Evidence map›Paper›PMID 41385506›Full record

ArticlePloS one2025

Perspective of healthcare professionals on barriers and facilitators in exploring end-of-life care preferences of patients with pulmonary fibrosis: A qualitative study.

Lian Trapman, Lea M Dijksman, Jan C Grutters, Saskia C C M Teunissen, Everlien de Graaf

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Lian TrapmanInterstitial lung diseases Center of Excellence, member of European Reference Network-Lung, St Antonius Hospital, Nieuwegein, the Netherlands.ORCID https://orcid.org/0009-0000-3681-3140
Lea M DijksmanDepartment of Value-Based Healthcare, St Antonius Hospital, Nieuwegein, The Netherlands.
Jan C GruttersInterstitial lung diseases Center of Excellence, member of European Reference Network-Lung, St Antonius Hospital, Nieuwegein, the Netherlands.
Saskia C C M TeunissenCenter of Expertise Palliative Care Utrecht, Julius Center for Healthcare Sciences and Primary Care, Department of General Practice, University Medical Center Utrecht, Utrecht, The Netherlands.
Everlien de GraafCenter of Expertise Palliative Care Utrecht, Julius Center for Healthcare Sciences and Primary Care, Department of General Practice, University Medical Center Utrecht, Utrecht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProgressive pulmonary fibrosis is a lethal disease with a survival of 3-5 years with optimal medication treatment. Palliative care and advance care planning are therefore receiving increasing attention in the literature. However, structural implementation in clinical practice is still lacking. The aim of this study was to explore the needs, facilitators, and barriers for communication on the topic of end-of-life preferences of patients from the perspective of healthcare professionals.

methodsA generic qualitative study was performed with focus groups and individual semi structured interviews with healthcare professionals. Data collection and analysis were performed iteratively. A thematic analysis was performed, following the methods of Braun and Clarke.

resultsThree focus groups and seven individual semi-structured interviews were conducted. Three themes were generated: (1) a lack of vision on palliative care, resulting in different approaches within the same clinic and showing the need for optimization of collaboration; (2) the importance of a learning-driven environment to support healthcare professionals skills and knowledge; and (3), the central role of the individual professional in developing skills and knowledge. CONCLUSIONS/DISCUSSION: This study underscores the importance of behavioral and organizational change in palliative care to optimize conversations exploring values, preferences, and needs for end-of-life care for patients with pulmonary fibrosis. Leveraging the shared motivation of healthcare professionals to provide optimal care, integrating these findings into training and coaching programs can further enhance patient-centered approach in palliative care.

Indexed as

Health PersonnelPatient PreferencePulmonary FibrosisTerminal CareAdultAdvance Care PlanningAgedFemaleFocus GroupsHumansMaleMiddle AgedPalliative CareQualitative Research

Identifiers

PMID41385506
PMCPMC12700373

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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.