Evidence map›Paper›PMID 42005534›Full record

ReviewInternational journal of nursing studies advances2026

Key characteristics of palliative care integration in intensive care units (ICUs): A scoping review.

Yvonne King, Peter May, Barbara Whyte, Eóin Tiernan, Anne-Marie Brady

Abstract readReview
In one paragraph

Review in International journal of nursing studies advances, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Yvonne KingTrinity Centre for Practice & Healthcare Innovation, School of Nursing and Midwifery, Trinity College Dublin, 24 D'Olier Street, Dublin 2, Ireland.
Peter MayCicely Saunders Institute of Palliative Care, Policy & Rehabilitation, Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, Kings College London.
Barbara WhyteSt Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
Eóin TiernanSt Vincent's University Hospital, Elm Park, Dublin 4, Ireland.
Anne-Marie BradyTrinity Centre for Practice & Healthcare Innovation, School of Nursing and Midwifery, Trinity College Dublin, 24 D'Olier Street, Dublin 2, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Intensive care units (ICUs) are increasingly managing patients with greater clinical complexity and life-limiting conditions. Systematic review evidence highlights that early palliative care, integrated alongside active treatment and not solely at end-of-life, can significantly improve outcomes for both patients and their families. Despite evidence on the effectiveness of palliative care integration models in the ICU setting, the specific characteristics for integration remain poorly articulated and insufficiently understood. Objectives: To systematically map key characteristics of palliative care integration models in adult ICUs. Eligibility criteria: We included integration models/frameworks for palliative care in adult ICUs and excluded studies that reported on stand-alone interventions. We limited the search to studies published from 2015, without restriction on study design or geographic location, to ensure a broad and inclusive review of global evidence. Sources of evidence: A comprehensive search was performed in July 2024 across six data bases: PsycINFO, CINAHL, Excerpta EMBASE, Cochrane Library, MEDLINE, and Web of Science in July 2024 Charting Methods: A data extraction table was used to extract relevant information from the included original research and review articles. Data were analysed using thematic analysis approach. Results: We screened 10,262 titles/abstracts, read 980 full-text articles, and ultimately included 60 publications in the final analysis. Thirty-five were original research studies and 25 were review articles, including four systematic reviews. Most research studies originated from the United States (n = 32), with one study each from India, Canada, and Singapore. We identified four key characteristics essential for integrating palliative care in the ICU including:1. Screening criteria: structured tools to identify patients who may benefit from early palliative care alongside ongoing treatment.2. Embedded daily practices: routines focused on symptom assessment, timely family meetings, and proactive palliative needs evaluation.3. Education and training: targeted programs to strengthen ICU clinicians' understanding of palliative care beyond end-of-life.4. Specialist palliative care collaboration Conclusion: This scoping review provides a comprehensive overview of key characteristics of models integrating palliative care into adult ICUs, informing development, implementation, standardisation, and policy decisions. Registration: Open Science Framework: DOI 10.17605/OSF.IO/CZS26.

Indexed as

Critical CareEnd-of-Life CareIntensive Care UnitsPalliative CareScoping Reviews

Identifiers

PMID42005534
PMCPMC13091130

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.