Evidence map›Paper›PMID 31027498›Full record

ArticleBMC palliative care2019

Palliative care for patients with motor neurone disease and their bereaved carers: a qualitative study.

Clare Mc Veigh, Colette Donaghy, Briege Mc Laughlin, Alison Dick, Kiran Kaur, John Mc Conville, Max Watson

Open access · goldAbstract read
In one paragraph

Article in BMC palliative care, 2019. 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
1.7field-weighted citation impact, top 16% 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, 23 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

7 authors at 3 institutions in 1 country.

Clare Mc VeighSchool of Nursing and Midwifery, Queen's University Belfast, Belfast, Northern Ireland. clare.mcveigh@qub.ac.uk.ORCID http://orcid.org/0000-0001-9691-6766
Colette DonaghyBelfast Health and Social Care Trust, Belfast, Northern Ireland.
Briege Mc LaughlinBelfast Health and Social Care Trust, Belfast, Northern Ireland.
Alison DickSchool of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast, Northern Ireland.
Kiran KaurSchool of Nursing and Midwifery, Queen's University Belfast, Belfast, Northern Ireland.
John Mc ConvilleBelfast Health and Social Care Trust, Belfast, Northern Ireland.
Max WatsonWestern health and Social Care Trust, Derry, Northern Ireland.
Belfast Health and Social Care Trust · GBQueen's University Belfast · GBUniversity of Ulster · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInternationally, it is widely accepted that holistic care is as an integral part of the care for people with motor neurone disease (MND), and their informal carers. However the optimal role of generalist and specialist palliative care, and how it integrates with specialist neurology services, is not fully established. Using a qualitative approach we sought to examine end of life care for people with MND in Northern Ireland, and the role of specialist and generalist palliative care.

methodsQualitative study involving a convenience sample of 13 bereaved carers recruited using the Northern Ireland MND Register. Data collection consisted of semi-structured interviews with the bereaved carers of patients who had died 3-24 months previously with a diagnosis of MND. Data were analysed using thematic analysis.

resultsFindings illuminated variations in relation to the levels of holistic care provided to this cohort of patients. Unmanaged respiratory and psychological symptoms caused perceived distress amongst patients. Participants' experiences additionally highlighted reluctance amongst patients with MND to engage with services such as specialist palliative care. Conversely, for those who received input from specialist palliative care services carers portrayed these services to be of great benefit to the patient.

conclusionsPatients with MND in Northern Ireland may have many unmet holistic care needs. Key areas that require particular focus in terms of service development include neuromuscular respiratory physiotherapy and psychological services for patients. Future research must explore an optimal model of holistic care delivery for patients with MND and how this can be effectively integrated to best meet this patient cohorts palliative care needs.

Indexed as

AdultAgedAged, 80 and overCaregiversFemaleHospice CareHumansMaleMiddle AgedMotor Neuron DiseaseNorthern IrelandPalliative CareQualitative ResearchAmyotrophic lateral sclerosisBereaved carersEnd of lifeMotor neurone diseasePalliative careQualitative

Identifiers

PMID31027498
PMCPMC6486679
OpenAlexW2940343012

What OpenQuestion holds

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LicenceCC BY
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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.