lens of appropriate care concepts. An umbrella review.Intensive care medicine · 2024Pooled it
- Specialist palliative care in different intensive care unit populations: a retrospective longitudinal study.BMC palliative care · 2026Article
- Article
- Development and validation of a prediction score for early identification of palliative care needs for patients in the intensive care unit: a multicentre retrospective cohort study.EClinicalMedicine · 2025Article
- Early Detection of Palliative Care Needs in Critically Ill Patients Using the NECPAL Tool.Journal of clinical medicine · 2025Article
- Analyzing the use of specialized palliative care in intensive care unit patients in Germany: a cross-sectional study.BMC palliative care · 2025Article
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Authors and funding
9 authors.
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Abstract
purposeTriggers have been developed internationally to identify intensive care patients with palliative care needs. Due to their work, nurses are close to the patient and their perspective should therefore be included. In this study, potential triggers were first identified and then a questionnaire was developed to analyse their acceptance among German intensive care nurses.
methodsFor the qualitative part of this mixed methods study, focus groups were conducted with intensive care nurses from different disciplines (surgery, neurosurgery, internal medicine), which were selected by convenience. Data were analysed using the "content-structuring content analysis" according to Kuckartz. For the quantitative study part, the thus identified triggers formed the basis for questionnaire items. The questionnaire was tested for comprehensibility in cognitive pretests and for feasibility in a pilot survey.
resultsIn the qualitative part six focus groups were conducted at four university hospitals. From the data four main categories (prognosis, interprofessional cooperation, relatives, patients) with three to 15 subcategories each could be identified. The nurses described situations requiring palliative care consults that related to the severity of the disease, the therapeutic course, communication within the team and between team and patient/relatives, and typical characteristics of patients and relatives. In addition, a professional conflict between nurses and physicians emerged. The questionnaire, which was developed after six cognitive interviews, consists of 32 items plus one open question. The pilot had a response rate of 76.7% (23/30), whereby 30 triggers were accepted with an agreement of ≥ 50%.
conclusionIntensive care nurses see various triggers, with interprofessional collaboration and the patient's prognosis playing a major role. The questionnaire can be used for further surveys, e.g. interprofessional triggers could be developed.
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