Evidence map›Paper›PMID 38918771›Full record

ArticleBMC palliative care2024

Understanding barriers and facilitators to palliative and end-of-life care research: a mixed method study of generalist and specialist health, social care, and research professionals.

Catherine Walshe, Lesley Dunleavy, Nancy Preston, Sheila Payne, John Ellershaw, Vanessa Taylor, Stephen Mason, Amara Callistus Nwosu, Amy Gadoud, Ruth Board and 6 more

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 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Key issues in palliative and supportive care research, policy and practice.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. 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

16 authors.

Catherine Walshe *International Observatory On End-of-Life Care, Division of Health Research, Faculty of Health and Medicine, Lancaster University, Lancaster, UK. c.walshe@lancaster.ac.uk.
Lesley Dunleavy *International Observatory On End-of-Life Care, Division of Health Research, Faculty of Health and Medicine, Lancaster University, Lancaster, UK.
Nancy PrestonInternational Observatory On End-of-Life Care, Division of Health Research, Faculty of Health and Medicine, Lancaster University, Lancaster, UK.
Sheila PayneInternational Observatory On End-of-Life Care, Division of Health Research, Faculty of Health and Medicine, Lancaster University, Lancaster, UK.
John EllershawLiverpool University, Liverpool, UK.
Vanessa TaylorUniversity of Huddersfield, Huddersfield, UK.
Stephen MasonLiverpool University, Liverpool, UK.
Amara Callistus NwosuLancaster Medical School, Lancaster University, Lancaster, UK.
Amy GadoudLancaster Medical School, Lancaster University, Lancaster, UK.
Ruth BoardLancashire Teaching Hospitals NHS Foundation Trust, Preston, UK.
Brooke SwashChester University, Chester, UK.
Seamus CoyleThe Clatterbridge Cancer Centre NHS Foundation Trust, Liverpool, UK.
Andrew DickmanLiverpool University Hospitals NHS Foundation Trust, Liverpool, UK.
Andrea PartridgeLancashire Teaching Hospitals NHS Foundation Trust, Preston, UK.
Jaime HalvorsenNIHR Clinical Research Network North West Coast, Liverpool, UK.
Nick Hulbert-WilliamsEdge Hill University, Ormskirk, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPalliative care provision should be driven by high quality research evidence. However, there are barriers to conducting research. Most research attention focuses on potential patient barriers; staff and organisational issues that affect research involvement are underexplored. The aim of this research is to understand professional and organisational facilitators and barriers to conducting palliative care research.

methodsA mixed methods study, using an open cross-sectional online survey, followed by working groups using nominal group techniques. Participants were professionals interested in palliative care research, working as generalist/specialist palliative care providers, or palliative care research staff across areas of North West England. Recruitment was via local health organisations, personal networks, and social media in 2022. Data were examined using descriptive statistics and content analysis.

resultsParticipants (survey n = 293, working groups n = 20) were mainly from clinical settings (71%) with 45% nurses and 45% working more than 10 years in palliative care. 75% were not active in research but 73% indicated a desire to increase research involvement. Key barriers included lack of organisational research culture and capacity (including prioritisation and available time); research knowledge (including skills/expertise and funding opportunities); research infrastructure (including collaborative opportunities across multiple organisations and governance challenges); and patient and public perceptions of research (including vulnerabilities and burdens). Key facilitators included dedicated research staff, and active research groups, collaborations, and networking opportunities.

conclusionsProfessionals working in palliative care are keen to be research active, but lack time, skills, and support to build research capabilities and collaborations. A shift in organisational culture is needed to enhance palliative care research capacity and collaborative opportunities across clinical and research settings.

Indexed as

Palliative CareTerminal CareAdultCross-Sectional StudiesEnglandFemaleHealth PersonnelHumansMaleMiddle AgedQualitative ResearchResearch PersonnelSurveys and QuestionnairesHealth Services ResearchHospicesMethodological StudiesPalliative carePalliative MedicineResearchResearch PrioritiesSurveys and Questionnaires

Identifiers

PMID38918771
PMCPMC11202245

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.