Evidence map›Paper›PMID 42137785›Full record

ReviewPalliative care and social practice2026

Towards quality indicators in palliative care education: An umbrella review.

Anna J Pedrosa, Ulla Näppä, Minna Hökkä, Jose Pereira, Piret Paal, Jan Kaňák, Gabija Jarašiūnaitė-Fedosejeva, Michael Connolly, John Ellershaw, Sabina Antoniu and 4 more

Abstract readReview
In one paragraph

Review 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. 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

14 authors.

Anna J PedrosaDepartment of Neurology, Faculty of Medicine, Philipps University of Marburg, Germany.ORCID https://orcid.org/0000-0002-4757-9019
Ulla NäppäMid Sweden University, Östersund, Sweden.ORCID https://orcid.org/0000-0003-3075-0833
Minna HökkäKajaani University of Applied Sciences, Finland.
Jose PereiraFaculty of Medicine and Institute for Culture and Society, University of Navarra, Pamplona, Spain.
Piret PaalDepartment of Ethnology, Institute of Cultural Research, University of Tartu, Estonia.
Jan KaňákDepartment of Sociology and Social Work, University of West Bohemia in Pilsen, Czech Republic.ORCID https://orcid.org/0000-0002-8980-7235
Gabija Jarašiūnaitė-FedosejevaDepartment of Psychology, Vytautas Magnus University, Kaunas, Lithuania.
Michael ConnollySchool of Nursing, Midwifery and Health Systems, University College Dublin, Ireland.
John EllershawPalliative Care Unit, University of Liverpool, UK.
Sabina AntoniuDepartment of Medicine II, University of Medicine and Pharmacy "Grigore T. Popa," Iasi, Romania.
Gulcan BagcivanCollege of Nursing and Health Sciences, University of Massachusetts Dartmouth, North Dartmouth, MA, USA.
Laura Ciria-SuarezICOnnecta't Digital Health Program, Catalan Institute of Oncology, L'Hospitalet de Llobregat, Spain.ORCID https://orcid.org/0000-0002-1388-6686
Stephen MasonPalliative Care Unit, University of Liverpool, UK.
Tania PastranaDepartment of Palliative Medicine, Medical Faculty, RWTH Aachen University, Germany.ORCID https://orcid.org/0000-0002-1294-9657

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The global need for palliative care is increasing. To respond effectively, all healthcare professionals who care for persons with serious illnesses should be trained to provide core palliative care. Despite increasing recognition of its importance, education remains inconsistently implemented. Objectives: To explore and identify the essential elements that define and support palliative care education, and to propose a preliminary typology of structural, process, and outcome quality indicators. Design: An umbrella review was conducted according to the Joanna Briggs Institute methodology. Data sources and methods: We systematically searched three electronic databases (CINAHL, MEDLINE, PsycInfo) for literature reviews on palliative care education. Data were analysed using a combined deductive-inductive qualitative approach. Results: Twenty-four reviews were included in the analysis. Seven structural indicators were identified relating to the training and duration of palliative care exposure, instructional format/delivery, contents, structured course development, involvement of local staff and experts, multidisciplinary and context-specific learning, and organisational support. Seven process indicators were identified, encompassing experiential learning, multi-modal approaches, reflective practice and emotional processing, group-based peer learning, embedded learning, flexibility, and feedback. Six outcome indicators were identified, including the enhancement of competencies, sustainability and long-term impact, validated tools for evaluation, participant satisfaction, integration into routine practices, and impact on patients and families. Conclusion: This umbrella review proposes an evidence-informed framework of potential quality indicators for palliative care education, offering guidance for curriculum design and policy development while identifying key areas requiring empirical refinement and validation.

Indexed as

educationindicatorspalliative careprofessional educationqualitytrainingumbrella review

Identifiers

PMID42137785
PMCPMC13167286

What OpenQuestion holds

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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.