Evidence map›Paper›PMID 27815169›Full record

ArticleJournal of pain and symptom management2017

Caring for Dying Patients in the Nursing Home: Voices From Frontline Nursing Home Staff.

John G Cagle, Kathleen T Unroe, Morgan Bunting, Brittany L Bernard, Susan C Miller

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of pain and symptom management, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
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  4. Article
  5. The Involvement of Caregivers in the End-of-life Care of an Older Adult Living in a Long-term Care Home: A Qualitative Case Study with Nurses and Relatives.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2024
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  11. In Their Own Words: The Challenges Experienced by Certified Nursing Assistants and Administrators During the COVID-19 Pandemic.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022
    Article
  12. "They Stay With You": Nursing Home Staff's Emotional Experiences of Being in a Close Relationship With a Resident in Long-Term Care who Died.Journal of holistic nursing : official journal of the American Holistic Nurses' Association · 2022
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  19. WE'RE THE EYES AND THE EARS, BUT WE DON'T HAVE A VOICE: PERSPECTIVES OF HOSPICE AIDES.Journal of hospice and palliative nursing : JHPN : the official journal of the Hospice and Palliative Nurses Association · 2018
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

John G CagleUniversity of Maryland, Baltimore, Maryland, USA. Electronic address: jcagle@ssw.umaryland.edu.
Kathleen T UnroeIndiana University Center for Aging Research, Indianapolis, Indiana, USA; Regenstrief Institute, Inc., Indianapolis, Indiana, USA.
Morgan BuntingUniversity of Maryland, Baltimore, Maryland, USA.
Brittany L BernardIndiana University Center for Aging Research, Indianapolis, Indiana, USA; Regenstrief Institute, Inc., Indianapolis, Indiana, USA.
Susan C MillerBrown University School of Public Health, Providence, Rhode Island, USA.

Funding

Patient-Oriented Research to Improve Geriatric Care-K24K24AG024078 · NIA · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI CALLAHAN, CHRISTOPHER M · 2004 to 2013
$1.4M
NIA NIH HHS K24 AG024078
6 · The paper itself

Abstract

contextNursing homes are an important site for end-of-life care, yet little is known about the perspectives of the frontline staff who provide a majority of this care.

objectiveTo describe, from the staff perspective, positive/negative experiences related to caring for dying residents.

methodsQualitative analysis using survey data from staff working in 52 Indiana nursing homes.

resultsA total of 707 frontline staff who provide nursing, nurse aide, and social work services responded to open-ended prompts. Study data included responses to open-ended prompts asking participants to describe one positive experience and one negative experience caring for a dying patient. A thematic content analysis was conducted using the constant-comparative method. Respondents were largely female (93%), white (78%), 31-50 years (42%), and 53% had >5 years of nursing home work experience. Experiences were described from three perspectives: 1) first-hand experiences, 2) observed experiences of dying patients, and 3) observed experiences of family members. Selected themes for positive experiences include the following: creating close bonds; good patient care; involvement of hospice; being prepared; and good communication. Selected themes for negative experiences consisted of the following: challenging aspects of care; unacknowledged death; feeling helpless; uncertainty; absent family; painful emotions; and family discord.

conclusionFindings reveal the richness and many complexities of providing end-of-life care in nursing homes and have implications for improving staff knowledge, coordination of care with hospice, and social support for patients.

Indexed as

Attitude of Health PersonnelNursing HomesNursing StaffAdultFemaleHealth Care SurveysHospice CareHumansMaleMiddle AgedSocial SupportTerminal CaredeathhospiceLong-term carepalliative careperson-centered carequality of dying

Identifiers

PMID27815169
PMCPMC5463275

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.