EB002 Research Methodology
Student Name
Western Governors University
D031 Advancing Evidence-Based Innovation in Nursing Practice
Prof. Name:
Date
Early Referral to a Palliative Team Improves End-of-Life Care Among Gynecological Cancer Patients: A Retrospective, Population-Based Study
Paulsen, T., Liland, H., Myklebust, T. Å., & Lindemann, K. (2022, February 1). International Journal of Gynecologic Cancer. Retrieved September 17, 2022, from https://ijgc.bmj.com/content/32/2/181
Health Professionals’ Perceived Concerns and Challenges in Providing End-of-Life Care: A Qualitative Study
Price, D. M., Strodtman, L. K., Montagnini, M., Smith, H. M., & Ghosh, B. (2018, November 21). SAGE Journals. Retrieved September 17, 2022, from https://journals.sagepub.com/doi/10.1177/1049909118812193?icid=int.sj-full
Effect of Hospice Care on Quality Indicators of End-of-Life Care Among Patients With Liver Cancer: A National Longitudinal Population-Based Study in Taiwan
Kao, Y.-H., & Chiang, J.-K. (2015, August 19). BMC Palliative Care. Retrieved September 17, 2022, from https://doi.org/10.1186/s12904-015-0036-9
The Earlier the Better: The Role of Palliative Care Consultation on Aggressive End of Life Care, Hospice Utilization, and Advance Care Planning Documentation Among Gynecologic Oncology Patients
Schneiter, M. K., Karlekar, M. B., Crispens, M. A., Prescott, L. S., & Brown, A. J. (2019, May 1). Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer. Retrieved September 18, 2022, from https://pubmed.ncbi.nlm.nih.gov/30209601/
Why Were These Articles Selected and How Do They Relate to the Clinical Issue?
These studies were carefully selected because they offer comprehensive perspectives on end-of-life care, particularly focusing on the timely involvement of palliative care for patients with terminal illnesses such as gynecological and liver cancers. The articles collectively highlight the importance of early referral to palliative teams, which has been shown to significantly enhance patients’ quality of life and the overall quality of care provided in their final stages.
The studies further discuss barriers and challenges faced by healthcare professionals in administering end-of-life care, along with the measurable benefits of hospice and palliative care services. Together, these articles contribute essential evidence that supports policy development and clinical guidelines aimed at optimizing care for patients with life-limiting conditions.
What Research Methodologies Were Employed in These Studies?
| Study | Research Design | Methodology Characteristics |
|---|---|---|
| Paulsen et al. (2022) | Retrospective Population-Based | Utilized a broad population registry in Oslo for comprehensive data collection. |
| Price et al. (2018) | Qualitative Thematic Analysis | Conducted interviews/focus groups with health professionals, analyzing themes around care challenges. |
| Kao & Chiang (2015) | Quantitative Longitudinal | Analyzed national health insurance data from Taiwan to assess hospice care impacts over time. |
| Schneiter et al. (2019) | Retrospective Chart Review | Reviewed clinical records to evaluate timing of palliative care consultations and associated outcomes. |
What Are the Strengths of Each Research Methodology?
Each study’s design offers unique advantages:
Paulsen et al. (2022): The population-based approach allowed for a comprehensive and unbiased view of care outcomes, leveraging complete datasets from a defined geographical area, thus improving generalizability.
Price et al. (2018): The qualitative approach with thematic analysis enabled deep insight into the subjective experiences and concerns of healthcare providers, strengthening the understanding of practical barriers in end-of-life care.
Kao & Chiang (2015): The large, longitudinal dataset provided a robust statistical foundation to detect trends and outcomes related to hospice care quality indicators over an extended period.
Schneiter et al. (2019): Utilizing detailed clinical documentation from established palliative care teams ensured accuracy in measuring consultation timing and its effects on aggressive care and hospice utilization.
Enhanced Insights into Early Palliative Care Referral and End-of-Life Care Quality
Early referral to palliative care teams has demonstrated significant positive impacts on both clinical outcomes and patient experiences in terminal gynecological cancer cases (Paulsen et al., 2022). By addressing symptom management, psychosocial support, and advance care planning proactively, healthcare providers can reduce unnecessary aggressive treatments near the end of life and enhance comfort.
Similarly, studies reveal that healthcare professionals face considerable challenges including emotional strain, resource limitations, and communication barriers when providing end-of-life care (Price et al., 2018). Understanding these concerns is critical to designing supportive interventions for the care team.
In liver cancer patients, hospice care has been shown to improve key quality indicators such as symptom control, reduced hospital admissions, and better documentation of patient preferences (Kao & Chiang, 2015). These outcomes emphasize the role of hospice services as an integral component of comprehensive cancer care.
Schneiter et al. (2019) highlight that earlier palliative consultations correlate with decreased aggressive interventions, higher hospice use, and more consistent advance care planning documentation, underscoring the value of timely palliative engagement.
Summary Table: Key Findings and Contributions
| Study | Key Findings | Clinical Implications |
|---|---|---|
| Paulsen et al. (2022) | Early palliative referral improves symptom management and care quality | Supports integrating palliative teams early in treatment trajectory |
| Price et al. (2018) | Identified healthcare provider challenges in delivering end-of-life care | Highlights need for training and support systems |
| Kao & Chiang (2015) | Hospice care improves quality indicators and reduces aggressive care | Encourages wider hospice utilization and policy support |
| Schneiter et al. (2019) | Early palliative consultation reduces aggressive care and increases advance care planning | Reinforces timing importance in palliative care referral |
References
Kao, Y.-H., & Chiang, J.-K. (2015, August 19). Effect of hospice care on quality indicators of end-of-life care among patients with liver cancer: A national longitudinal population-based study in Taiwan 2000–2011. BMC Palliative Care. https://doi.org/10.1186/s12904-015-0036-9
Paulsen, T., Liland, H., Myklebust, T. Å., & Lindemann, K. (2022, February 1). Early referral to a palliative team improves end-of-life care among gynecological cancer patients: A retrospective, population-based study. International Journal of Gynecologic Cancer. https://ijgc.bmj.com/content/32/2/181
EB002 Research Methodology
Price, D. M., Strodtman, L. K., Montagnini, M., Smith, H. M., & Ghosh, B. (2018, November 21). Health professionals’ perceived concerns and challenges in providing end-of-life care: A qualitative study. The American Journal of Hospice & Palliative Care. https://journals.sagepub.com/doi/10.1177/1049909118812193?icid=int.sj-full
Schneiter, M. K., Karlekar, M. B., Crispens, M. A., Prescott, L. S., & Brown, A. J. (2019, May 1). The earlier the better: The role of palliative care consultation on aggressive end-of-life care, hospice utilization, and advance care planning documentation among gynecologic oncology patients. Supportive Care in Cancer. https://pubmed.ncbi.nlm.nih.gov/30209601/
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