Evidence map›Paper›PMID 32152037›Full record

ArticleBMJ supportive & palliative care2022

The dying parent and dependent children: a nationwide survey of hospice and community palliative care support services.

Jane Cockle-Hearne, Elizabeth Reed, Jennifer Todd, Emma Ream

Open access · hybridAbstract read
In one paragraph

Article in BMJ supportive & palliative care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 6% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. 'Don't forget the children': a qualitative study when a parent is at end of life from cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021
    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

4 authors at 2 institutions in 1 country.

Jane Cockle-HearneSchool of Health Sciences, University of Surrey, Guildford, UK j.cockle-hearne@surrey.ac.uk.ORCID http://orcid.org/0000-0002-6084-856X
Elizabeth ReedResearch Department, Princess Alice Hospice, Esher, UK.ORCID http://orcid.org/0000-0001-5269-361X
Jennifer ToddResearch Department, Princess Alice Hospice, Esher, UK.ORCID http://orcid.org/0000-0001-8025-6919
Emma ReamSchool of Health Sciences, University of Surrey, Guildford, UK.ORCID http://orcid.org/0000-0001-5436-8036
Hospice UK · GBUniversity of Surrey · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnnually, across the world a substantial number of dependent children experience the death of a parent through life-limiting illness. Without support, this has long-term implications for children's emotional, social and physical well-being, impacting on health and social care services globally. Limited information exists on how service providers are meeting family needs when a parent with dependent children is dying.

aimTo determine the bereavement support provided to families with dependent children by UK hospices before and after a parent's death.

designA 23-item, cross-sectional, web-based survey of adult UK hospices. Closed and open-ended questions were asked about the features of support provided; open-ended response was sought to a question about the challenges faced by hospices in delivering support. Descriptive and non-parametric statistics and framework analysis were used to analyse the data.

results197 hospices were invited to participate. Response rate was 66% (130/197). More types of support were provided after, than before, parental death (mean 6.36/5.64, z=-5.767, p<0001). Twenty-two per cent of hospices reported no formal processes for asking or documenting the presence of dependent children. Volunteers were an underused resource before parental death. Four themes characterised challenges in delivering support for families: emotional difficulties for families; practical and social difficulties for families; funding/resources; and staff training/numbers.

conclusionsFamily needs are not consistently being met when a parent is dying. Areas for development include: enhanced systems to record when patients have dependent children; flexible approaches to support vulnerable families; staff training to help communication with families and management of their own fears of making the situation worse. Effective educational interventions and service developments to better support staff, parents and children are needed.

Indexed as

Hospice CareHospicesParental DeathAdultChildCross-Sectional StudiesHumansPalliative CareParentsbereavement supportchildrenfamilyhospicespalliative careparental death

Identifiers

PMID32152037
PMCPMC9606526
OpenAlexW3012373690

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.