Related Experiment Video
Updated: Sep 10, 2025
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Barriers and facilitators to explore palliative care implementation in the ICU from tripartite perspectives: a
Yuting Shen1, Hui Xu2,3, Yinghui Zou3
1China Medical University, Shenyang, Liaoning, China.
Objective:
To synthesise qualitative studies on the experiences and perceptions of palliative care in the intensive care unit (ICU) among healthcare providers, patients and families.
Design:
Meta-aggregation.
Methods:
Published and unpublished literature from January 2025 was retrieved from MEDLINE (via PubMed), EMBASE, Cochrane Library, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Scopus, PsycINFO, Google Scholar and four Chinese databases (CNKI, WANGFANG DATA, Vip and Sinomed). The qualitative research population includes ICU healthcare providers, patients or their families. The Phenomenon of Interest (I) was to uncover the barriers and facilitators that influenced the implementation of palliative care in the ICU by collecting the perceptions of ICU healthcare providers, patients and family members about palliative care. Two reviewers independently screened, appraised and extracted data using Joanna Briggs Institute (JBI) tools; findings were graded as unequivocal, credible or not supported. Meta-aggregation followed the JBI three-step procedure.
Results:
The review incorporated 31 articles, yielding 534 findings with credibility ratings of 'unequivocal' or 'credible'. The findings were categorised into 10 themes and summarised into 5 key findings: (1) emotional management, (2) communication, (3) models of care, (4) environmental factors and resource availability and (5) education.
Conclusion:
The deployment of palliative care in the ICU is affected by elements concerning emotional management, communication practices, care models, resource allocation and staff training. Recommendations include enhancing multidisciplinary teamwork, improving emotional support and communication, optimising resource allocation and providing targeted training for healthcare professionals. Future research should focus on refining palliative care strategies tailored to different clinical environments.
Prospero Registration Number:
CRD42025642572.
More Related Videos
Related Concept Videos
01:27Ethical Issues
Ethical Concerns in Healthcare:
01:25Continuing Care
01:21Barriers to Effective Communication II
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
01:30Ethical Dilemmas II
01:21Interdisciplinary Care: The Health Care Team-I
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
01:18Interdisciplinary Care: The Health Care Team-II
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...