Evidence map›Paper›PMID 39003463›Full record

ArticleBMC palliative care2024

Specialized expertise among healthcare professionals in palliative care - A scoping review.

Fleur Godrie, Ingrid van Zuilekom, Bregje Onwuteaka-Philipsen, Harmieke van Os-Medendorp, Linda Schoonmade, Suzanne Metselaar

Abstract readScoping Review
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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

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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

6 authors.

Fleur GodrieAmsterdamUMC Department of Ethics, Law and Humanities, Expertise Center for Palliative Care, Amsterdam, Hoofddorp, The Netherlands. f.m.godrie@amsterdamumc.nl.
Ingrid van ZuilekomAmsterdamUMC, Expertise Center for Palliative Care Research group Smart Health, School of Health Saxion, University of Applied Sciences, Amsterdam, Hoofddorp, The Netherlands.
Bregje Onwuteaka-PhilipsenAmsterdamUMC, Department Public and Occupational Health, Expertise Center for Palliative Care, Amsterdam, Hoofddorp, The Netherlands.
Harmieke van Os-MedendorpInholland University of Applied Sciences, Faculty of Health, Sports and Social Work, Amsterdam, The Netherlands & Spaarne Gasthuis Academy, Amsterdam, Hoofddorp, The Netherlands.
Linda SchoonmadeUniversity Library, Vrije Universiteit Amsterdam, Amsterdam, Hoofddorp, The Netherlands.
Suzanne MetselaarAmsterdamUMC Department of Ethics, Law and Humanities, Expertise Center for Palliative Care, Amsterdam, Hoofddorp, The Netherlands.

Funding

ZonMw 10200022110004
6 · The paper itself

Abstract

backgroundThe generalist-plus-specialist palliative care model is endorsed worldwide. In the Netherlands, the competencies and profile of the generalist provider of palliative care has been described on all professional levels in nursing and medicine. However, there is no clear description of what specialized expertise in palliative care entails, whereas this is important in order for generalists to know who they can consult in complex palliative care situations and for timely referral of patients to palliative care specialists.

objectiveTo gain insight in the roles and competencies attributed to palliative care specialists as opposed to generalists.

methodsA scoping review was completed based on PRISMA-ScR guidelines to explore the international literature on the role and competence description of specialist and expert care professionals in palliative care. Databases Embase.com, Medline (Ovid), CINAHL (Ebsco) and Web of Science Core Collection were consulted. The thirty-nine included articles were independently screened, reviewed and charted. Thematic codes were attached based on two main outcomes roles and competencies.

resultsFive roles were identified for the palliative care specialist: care provider, care consultant, educator, researcher and advocate. Leadership qualities are found to be pivotal for every role. The roles were further specified with competencies that emerged from the analysis. The title, roles and competencies attributed to the palliative care specialist can mostly be applied to both medical and nursing professionals. DISCUSSION: The roles and competencies derived from this scoping review correspond well with the seven fields of competence for medical/nursing professionals in health care of the CanMEDS guide. A specialist is not only distinguished from a generalist on patient-related care activities but also on an encompassing level. Clarity on what it entails to be a specialist is important for improving education and training for specialists.

conclusionThis scoping review adds to our understanding of what roles and competencies define the palliative care specialist. This is important to strengthen the position of the specialist and their added value to generalists in a generalist-plus-specialist model.

Indexed as

Clinical CompetenceHealth PersonnelPalliative CareHumansNetherlandsGeneralist-plus-specialist modelPalliative careProfessional competenciesSpecialized expertise in palliative care

Identifiers

PMID39003463
PMCPMC11245811

What OpenQuestion holds

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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.