Evidence map›Paper›PMID 29360571›Full record

ArticleJournal of pain and symptom management2018

Communicating Caregivers' Challenges With Cancer Pain Management: An Analysis of Home Hospice Visits.

Claire J Han, Nai-Ching Chi, Soojeong Han, George Demiris, Debra Parker-Oliver, Karla Washington, Margaret F Clayton, Maija Reblin, Lee Ellington

Abstract read
In one paragraph

Article in Journal of pain and symptom management, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 11% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 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

9 authors at 6 institutions in 1 country.

Claire J HanBiobehavioral Cancer Prevention and Control Training Program, University of Washington, School of Public Health, Seattle, Washington, USA. Electronic address: jyh0908@uw.edu.
Nai-Ching ChiUniversity of Iowa, College of Nursing, Iowa City, Iowa, USA.
Soojeong HanUniversity of Washington, School of Nursing, Seattle, Washington, USA.
George DemirisUniversity of Pennsylvania, School of Nursing, Philadelphia, Pennsylvania, USA.
Debra Parker-OliverUniversity of Missouri, School of Medicine, Family and Community Medicine, Columbia, Missouri, USA.
Karla WashingtonUniversity of Missouri, School of Medicine, Family and Community Medicine, Columbia, Missouri, USA.
Margaret F ClaytonUniversity of Utah, College of Nursing, Salt Lake City, Utah, USA.
Maija ReblinDepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, Florida, USA.
Lee EllingtonUniversity of Utah, College of Nursing, Salt Lake City, Utah, USA.
University of Missouri · USUniversity of Utah · USUniversity of Washington · USMoffitt Cancer Center · USUniversity of Iowa · USUniversity of Pennsylvania · US

Funding

University of Washington Biomedical Informatics and Data Science Research Training ProgramT15LM007442 · NLM · UNIVERSITY OF WASHINGTON · PI JOHN H. GENNARI, Andrea L. Hartzler · 2002 to 2026
$19.6M
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
Biobehavioral Cancer Prevention and Control Training Program (BCPT)T32CA092408 · NCI · UNIVERSITY OF WASHINGTON · PI Margaret A Hannon · 2016 to 2026
$2.3M
NCI NIH HHS P01 CA138317NCI NIH HHS T32 CA092408NLM NIH HHS T15 LM007442
6 · The paper itself

Abstract

contextFamily caregivers (FCGs) of hospice cancer patients face significant challenges related to pain management. Addressing many of these challenges requires effective communication between FCGs and hospice nurses, yet little empirical evidence exists on the nature of communication about pain management between hospice nurses and FCGs.

objectivesWe identified ways in which FCGs of hospice cancer patients communicated their pain management challenges to nurses during home visits and explored nurses' responses when pain management concerns were raised.

methodsUsing secondary data from audio recordings of hospice nurses' home visits, a deductive content analysis was conducted. We coded caregivers' pain management challenges and immediate nurses' responses to these challenges.

resultsFrom 63 hospice nurse visits, 101 statements describing caregivers' pain management challenges were identified. Thirty percent of these statements pertained to communication and teamwork issues. Twenty-seven percent concerned caregivers' medication skills and knowledge. In 52% of the cases, nurses responded to caregivers' pain management challenges with a validating statement. They provided information in 42% of the cases. Nurses did not address 14% of the statements made by caregivers reflecting pain management challenges.

conclusionTo optimize hospice patients' comfort and reduce caregivers' anxiety and burden related to pain management, hospice nurses need to assess and address caregivers' pain management challenges during home visits. Communication and educational tools designed to reduce caregivers' barriers to pain management would likely improve clinical practice and both patient- and caregiver-related outcomes.

Indexed as

Health CommunicationHospice CareNursesAdultAgedAnxietyCancer PainCaregiversFemaleHealth Knowledge, Attitudes, PracticeHome Care ServicesHouse CallsHumansMaleMiddle AgedPain ManagementcancerCaregivershealth communicationhospicepain management

Identifiers

PMID29360571
PMCPMC5899943
OpenAlexW2783655857

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.