Evidence map›Paper›PMID 30132956›Full record

ArticleJournal of advanced nursing2019

Living with dying: A narrative inquiry of people with chronic kidney disease and their family members.

Anita E Molzahn, Laurene Sheilds, Anne Bruce, Kara Schick-Makaroff, Marcy Antonio, Lacie White

Abstract read
In one paragraph

Article in Journal of advanced nursing, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Article
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.

Anita E MolzahnFaculty of Nursing, University of Alberta, Edmonton, AB, Canada.ORCID http://orcid.org/0000-0002-9835-9147
Laurene SheildsSchool of Nursing, University of Victoria, Victoria, BC, Canada.
Anne BruceSchool of Nursing, University of Victoria, Victoria, BC, Canada.
Kara Schick-MakaroffFaculty of Nursing, University of Alberta, Edmonton, AB, Canada.
Marcy AntonioSchool of Nursing and School of Health Information Science, University of Victoria, Victoria, BC, Canada.
Lacie WhiteSchool of Nursing, University of Victoria, Victoria, BC, Canada.

Funding

Canadian Institutes for Health Research MOP 130248
6 · The paper itself

Abstract

aimsTo describe how people diagnosed with chronic kidney disease and their family members describe uncertainty related to impending death.

backgroundThere has been little research about the experiences of people with chronic kidney disease and their family members as they near the end-of-life. We need to understand these experiences to give holistic person-centred care.

designA narrative enquiry was undertaken using a social constructionist perspective.

methodsData were collected in two in-depth interviews, approximately 3-4 months apart, followed by a telephone follow-up 2-3 months later.

resultsEleven people with advanced chronic kidney disease and nine family members/significant others participated. For both participants in the dyad, a number of key themes/storylines were identified. These included recognition that: @life has a boundary, living on the edge, I'm not afraid to die but… and remembering loss and death experiences@.

conclusionsThis enquiry illuminated four key storylines of about death and dying with advanced chronic kidney disease for people with the illness and their family members. Discussion about past experiences with illness, loss, death, and dying can give an entry for discussion about end-of-life. The person with illness and family members often held very similar perceptions and desires, but healthcare professionals' contributions to understanding of the experience were not mentioned. Implications for clinicians include attending to peoples' awareness of death as a distinct opportunity, listening attentively and posing questions that genuinely invite concerns and wishes about end-of-life and living well.

Indexed as

Attitude to DeathNarrationAdultAgedAged, 80 and overFamilyFemaleHumansMaleMiddle AgedPatientsQualitative ResearchRenal Insufficiency, Chronicchronic illnesschronic kidney diseasedialysisend-of-lifefamilynarrative enquiryqualitative research

Identifiers

PMID30132956
PMCPMC7379285

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.