Evidence map›Paper›PMID 31401598›Full record

ArticleBMJ open2019

Support to informal caregivers of patients with severe chronic obstructive pulmonary disease: a qualitative study of caregivers' and professionals' experiences in Swedish hospitals.

Susann Strang, Josefin Fährn, Peter Strang, Agneta Ronstad, Louise Danielsson

Abstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
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  6. Review
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  8. Article
  9. Article
  10. Informal carers in Sweden - striving for partnership.International journal of qualitative studies on health and well-being · 2021
    Article
  11. 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

5 authors.

Susann StrangResearch and development department, Angered Hospital, Angered, Sweden susann.strang@gu.se.
Josefin FährnResearch and development department, Angered Hospital, Angered, Sweden.
Peter StrangStockholms Sjukhems FoUU, Karolinska Institutet, Stockholm, Sweden.
Agneta RonstadResearch and development department, Angered Hospital, Angered, Sweden.
Louise DanielssonResearch and development department, Angered Hospital, Angered, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesInformal caregivers of patients with chronic obstructive pulmonary disease (COPD) experience a heavy caregiver burden, but few studies have explored what support they need. The aim of this study was to describe perceptions of healthcare support to informal caregivers, both from the family caregiver's and the staff's perspective.

designA qualitative interview study involving semi-structured interviews and analysed with content analysis.

participantsIn total, 54 participated: 36 informal caregivers of patients with severe (stage 3-4) COPD and 17 healthcare staff.

resultsTwo main themes emerged from the analysis: (1) Ambiguity impedes provision of support. Both caregivers and staff experienced ambiguity. The informal caregivers needed emotional, practical and informational support but talked about unclear expectations, while the staff described an uncertainty about their duties regarding the families. There were no routines to unburden the families. Moreover, language and cultural barriers hampered their efforts. (2) Knowledgeable and perceptive communication is key to support. Both caregivers and staff described positive experiences of dialogue. The dialogue may facilitate means to caregiver support and was a support in itself.

conclusionsOur findings suggest that strategies and routines for caregiver support, including communication skills among the staff, should be developed, to move toward the family perspective advocated in palliative- and nursing family care.

Indexed as

Attitude of Health PersonnelBurnout, PsychologicalCaregiversCommunicationProfessional-Family RelationsAdultAdult ChildrenAgedAged, 80 and overAllied Health PersonnelFemaleHealth Services Needs and DemandHospitalsHumansMaleMiddle Agedpalliative careprimary carequalitative researchquality in healthcare

Identifiers

PMID31401598
PMCPMC6701698

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.