Evidence map›Paper›PMID 34382701›Full record

ArticleScandinavian journal of caring sciences2022

Family caregivers' experiences of end-of-life care in the acute hospital setting. A qualitative study.

Svala Berglind Robertson, Elísabet Hjörleifsdóttir, Þórhalla Sigurðardóttir

Abstract read
In one paragraph

Article in Scandinavian journal of caring sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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

12 citing papers in PubMed.

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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

3 authors.

Svala Berglind RobertsonPalliative Home-Care Unit, Landspitali - The National University Hospital of Iceland, Reykjavik, Iceland.
Elísabet HjörleifsdóttirDepartment of Nursing, University of Akureyri, Akureyri, Iceland.ORCID https://orcid.org/0000-0001-7858-012X
Þórhalla SigurðardóttirDepartment of Nursing, University of Akureyri, Akureyri, Iceland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute hospital settings are generally not considered adequate places for end-of-life care, but terminally ill patients will continue to die in acute medical wards in the unforeseeable future.

aimThe aim of this study was to investigate family caregivers' experiences of end-of-life care in an acute community hospital in Iceland.

methodsFifteen in-depth qualitative semi-structured interviews were conducted with participants who had been primary caregivers. The transcribed interviews were analysed using thematic content analysis.

findingsFindings indicated that the acute hospital setting is not a suitable environment for end-of-life care. Effective communication and management of symptoms characterised by warmth and security give a sense of resilience. Three main themes emerged: (1) Environmental influences on quality of care; (2) Communication in end-of-life care; (3) The dying process. Each of the themes encompassed a variety of subthemes.

conclusionsFindings suggest that effective communication is the cornerstone of quality of care in the acute hospital environment and essential for establishing a sense of security. The severity of symptoms can deeply affect family caregivers' well-being. Acknowledging and appreciating the meaning of respect and dignity at the end-of-life from family caregivers' perspective is vital.

Indexed as

Hospice CareTerminal CareCaregiversFamilyHospitalsHumansQualitative Researchacute hospital settingsbereavementcommunicationend-of-life careenvironmentfamily caregiversgriefpalliative care

Identifiers

PMID34382701
PMCPMC9545473

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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.