Evidence map›Paper›PMID 29866732›Full record

SynthesisBMJ open2018

Experiences of older people dying in nursing homes: a narrative systematic review of qualitative studies.

Nan Greenwood, Emma Menzies-Gow, David Nilsson, Dawn Aubrey, Claire L Emery, Angela Richardson

Erratum issuedAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Nan GreenwoodFaculty of Health, Social Care and Education, Kingston University and St George's University of London, London, UK.ORCID 0000-0002-6094-5191
Emma Menzies-GowFaculty of Health, Social Care and Education, Kingston University and St George's University of London, London, UK.
David NilssonFaculty of Health, Social Care and Education, Kingston University and St George's University of London, London, UK.
Dawn AubreyFaculty of Health, Social Care and Education, Kingston University and St George's University of London, London, UK.
Claire L EmeryFaculty of Health, Social Care and Education, Kingston University and St George's University of London, London, UK.
Angela RichardsonFaculty of Health, Social Care and Education, Kingston University and St George's University of London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo identify and synthesise qualitative research from 2001 investigating older people's (65+ years) experiences of dying in nursing and care homes. METHODS AND OUTCOMES: Eight electronic databases (AMED, ASSIA, CINAHL Plus, Embase, HMIC, Medline, PsychINFO and Scopus) from 2001 to July 2017 were searched. Studies were included if they were qualitative, primary research and described the experiences of dying in nursing or care homes from the perspectives of the older people themselves, their families or staff. Study quality assessment was undertaken to systematically assess methodological quality, but no studies were excluded as a result.

results1305 articles were identified. Nine met the inclusion criteria. North American studies dominated. Most used a mixture of observations and interviews. All the included studies highlighted the physical discomfort of dying, with many older people experiencing potentially avoidable symptoms if care were to be improved. Negative psychosocial experiences such as loneliness and depression were also often described in addition to limited support with spiritual needs.

conclusionsMore qualitative research giving a holistic understanding of older people's experiences of dying in residential care homes is needed. Undertaking research on this topic is challenging and requires great sensitivity, but the dearth of qualitative research from the perspectives of those most closely involved in older people's deaths hampers service improvement.

Indexed as

AgedAged, 80 and overHomes for the AgedHumansNursing HomesQualitative ResearchTerminal Caredyingend of lifeexperiencelong-term careolder peoplequalitative research

Identifiers

PMID29866732
PMCPMC5988179

What OpenQuestion holds

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LicenceCC BY-NC
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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.