Evidence map›Paper›PMID 28632241›Full record

ArticleOncology nursing forum2017

Nursing Support of Home Hospice Caregivers on the Day of Patient Death.

Margaret F Clayton, Jennifer Hulett, Kirandeep Kaur, Maija Reblin, Andrew Wilson, Lee Ellington

Abstract read
In one paragraph

Article in Oncology nursing forum, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.2field-weighted citation impact, top 12% of its field
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

11 citing papers in PubMed, 15 citations in OpenAlex.

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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

6 authors at 3 institutions in 1 country.

Margaret F ClaytonUniversity of Utah.
Jennifer HulettUniversity of Utah.
Kirandeep KaurBrigham Young University.
Maija ReblinH. Lee Moffitt Cancer Center and Research Institute.
Andrew WilsonUniversity of Utah.
Lee EllingtonUniversity of Utah.
University of Utah · USBrigham Young University · USMoffitt Cancer Center · US

Funding

Symptom Care by Phone for Hospice Caregiver Support and Cancer Symptom ReliefP01CA138317 · NCI · UNIVERSITY OF UTAH · PI MOONEY, KATHLEEN H · 2010 to 2015
$7.0M
Interdisciplinary Training in Cancer, Caregiving and End-of-Life CareT32NR013456 · NINR · UNIVERSITY OF UTAH · PI ELLINGTON, LEE A, MOONEY, KATHLEEN H · 2013 to 2022
$3.4M
NCI NIH HHS P01 CA138317NINR NIH HHS T32 NR013456
6 · The paper itself

Abstract

PURPOSE/

objectivesTo describe nurse-caregiver communication on the day of patient death.
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designA descriptive secondary analysis of 44 audio-recorded home hospice nursing visits on day of death.
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settingNine hospices in Utah, Oregon, and Massachusetts.
. SAMPLE: 42 caregiver-patient dyads, 27 hospice nurses.
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methodsTranscripts of audio recordings were coded for supportive nursing communication and relative time spent in physical, psychosocial, and spiritual discussion.
. MAIN RESEARCH VARIABLES: Tangible, emotional, informational, esteem, and networking supportive communication; nurses' self-reported communication effectiveness; caregiver religious affiliation.
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findingsNurses reported that their communication skills were less effective when discussing difficult topics as compared to their overall communication effectiveness. Eleven patients died before the nursing visit, 3 died during the visit, and 30 died post-visit. Nurses primarily engaged in discussions facilitating caregiver emotional, tangible, and informational support. More informational support was observed when patient death occurred during the nursing visit. Time spent in general conversation showed that physical care conversations predominated (80% of the average overall amount of conversation time), compared to lifestyle/psychosocial discussions (14%) and spiritual discussions (6%). Spiritual discussions were observed in only 7 of 44 hospice visits. Spiritual discussions, although short and infrequent, were significantly longer, on average, for caregivers without a religious affiliation.
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conclusionsNurses support caregivers on the day of patient death using multiple supportive communication strategies. Spiritual discussions are minimal.
. IMPLICATIONS FOR NURSING: Communication skills programs can potentially increase self-reported communication effectiveness. Emerging acute spiritual concerns, particularly for caregivers without a previous religious affiliation, should be anticipated. Spiritual support is included in the hospice model of holistic care.

Indexed as

Attitude to DeathCommunicationSocial SupportAdultAgedAged, 80 and overCaregiversFemaleHospice CareHumansMaleMassachusettsMiddle AgedNursing StaffOregonTerminal Carecancer communicationend of lifefamily caregivershospicesupport

Identifiers

PMID28632241
PMCPMC5480962
OpenAlexW2625376060

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.