Evidence map›Paper›PMID 39340180›Full record

ArticlePalliative medicine2024

Identification of core indicators for the integration of a palliative care approach in hospitals: An international Delphi study.

Mary Nevin, Sheila Payne, Valerie Smith

Abstract read
In one paragraph

Article in Palliative medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

3 authors.

Mary NevinSchool of Nursing, Psychotherapy and Community Health, Dublin City University, Dublin, Ireland.ORCID 0000-0002-5782-1913
Sheila PayneInternational Observatory on End of Life Care, Faculty of Health and Medicine, Lancaster University, Lancaster, UK.ORCID 0000-0001-6982-9181
Valerie SmithSchool of Nursing and Midwifery, University College Dublin, Belfield, Dublin, Ireland.ORCID 0000-0003-2249-6038

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealthcare providers working in hospitals have significant exposure to patients with palliative care needs. For many patients, these needs often reflect non-specialist rather than specialist palliative care needs. Embedding a palliative care approach in acute hospital-based care however is challenging.

aimTo identify core indicators for the integration of a palliative care approach in hospitals.

designA Delphi technique used three sequential online survey rounds. Preliminary indicators were identified in a concept analysis of a palliative care approach, and a systematic review of hospital-based healthcare providers' views of a palliative care approach.

participantsAn international expert panel of three key stakeholder groups (clinicians, researchers, patients/family members) participated in each Delphi round.

resultsThe Delphi participants were recruited from 12 countries; 97 individuals responded to round 1, 78 to round 2 and 72 to round 3 (74% overall response rate). Consensus was achieved (defined a priori as >70%) on 32 core indicators of a hospital-based palliative care approach, with five structural indicators (relating to infrastructure and governance), 21 organisational indicators (relating to clinical care processes) and six staff indicators (relating to training and support for healthcare providers).

conclusionsThis study offers multi-level guidance for clinical practice, policy and research related to integration of a palliative care approach in hospitals, based on evidence and international consensus from major stakeholder groups. These core indicators provide a means to assess, review and communicate the core elements of a palliative care approach in hospitals.

Indexed as

Delphi TechniquePalliative CareAdultFemaleHealth PersonnelHospitalsHumansInternationalityMaleMiddle AgedQuality Indicators, Health CareSurveys and QuestionnairesDelphi techniquePalliative carequestionnairesurveys

Identifiers

PMID39340180
PMCPMC11613522

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.