SynthesisBMJ open2025
Barriers and facilitators to explore palliative care implementation in the ICU from tripartite perspectives: a qualitative systematic review and meta-aggregation.
Synthesis in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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
2 citing papers in PubMed.
- Palliative care involvement and use of critical care therapies in patients with advanced cancer: a multicenter retrospective cohort study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo synthesise qualitative studies on the experiences and perceptions of palliative care in the intensive care unit (ICU) among healthcare providers, patients and families.
designMeta-aggregation.
methodsPublished and unpublished literature from January 2025 was retrieved from MEDLINE (via PubMed), EMBASE, Cochrane Library, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Scopus, PsycINFO, Google Scholar and four Chinese databases (CNKI, WANGFANG DATA, Vip and Sinomed). The qualitative research population includes ICU healthcare providers, patients or their families. The Phenomenon of Interest (I) was to uncover the barriers and facilitators that influenced the implementation of palliative care in the ICU by collecting the perceptions of ICU healthcare providers, patients and family members about palliative care. Two reviewers independently screened, appraised and extracted data using Joanna Briggs Institute (JBI) tools; findings were graded as unequivocal, credible or not supported. Meta-aggregation followed the JBI three-step procedure.
resultsThe review incorporated 31 articles, yielding 534 findings with credibility ratings of 'unequivocal' or 'credible'. The findings were categorised into 10 themes and summarised into 5 key findings: (1) emotional management, (2) communication, (3) models of care, (4) environmental factors and resource availability and (5) education.
conclusionThe deployment of palliative care in the ICU is affected by elements concerning emotional management, communication practices, care models, resource allocation and staff training. Recommendations include enhancing multidisciplinary teamwork, improving emotional support and communication, optimising resource allocation and providing targeted training for healthcare professionals. Future research should focus on refining palliative care strategies tailored to different clinical environments. PROSPERO REGISTRATION NUMBER: CRD42025642572.
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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.