PapersFlow Research Brief
Palliative and Oncologic Care
Research Guide
What is Palliative and Oncologic Care?
Palliative and Oncologic Care is the integrated provision of palliative care services addressing end-of-life issues, terminal illnesses including pediatric oncology, and supportive care for patients and healthcare professionals, encompassing nursing practices, bioethical considerations, communication strategies, grief, spirituality, and ethical dilemmas such as euthanasia.
This field includes 40,013 published works focused on palliative care, end-of-life care, and experiences of healthcare professionals and patients with terminal illness. Key areas cover nursing in palliative care, bioethics, communication, grief, spirituality, euthanasia, and challenges in pediatric oncology. The cluster emphasizes holistic approaches to terminally ill patients.
Topic Hierarchy
Research Sub-Topics
Nursing Knowledge and Competencies in Palliative Care
This sub-topic develops and validates assessment tools like the Palliative Care Quiz for Nursing to evaluate staff training needs. Research identifies gaps in symptom management and communication skills.
Bioethical Issues in End-of-Life Care
Examines dilemmas around euthanasia, withholding treatment, and advance directives through case studies and ethical frameworks. Studies explore cultural variations in decision-making.
Communication Strategies in Palliative Care
Focuses on SPIKES protocol training for breaking bad news and shared decision-making with patients/families. Outcomes research measures satisfaction and psychological distress reduction.
Grief and Bereavement Support in Palliative Settings
Investigates complicated grief trajectories among caregivers and interventions like meaning-centered psychotherapy. Longitudinal studies track resilience factors and healthcare utilization.
Pediatric Palliative Oncology Care
Addresses symptom control, family-centered care, and legacy-building in children with cancer. Research includes quality-of-life metrics and integration with curative therapies.
Why It Matters
Palliative and Oncologic Care addresses inadequate global access to hospice and palliative care, particularly with ageing populations, as noted in the "Global Atlas of Palliative Care at the End of Life" (2014) with 779 citations, which highlights palliative care as an essential healthcare component. It supports better care for older people facing terminal illnesses, per "Better palliative care for older people" by Davies and Higginson (2004, 474 citations). The "Palliative care quiz for nursing (PCQN)" by Ross et al. (1996, 289 citations) developed a tool measuring nurses' knowledge, aiding training for 40,013 works in this area. Family caregiving for frail elderly, as in Horowitz (1985, 327 citations), underscores support for caregivers in oncologic contexts.
Reading Guide
Where to Start
"Global Atlas of Palliative Care at the End of Life" (2014) by Worldwide Palliative Care Alliance, as it provides a foundational global overview of palliative care access and needs, suitable for understanding the field's scope with 779 citations.
Key Papers Explained
The "Global Atlas of Palliative Care at the End of Life" (2014) by Worldwide Palliative Care Alliance establishes worldwide access gaps, which "Better palliative care for older people" by Davies and Higginson (2004) builds on by targeting elderly needs. Ross et al.'s "The palliative care quiz for nursing (PCQN)" (1996) extends this by developing a knowledge measurement tool for nurses. Sadala and Adorno's "Phenomenology as a method to investigate the experience lived" (2002) complements with methodological insights into lived experiences, while Leininger and Gilead's "Care, the essence of nursing and health" (1984) grounds nursing theory.
Paper Timeline
Most-cited paper highlighted in red. Papers ordered chronologically.
Advanced Directions
Current frontiers emphasize nursing knowledge assessment via PCQN and phenomenological investigations of experiences, as in top-cited works like Ross et al. (1996) and Sadala and Adorno (2002). No recent preprints or news available, so focus remains on bioethics, communication, and pediatric oncology from the 40,013 works.
Papers at a Glance
| # | Paper | Year | Venue | Citations | Open Access |
|---|---|---|---|---|---|
| 1 | Coping e qualidade de vida em pacientes listados para transpla... | 2018 | — | 1.4K | ✕ |
| 2 | Global Atlas of Palliative Care at the End of Life | 2014 | — | 779 | ✕ |
| 3 | Dia Mundial do Rim 2021 – vivendo bem com a doença renal: forç... | 2021 | — | 536 | ✓ |
| 4 | Better palliative care for older people | 2004 | — | 474 | ✕ |
| 5 | Morte e desenvolvimento humano | 1999 | — | 451 | ✕ |
| 6 | Gerenciamento em enfermagem | 2011 | — | 349 | ✕ |
| 7 | Care, the essence of nursing and health | 1984 | Medical Entomology and... | 337 | ✕ |
| 8 | Phenomenology as a method to investigate the experience lived:... | 2002 | Journal of Advanced Nu... | 330 | ✕ |
| 9 | Family caregiving to the frail elderly. | 1985 | PubMed | 327 | ✕ |
| 10 | The palliative care quiz for nursing (PCQN): the development o... | 1996 | Journal of Advanced Nu... | 289 | ✕ |
Frequently Asked Questions
What is the global status of palliative care access?
Palliative care is recognized as essential in healthcare systems but faces inadequate access worldwide, especially with ageing populations. The "Global Atlas of Palliative Care at the End of Life" (2014) by Worldwide Palliative Care Alliance documents this gap. Integration into all healthcare is increasingly acknowledged.
How is nurses' knowledge of palliative care measured?
The Palliative Care Quiz for Nursing (PCQN) measures nurses' knowledge through a developed instrument. Ross et al. (1996) created it via an advisory committee, consultations, and conceptual framework. It appears in the Journal of Advanced Nursing with 289 citations.
What methods investigate lived experiences in palliative care?
Phenomenology serves as a method to investigate lived experiences, drawing from Husserl and Merleau-Ponty. Sadala and Adorno (2002) applied it in nursing as a human relationships activity beyond technical features. The paper in Journal of Advanced Nursing has 330 citations.
Why focus on palliative care for older people?
Better palliative care for older people addresses specific end-of-life needs in ageing populations. Davies and Higginson (2004) emphasized this in their work with 474 citations. It improves care quality for terminal illnesses.
What role does family caregiving play in palliative care?
Family caregiving supports frail elderly in palliative and oncologic contexts. Horowitz (1985) examined this role in a PubMed publication with 327 citations. It highlights caregiver experiences with terminal illness patients.
What are key topics in nursing for palliative care?
Nursing in palliative care covers care essence, management, and quality of life. Leininger and Gilead (1984) defined care as nursing's essence with 337 citations. "Gerenciamento em enfermagem" by de Almeida (2011, 349 citations) addresses management.
Open Research Questions
- ? How can phenomenology from Husserl and Merleau-Ponty be optimized to better capture healthcare professionals' lived experiences in pediatric oncology?
- ? What bioethical frameworks resolve ethical dilemmas around euthanasia in end-of-life care for terminally ill patients?
- ? How do communication strategies improve grief and spirituality support in palliative nursing?
- ? What interventions enhance quality of life for patients with terminal illnesses beyond renal transplant contexts?
- ? How does family caregiving burden evolve in holistic palliative approaches for frail elderly with cancer?
Recent Trends
The field maintains 40,013 works with no specified 5-year growth rate.
Highly cited papers like "Coping e qualidade de vida em pacientes listados para transplante renal" by da Costa et al. (2018, 1362 citations) and "Dia Mundial do Rim 2021" by dos Santos (2021, 536 citations) indicate sustained focus on quality of life in terminal care contexts, though no recent preprints or news coverage available.
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