Evidence map›Paper›PMID 31752709›Full record

ArticleBMC geriatrics2019

Being the next of kin of an older person living in a nursing home: an interview study about quality of life.

Helena Rosén, Lina Behm, Birgitta Wallerstedt, Gerd Ahlström

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC geriatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02708498 (Implementation of Knowledge-Based Palliative Care for Frail Older Persons in Nursing Homes), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.8field-weighted citation impact, top 15% 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.

NCT02708498 nacompletednot on this map

Implementation of Knowledge-Based Palliative Care for Frail Older Persons in Nursing Homes

TypeinterventionalSponsorLund UniversityRan2015 to 2017Enrolled1,151ConditionsAgeingArmsEducational Intervention
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Bringing Advances in Elder Abuse Research Methodology and Theory to Evaluation of Interventions.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2021
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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

4 authors at 3 institutions in 1 country.

Helena RosénDepartment of Health Sciences, Faculty of Medicine, Lund University, Lund, SE-221 00, Sweden. Helena.Rosen@med.lu.se.ORCID 0000-0002-6337-2018
Lina BehmFaculty of Health Science, Kristianstad University, Kristianstad, SE-291 88, Sweden.ORCID 0000-0003-2023-2100
Birgitta WallerstedtCenter for Collaborative Palliative Care, Department of Health and Caring Sciences, Faculty of Health and Life Sciences, Linnaeus University, SE-351 95, Växjö, Sweden.ORCID 0000-0003-1487-4713
Gerd AhlströmDepartment of Health Sciences, Faculty of Medicine, Lund University, Lund, SE-221 00, Sweden.ORCID 0000-0001-6230-7583
Lund University · SEKristianstad University · SELinnaeus University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe length of stay in nursing homes before death in Sweden has significantly decreased, and nearly one-third of people die within 6 weeks of entering a nursing home. Support for the next of kin is one of the cornerstones of palliative care, but the principles are not always adhered to as recommended when caring for the elderly, which can affect the quality of life of their next of kin. The aim of this study was to explore the experiences of quality of life among the next of kin of older persons who live in nursing homes before an educational intervention of palliative care.

methodsThis is an explorative qualitative interview study with 40 next of kin using qualitative content analysis performed at baseline before the implementation of the principles of palliative care in nursing homes.

resultsThe next of kin's experiences of quality of life were expressed in three themes: Orientation to the new life situation, Challenges in their relationship and the Significance of the quality of care in the nursing home. The next of kin experienced a sense of relief, although the older person was constantly on their minds, and they could feel lonely. The difference in the couple'slife situations was experienced as burdensome by the next of kin. The challenges in the relationship were described as stressful, related to a guilty conscience and the older person's vulnerability. The nursing home could be a context facilitating good relations. The perceptions of quality of care in terms of person-centredness affected the quality of life of the next of kin.

conclusionsThe findings show that four factors are decisive for the quality of life of next of kin: the relationships within the family, the degree of relief that nursing home care entails as compared to home care, the older person's health status and whether the care is person-centred. Increased knowledge and education regarding palliative care in nursing homes are needed to better meet the needs of next of kin. Implementation of palliative care should take into account the need for support for next of kin.

trial registrationNCT02708498, 15 March 2016.

Indexed as

Nursing HomesPalliative CareQuality of LifeAgedAged, 80 and overFamilyFemaleHumansMaleQualitative ResearchSwedenFamily memberImplementationNext of kinNursing homeOlder personPalliative careQualitative content analysisQuality of lifeRelativesSignificant others

Identifiers

PMID31752709
PMCPMC6873432
OpenAlexW2989612709

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.