Evidence map›Paper›PMID 41356120›Full record

ArticleHealth open research2024

Practices, issues and possibilities at the interface between geriatrics and palliative care (InGaP): A case study exemplifying knotworking.

Erica Borgstrom, Rebekah Schiff, Shaheen A Khan, Esther Hindley, Darmiga Thayabaran, Emily Savage, Nicholas Gough, Richard Holti

Abstract read
In one paragraph

Article in Health open research, 2024. 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. Review
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

8 authors.

Erica BorgstromSchool of Health, Wellbeing and Social Care, The Open University, Milton Keynes, Buckinghamshire, MK7 6AA, UK.ORCID https://orcid.org/0000-0002-1009-2928
Rebekah SchiffDepartment of Ageing and Health, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Shaheen A KhanPalliative Care Department, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Esther HindleyDepartment of Ageing and Health, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Darmiga ThayabaranDepartment of Ageing and Health, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Emily SavageDepartment of Palliative Care, Royal Sussex County Hospital, Univesity Hospital Sussex, Brighton, UK.
Nicholas GoughPalliative Care Department, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Richard HoltiFaculty of Business and Law, The Open University, Milton Keynes, Buckinghamshire, MK7 6AA, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: With the recognition of the need for palliative care for people with non-malignant conditions, there is an increasing emphasis on interdisciplinary working between geriatric and palliative care teams. This interdisciplinary work has evolved organically; more needs to be known about current working practices. This is of policy and clinical interest as the older patient population continues to grow. Methods: A case study based on qualitative interviews was undertaken of end-of-life care for older in-patients in a large London NHS Trust. 30 semi-structured qualitative interviews were conducted with staff from palliative care and geriatric medical and nursing teams, two with patients and five with carers. Questions covered: examples and perceptions of collaboration and patient/carer perceptions of clarity as to who was providing care. Interviews were transcribed and thematically analysed focusing on: examples of successful collaboration; areas of tension, duplication or confusion about responsibilities; and suggestions for future practice. Results: Participants were positive about collaboration. Examples of what works well include: the referral process to the palliative care team; inter-team communication and use of face-to-face handovers; unity between the teams when communicating with patients and families. Areas for potential development include: embedding palliative care within ward multidisciplinary team meetings; continual on-ward education given rotation of staff; and improving collaboration between palliative care, physiotherapy and occupational therapy. It is unclear whether patients' and carers' lack of awareness of the different teams has a detrimental effect on their care or needs. Conclusions: There is evidence of strong collaborative working between the teams; however, this study highlights potential areas for improvement. An exploration of these relationships in other settings is required to determine if the same themes arise with a view to inform national guidelines and policy to improve care towards the end of life.

Indexed as

collaborationend-of-life carefrailtygeriatric medicineintegrated careinterdisciplinary workingolder adultspalliative care

Identifiers

PMID41356120
PMCPMC12680095

What Socratic 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 Socratic graph.