Evidence map›Paper›PMID 30971236›Full record

Trial reportBMC health services research2019

Caregivers' experiences of a home support program after the hospital discharge of an older family member: a qualitative analysis.

Susan Slatyer, Samar M Aoun, Keith D Hill, Debbie Walsh, Dee Whitty, Christine Toye

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
7.7field-weighted citation impact, top 3% 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

17 citing papers in PubMed, 48 citations in OpenAlex.

  1. Article
  2. Review
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  9. Hospital to Home: Supporting the Transition From Hospital to Home for Older Adults.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2022
    Article
  10. Understanding the experiences of older caregivers of patients with lung cancer during palliative chemotherapy in China: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  11. Article
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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 4 institutions in 1 country.

Susan SlatyerDiscipline of Nursing, College of Science, Health, Engineering and Education, Murdoch University, Murdoch, Western Australia, 6150, Australia. susan.slatyer@murdoch.edu.au.ORCID http://orcid.org/0000-0003-2345-2862
Samar M AounSchool of Psychology & Public Health, La Trobe University, Boondoora, 3086, Victoria, Australia.
Keith D HillFaculty of Health Sciences, Curtin University , GPO Box U1987, Perth, 6845, Western Australia, Australia.
Debbie WalshMedical Division, Sir Charles Gairdner Hospital, Hospital Avenue, Nedlands, Western Australia, 6009, Australia.
Dee WhittyMedical Division, Sir Charles Gairdner Hospital, Hospital Avenue, Nedlands, Western Australia, 6009, Australia.
Christine ToyeSchool of Nursing, Midwifery and Paramedicine, Curtin University , GPO Box U1987, Perth, Western Australia, 6845, Australia.
Curtin University · AUSir Charles Gairdner Hospital · AULa Trobe University · AUMurdoch University · AU

Funding

Department of Health, Government of Western Australia 25-42738
6 · The paper itself

Abstract

backgroundThe ageing global population has seen increasing numbers of older people living with chronic health problems, declining function, and frailty. As older people seek to live out their years at home, family members, friends and neighbours (informal caregivers) are increasingly relied upon for support. Moreover, pressured health systems and shorter hospital length of stay mean that informal caregivers can find themselves supporting the older person who is still unwell after discharge. The Further Enabling Care at Home (FECH) program was developed as a nursing outreach intervention designed to systematically address support needs of family caregivers of older people after hospital discharge to sustain their home-based caregiving. The objective of this study was to explore the experiences of informal caregivers who participated in the FECH program after an older family member's discharge from hospital.

methodsThe study employed a qualitative descriptive design. Caregivers of older people discharged home from a Medical Assessment Unit in an Australian hospital who were included in the program were interviewed to explore their experiences and perceptions of the FECH program. Data were audio-recorded, transcribed, and subjected to thematic analysis.

resultsTwenty-one family caregivers (81% female, aged 25-89 years) participated in the interviews. Themes emerging were 'The experience of caregiving'; 'The experience of receiving FECH program support'; and 'Caregivers' suggestions for improvement'. Caregivers indicated that reflective discussions with the FECH nurse enabled them to recognise the complexity of the caregiving role and determine aspects where they needed support. Caregivers valued guidance from the FECH nurse in accessing information and resources, which helped them to feel more connected to support, more prepared to care for the older person and themselves, and more secure in the caregiving role.

conclusionsCaregivers' experiences indicated that the structured reflective FECH discussions prompted thought and provided guidance in navigating health and care systems. The FECH program appears to offer a means to address the practical, physical and psychosocial needs of informal caregivers as partners in person-centred health and social care.

trial registrationANZCTR Trial ID: ACTRN126140011746773 .

Indexed as

Attitude to HealthAdultAgedAged, 80 and overAustraliaCaregiversEmotionsFamilyFemaleHome Care ServicesHome NursingHumansMaleMiddle AgedNeeds AssessmentPatient DischargeCaregiver needsNursingOlder peoplePost-dischargeQualitative research

Identifiers

PMID30971236
PMCPMC6458630
OpenAlexW2945627911

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.