Evidence map›Paper›PMID 32450848›Full record

ArticleBMC palliative care2020

Understanding family caregivers' needs to support relatives with advanced progressive disease at home: an ethnographic study in rural Portugal.

Maria João Cardoso Teixeira, Wilson Abreu, Nilza Costa, Matthew Maddocks

Open access · goldAbstract read
In one paragraph

Article in BMC palliative care, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 17% 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, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
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  3. Determinants of quality of life decrease in family caregivers of care-dependent patients: a longitudinal study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
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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 4 institutions in 2 countries.

Maria João Cardoso TeixeiraRoyal National Orthopaedic Hospital NHS Foundation Trust & National Institute for Health Research (NIHR), Brockley Hill Road, Stanmore, Middlesex, HA7 4LP, UK. jo.teixeira1@nhs.net.ORCID http://orcid.org/0000-0002-6077-3019
Wilson AbreuSchool of Nursing & Research Centre "Centre for Health Technology and Services Research / ESEP -CINTESIS", Porto, Portugal.
Nilza CostaUniversity of Aveiro - Research Centre "Didactic and Technology in the Education of Educators/CIDTFF", Aveiro, Portugal.
Matthew MaddocksCicely Saunders Institute of Palliative Care, Policy & Rehabilitation, Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College of London, London, UK.
Centre for Health Technology and Services Research · PTCicely Saunders International · GBRoyal National Orthopaedic Hospital · GBUniversity of Aveiro · PT

Funding

Department of Health CDF-2017-10-009Foundation for Science and Technology / Minister of Education and Science (FCT/MEC) PEst-C/CED/UI0194/2013
6 · The paper itself

Abstract

backgroundFamily caregivers play an important role supporting their relatives with advanced progressive disease to live at home. There is limited research to understand family caregiver needs over time, particularly outside of high-income settings. The aim of this study was to explore family caregivers' experiences of caring for a relative living with advanced progressive disease at home, and their perceptions of met and unmet care needs over time.

methodsAn ethnographic study comprising observations and interviews. A purposive sample of 10 family caregivers and 10 relatives was recruited within a rural area in the north of Portugal. Data were collected between 2014 and 16 using serial participant observations (n = 33) and in-depth interviews (n = 11). Thematic content analysis was used to analyse the data.

resultsFive overarching themes were yielded: (1) provision of care towards independence and prevention of complications; (2) perceived and (3) unknown caregiver needs; (4) caregivers' physical and emotional impairments; and (5) balancing limited time. An imbalance towards any one of these aspects may lead to reduced capability and performance of the family caregiver, with increased risk of complications for their relative. However, with balance, family caregivers embraced their role over time.

conclusionsThese findings enhance understanding around the needs of family caregivers, which are optimally met when professionals and family caregivers work together with a collaborative approach over time. Patients and their families should be seen as equal partners. Family-focused care would enhance nursing practice in this context and this research can inform nursing training and educational programs.

Indexed as

Disease ProgressionAdaptation, PsychologicalAdultAnthropology, CulturalCaregiversFemaleHumansInterviews as TopicMaleMiddle AgedNeeds AssessmentPortugalQualitative ResearchRural PopulationAdvanced diseaseEthnographyFamily caregiverHomeInterviewsNeedsNursingObservationsQualitative research

Identifiers

PMID32450848
PMCPMC7249372
OpenAlexW3028795638

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.