| Title |
Professionals’ perceptions and current practices of integrated palliative care in chronic heart failure and chronic obstructive pulmonary disease: a qualitative study in Belgium
|
|---|---|
| Published in |
BMC Palliative Care, August 2018
|
| DOI | 10.1186/s12904-018-0356-7 |
| Pubmed ID | |
| Authors |
N. Siouta, P. Clement, B. Aertgeerts, K. Van Beek, J. Menten |
| Abstract |
Patients with Chronic Heart Failure (CHF) and patients with Chronic Obstructive Pulmonary Disease (COPD) share similar symptom burden with cancer patients, however, they are unlikely to receive palliative care (PC) services. This article examines the perceptions of health care professionals and the current practices of integrated palliative care (IPC) in Belgium. Cardiologists and pulmonologists, working in primary care hospitals in Belgium, participated in this study with semi-structured interviews based on IPC indicators. One researcher collected, transcribed verbatim the interviews and carried out their thematic analysis. To increase the reliability of the coding, a second researcher coded a random 30% of the interviews. A total of 22 CHF/COPD specialists participated in the study. The results show that IPC and its potential benefits are viewed positively. A number of IPC components like the holistic approach (physical, psychological, social, spiritual aspects) via multidisciplinary teams, prognosis discussion and illness limitations, patient goals assessment, continuous goal adjustment, reduction of suffering and advanced care planning are partially implemented in several health centers. However, PC specialists are absent from such implementations and PC is still an end-of-life care. Misconceptions about PC and its association to death and end-of-life appear to be decisive factors for the exclusion of PC specialists and the late initiation of PC itself. The implementation of IPC components is not associated to PC, and as such, leads to suboptimal results. Improved education and enhanced communication is expected to alleviate existing challenges and thus improve the quality of life for the patients. |
X Demographics
The data shown below were collected from the profiles of 19 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Spain | 10 | 53% |
| Colombia | 1 | 5% |
| Venezuela, Bolivarian Republic of | 1 | 5% |
| Unknown | 7 | 37% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 16 | 84% |
| Scientists | 2 | 11% |
| Practitioners (doctors, other healthcare professionals) | 1 | 5% |
Mendeley readers
The data shown below were compiled from readership statistics for 200 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 200 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 39 | 20% |
| Student > Bachelor | 17 | 9% |
| Researcher | 14 | 7% |
| Student > Ph. D. Student | 14 | 7% |
| Unspecified | 9 | 5% |
| Other | 34 | 17% |
| Unknown | 73 | 37% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 45 | 23% |
| Medicine and Dentistry | 37 | 19% |
| Social Sciences | 9 | 5% |
| Unspecified | 9 | 5% |
| Psychology | 7 | 4% |
| Other | 17 | 9% |
| Unknown | 76 | 38% |
Attention Score in Context
This research output has an Altmetric Attention Score of 41. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 07 April 2019.
All research outputs
#874,034
of 23,100,534 outputs
Outputs from BMC Palliative Care
#41
of 1,259 outputs
Outputs of similar age
#20,521
of 334,198 outputs
Outputs of similar age from BMC Palliative Care
#2
of 21 outputs
Altmetric has tracked 23,100,534 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 96th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,259 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.5. This one has done particularly well, scoring higher than 96% of its peers.
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We're also able to compare this research output to 21 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 90% of its contemporaries.