Impact of bedside ultrasound on care in specialist palliative care units: a qualitative study

Steven Moore; Bethany Stoneham; Vanessa Taylor; Paul Perkins

doi:10.1136/spcare-2023-004619

Impact of bedside ultrasound on care in specialist palliative care units: a qualitative study

Steven Moore, Bethany Stoneham, Vanessa Taylor, Paul Perkins

Research output: Contribution to journal › Article › peer-review

Abstract

Objectives: To explore the experiences of palliative care doctors regarding the clinical impact of ultrasound in specialist palliative care units (SPCUs).

Methods: The study adopted a qualitative research design using semistructured interviews and a reflexivity journal. Six participants were recruited through purposive and snowball sampling. Findings were analysed using framework analysis.

Results: Analysis used four predetermined themes: (1) practicalities, (2) clinical indications, (3) impact on patient care and service provision and (4) governance and training. Analysis identified a relationship between procedural confidence and use of ultrasound.

Conclusions: Our study provides information for understanding the current use and limitations of ultrasound in SPCUs. Ultrasound leads to safer practice, especially when performing invasive procedures such as paracentesis. Development of standards around the use of, and training of staff undertaking ultrasound in specialist palliative care, are recommended.

Original language	English
Article number	004619
Number of pages	6
Journal	BMJ Supportive and Palliative Care
Early online date	18 Nov 2023
DOIs	https://doi.org/10.1136/spcare-2023-004619
Publication status	E-pub ahead of print - 18 Nov 2023

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The Impact of Bedside Ultrasound on care in Specialist Palliative Care Units A Qualitative StudyAccepted author manuscript, 255 KBLicence: CC BY-NC

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abstract = "Objectives: To explore the experiences of palliative care doctors regarding the clinical impact of ultrasound in specialist palliative care units (SPCUs). Methods: The study adopted a qualitative research design using semistructured interviews and a reflexivity journal. Six participants were recruited through purposive and snowball sampling. Findings were analysed using framework analysis. Results: Analysis used four predetermined themes: (1) practicalities, (2) clinical indications, (3) impact on patient care and service provision and (4) governance and training. Analysis identified a relationship between procedural confidence and use of ultrasound. Conclusions: Our study provides information for understanding the current use and limitations of ultrasound in SPCUs. Ultrasound leads to safer practice, especially when performing invasive procedures such as paracentesis. Development of standards around the use of, and training of staff undertaking ultrasound in specialist palliative care, are recommended.",

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AU - Moore, Steven

AU - Stoneham, Bethany

AU - Taylor, Vanessa

AU - Perkins, Paul

N1 - Publisher Copyright: © Author(s) (or their employer(s)) 2023. No commercial re-use. See rights and permissions. Published by BMJ.

PY - 2023/11/18

Y1 - 2023/11/18

N2 - Objectives: To explore the experiences of palliative care doctors regarding the clinical impact of ultrasound in specialist palliative care units (SPCUs). Methods: The study adopted a qualitative research design using semistructured interviews and a reflexivity journal. Six participants were recruited through purposive and snowball sampling. Findings were analysed using framework analysis. Results: Analysis used four predetermined themes: (1) practicalities, (2) clinical indications, (3) impact on patient care and service provision and (4) governance and training. Analysis identified a relationship between procedural confidence and use of ultrasound. Conclusions: Our study provides information for understanding the current use and limitations of ultrasound in SPCUs. Ultrasound leads to safer practice, especially when performing invasive procedures such as paracentesis. Development of standards around the use of, and training of staff undertaking ultrasound in specialist palliative care, are recommended.

AB - Objectives: To explore the experiences of palliative care doctors regarding the clinical impact of ultrasound in specialist palliative care units (SPCUs). Methods: The study adopted a qualitative research design using semistructured interviews and a reflexivity journal. Six participants were recruited through purposive and snowball sampling. Findings were analysed using framework analysis. Results: Analysis used four predetermined themes: (1) practicalities, (2) clinical indications, (3) impact on patient care and service provision and (4) governance and training. Analysis identified a relationship between procedural confidence and use of ultrasound. Conclusions: Our study provides information for understanding the current use and limitations of ultrasound in SPCUs. Ultrasound leads to safer practice, especially when performing invasive procedures such as paracentesis. Development of standards around the use of, and training of staff undertaking ultrasound in specialist palliative care, are recommended.

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KW - Genitourinary

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Impact of bedside ultrasound on care in specialist palliative care units: a qualitative study

Abstract

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