Evidence map›Paper›PMID 34625992›Full record

ArticleScandinavian journal of caring sciences2022

Dignity reflections based on experiences of end-of-life care during the first wave of the COVID-19 pandemic: A qualitative inquiry among bereaved relatives in the Netherlands (the CO-LIVE study).

Yvonne N Becqué, Wendy van der Geugten, Agnes van der Heide, Ida J Korfage, H Roeline W Pasman, Bregje D Onwuteaka-Philipsen, Masha Zee, Erica Witkamp, Anne Goossensen

Open access · hybridAbstract 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 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
7.3field-weighted citation impact, top 2% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. A systematic review of instruments measuring the quality of dying and death in Asian countries.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023
    Pooled it
  3. Article
  4. Article
  5. Article
  6. Emotional Suffering After the COVID-19 Pandemic: Grieving the Loss of Family Members in Brazil.International journal of environmental research and public health · 2024
    Article
  7. Article
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  9. Review
  10. Article
  11. Article
  12. Review
  13. Dying during the COVID-19 Pandemic in Sweden: Relatives' Experiences of End-of-Life Care (the CO-LIVE Study).International journal of environmental research and public health · 2022
    Article
  14. Article
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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

9 authors at 3 institutions in 1 country.

Yvonne N BecquéResearch Centre Innovations in Care, Rotterdam University of Applied Sciences, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0002-9188-9911
Wendy van der GeugtenUniversity of Humanistic Studies, Utrecht, The Netherlands.ORCID https://orcid.org/0000-0002-5011-0676
Agnes van der HeideDepartment of Public Health, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands.
Ida J KorfageDepartment of Public Health, Erasmus MC University Medical Center Rotterdam, Rotterdam, The Netherlands.
H Roeline W PasmanDepartment of Public and Occupational Health, Expertise Center for Palliative Care, Amsterdam UMC, VU University, Amsterdam, The Netherlands.
Bregje D Onwuteaka-PhilipsenDepartment of Public and Occupational Health, Expertise Center for Palliative Care, Amsterdam UMC, VU University, Amsterdam, The Netherlands.
Masha ZeeDepartment of Public and Occupational Health, Expertise Center for Palliative Care, Amsterdam UMC, VU University, Amsterdam, The Netherlands.
Erica WitkampResearch Centre Innovations in Care, Rotterdam University of Applied Sciences, Rotterdam, The Netherlands.
Anne GoossensenUniversity of Humanistic Studies, Utrecht, The Netherlands.
Erasmus MC · NLAmsterdam Public Health · NLUniversity of Humanistic Studies · NL

Funding

Netherlands Organisation for Health Research and Development (ZonMw) 844001803
6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic affects care practices for critically ill patients, with or without a COVID-19 infection, and may have affected the experience of dying for patients and their relatives in the physical, psychological, social and spiritual domains.

aimTo give insight into aspects of end-of-life care practices that might have jeopardised or supported the dignity of the patients and their family members during the first wave of the COVID-19 pandemic in the Netherlands. METHODOLOGY: A qualitative study involving 25 in-depth interviews with purposively sampled bereaved relatives of patients who died during the COVID-19 pandemic between March and July 2020 in the Netherlands. We created a dignity-inspired framework for analysis, and used the models of Chochinov et al. and Van Gennip et al. as sensitising concepts. These focus on illness-related aspects and the individual, relational and societal/organisational level of dignity.

resultsFour themes concerning aspects of end-of-life care practices were identified as possibly jeopardising the dignity of patients or relatives: 'Dealing with an unknown illness', 'Being isolated', 'Restricted farewells' and 'Lack of attentiveness and communication'. The analysis showed that 'Meaningful end-of-life moments' and 'Compassionate professional support' contributed to the dignity of patients and their relatives.

conclusionThis study illuminates possible aspects of end-of-life care practices that jeopardised or supported dignity. Experienced dignity of bereaved relatives was associated with the unfamiliarity of the virus and issues associated with preventive measures. However, most aspects that had an impact on the dignity experiences of relatives were based in human action and relationships. Relatives experienced that preventive measures could be mitigated by health care professionals to make them less devastating.

Indexed as

COVID-19Terminal CareHumansNetherlandsPalliative CarePandemicsQualitative ResearchCOVID-19dignityend of lifepalliative carequality of care

Identifiers

PMID34625992
PMCPMC8661881
OpenAlexW3203602706

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.