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X Demographics
Mendeley readers
Attention Score in Context
| Title |
A palliative care link nurse programme in Mulago Hospital, Uganda: an evaluation using mixed methods
|
|---|---|
| Published in |
BMC Palliative Care, April 2016
|
| DOI | 10.1186/s12904-016-0115-6 |
| Pubmed ID | |
| Authors |
Julia Downing, Mwazi Batuli, Grace Kivumbi, Josephine Kabahweza, Liz Grant, Scott A. Murray, Elizabeth Namukwaya, Mhoira Leng |
| Abstract |
Integrating palliative care (PC) and empowering the health care workforce is essential to achieve universal access to PC services. In 2010, 46 % of patients in Mulago Hospital, Uganda had a life limiting illness, of whom 96 % had PC needs. The university/hospital specialist PC unit (Makerere/Mulago Palliative Care Unit -MPCU) implemented a link-nurse model to empower hospital nurses to provide generalist PC. Over two years, 27 link nurses were trained and mentored and 11 clinical protocols developed. The aim of the study was to evaluate the impact of the palliative care link nurse programme at Mulago Hospital METHODS: An evaluation approach utilising mixed methods was used integrating qualitative and quantitative data including: pre and post course assessment confidence ratings; course evaluation forms; audit of clinical guidelines availability; review of link-nurse activity sheets/action plans; review of MPCU patient documentation; Most Significant Change (MSC); individual and focus group interviews. A significant difference was seen in nurses' confidence after the training (p < 0.001). From July 2012 to December 2013, link nurses identified 2447 patients needing PC, of whom they cared for 2113 (86 %) and referred 334 (14 %) to MPCU. Clinical guidelines/protocols were utilised in 50 % of wards. Main themes identified include: change in attitude; developing new skills and knowledge; change in relationships; improved outcomes of care, along with the challenges that they experienced in integrating PC. Since the start of the programme there has been an increase in PC patients seen at the hospital (611 in 2011 to 1788 in 2013). The link-nurse programme is a practical model for integrating PC into generalist services. Recommendations have been made for ongoing development and expansion of the programme as an effective health systems strengthening approach in similar healthcare contexts, as well as the improvement in medical and nursing education. |
X Demographics
The data shown below were collected from the profiles of 3 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Uganda | 1 | 33% |
| New Zealand | 1 | 33% |
| Unknown | 1 | 33% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 3 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 158 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Indonesia | 1 | <1% |
| Unknown | 157 | 99% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 29 | 18% |
| Student > Bachelor | 18 | 11% |
| Student > Ph. D. Student | 13 | 8% |
| Student > Postgraduate | 11 | 7% |
| Lecturer | 10 | 6% |
| Other | 33 | 21% |
| Unknown | 44 | 28% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 41 | 26% |
| Medicine and Dentistry | 37 | 23% |
| Social Sciences | 10 | 6% |
| Computer Science | 5 | 3% |
| Psychology | 5 | 3% |
| Other | 12 | 8% |
| Unknown | 48 | 30% |
Attention Score in Context
This research output has an Altmetric Attention Score of 5. 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 01 April 2021.
All research outputs
#6,117,758
of 22,865,319 outputs
Outputs from BMC Palliative Care
#682
of 1,253 outputs
Outputs of similar age
#86,973
of 300,846 outputs
Outputs of similar age from BMC Palliative Care
#17
of 28 outputs
Altmetric has tracked 22,865,319 research outputs across all sources so far. This one has received more attention than most of these and is in the 73rd percentile.
So far Altmetric has tracked 1,253 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.5. This one is in the 45th percentile – i.e., 45% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 300,846 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 70% of its contemporaries.
We're also able to compare this research output to 28 others from the same source and published within six weeks on either side of this one. This one is in the 39th percentile – i.e., 39% of its contemporaries scored the same or lower than it.