Evidence map›Paper›PMID 41684418›Full record

ArticlePalliative care and social practice2026

The dynamic of control: A qualitative analysis of the perspectives of patients and family members with palliative care needs on Emergency Medical Services.

Caleb Hanson Gage, Liz Gwyther, Willem Stassen

Abstract read
In one paragraph

Article in Palliative care and social practice, 2026. 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. Integrating emergency medical services and palliative care: A nominal group technique.African journal of primary health care & family medicine · 2025
    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.

Caleb Hanson GageDivision of Emergency Medicine, Faculty of Health Sciences, University of Cape Town, South Africa.ORCID https://orcid.org/0000-0001-7063-4007
Liz GwytherDivision of Interdisciplinary Palliative Care and Medicine, Faculty of Health Sciences University of Cape Town, South Africa.ORCID https://orcid.org/0000-0001-7602-6168
Willem StassenDivision of Emergency Medicine, Faculty of Health Sciences, University of Cape Town, South Africa.ORCID https://orcid.org/0000-0002-1486-4446

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Person-centred care requires interdisciplinary collaboration. Within palliative medicine, collaboration is further necessary to meet the increasing global demand for palliative care. One area of developing collaboration involves Emergency Medical Services. However, there remains a dearth of research exploring patient and family member perspectives on Emergency Medical Services in palliative situations. Objectives: To explore perspectives of South African patients and family members with palliative needs concerning Emergency Medical Services use in their care. Design: A qualitative design using individual semi-structured interviews was employed. Methods: Patients and family members with palliative care needs who had previously experienced Emergency Medical Services care for these needs were included. Verbatim transcriptions of interviews were subjected to thematic analysis with an inductive-dominant approach. Results: Ten interviews were conducted. One overarching theme, The Dynamic of Control, and three categories were developed: (1) Loss of control: Heavy burdens of living with chronic and end-of-life illness, (2) Maintaining control: Longings and exigencies in times of suffering, (3) Transferring control: Consequential emergency medical services influence on palliative situations. Conclusion: Understanding the Dynamics of Control in palliative situations is fundamental to the Emergency Medical Services' establishment of a person-centred approach in palliative situations. Practical developments that would allow this approach include alternative care pathways, on-scene information availability, and palliative care education. Including palliative care in Emergency Medical Services education may have benefits beyond improved palliative situation management, as it encourages a cultural shift towards person-centred care.

Indexed as

Emergency Medical Servicespalliative carepatient-centred carequalitative research

Identifiers

PMID41684418
PMCPMC12891414

What OpenQuestion holds

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LicenceCC BY-NC
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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.