SynthesisIntensive care medicine2024
Implementing palliative care in the intensive care unit: a systematic review and mapping of knowledge to the implementation research logic model.
Synthesis in Intensive care medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- [Treatment and support for adults at the end of life in intensive care. A recommendation by the Ethics Section of DIVI and the German Society for Palliative Medicine. : Part 2: Therapeutic measures and support at the end of life in intensive care].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025Guideline
- Pooled it
- Five years of the Implementation Research Logic Model: a citation analysis and systematic scoping review of its use in implementation research and practice.Implementation science : IS · 2026Article
- Integrating end-of-life care into intensive care practice: Outcomes following Gold Standards Framework accreditation.Journal of the Intensive Care Society · 2026Article
- Implementing palliative care in intensive care units: assessing processes using the normalisation process theory NoMAD instrument.Implementation science communications · 2026Article
- Implementing palliative reasoning in multiprofessional palliative care: A participatory action research in the Netherlands.PloS one · 2026Article
- Documentation and evaluation of care of dying patients.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2025Article
- Review
- Early Detection of Palliative Care Needs in Critically Ill Patients Using the NECPAL Tool.Journal of clinical medicine · 2025Article
- Correspondence on "Implementing palliative care in the intensive care unit: a systematic review and mapping of knowledge to the implementation research logic model".Intensive care medicine · 2025Article
- Correspondence on "Implementing palliative care in the intensive care unit: a systematic review and mapping of knowledge to the implementation research logic model" Authors' reply.Intensive care medicine · 2025Article
- Adapting TeamSTEPPS for school mental health teams: development of an implementation research logic model.Frontiers in health services · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
purposeThe importance and effectiveness of palliative care (PC) in intensive care units (ICU) are known. Less is known about the implementation and integration of ICU-based PC interventions. This systematic review aims to use a modified implementation research logic model (IRLM) to identify, map, and synthesise evidence on implementation of ICU-PC (primary and/or specialist) interventions.
methodsThis systematic review used an adapted Smith's IRLM to understand relationships between implementation factors-determinants (barriers and facilitators), strategies, and mechanisms-and report intervention characteristics and outcomes. Searches up to 2nd December 2023, of MEDLINE, Embase, Cochrane, CINAHL, and PsycINFO, combined PC, intensive care, and implementation terms.
results84 studies (8 process evaluations, 76 effectiveness studies) were included. Published evidence on ICU-PC interventions is substantial, but reporting on implementation factors is variable and often lacking, especially for patient and family-related determinants and for all aspects of mechanisms. Main facilitators for implementation are adequate resources and collaboration between PC and ICU teams. Main barriers to implementation are lack of resources, negative perceptions of PC, and high ICU acuity. Implementation strategies include auditing resources, building stakeholder collaboratives, creating adaptable interventions, utilising champions, and supporting education. Mechanisms most commonly worked by facilitating collaborative working.
conclusionThis review provides recommendations for ICUs when designing (stakeholder involvement, ICU-PC collaboration, assessment of culture and resources); implementing (targeted and adapted strategies, champions, and education); and evaluating/reporting (collect effectiveness and implementation data, including mechanisms) ICU-PC interventions. Use of implementation structures and patient/family involvement are both needed and important to be included.
Indexed as
Identifiers
39266771What OpenQuestion holds
Registered trials
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.