Evidence map›Paper›PMID 34661749›Full record

Observational studySupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2022

Pediatric palliative care at home by Home Care Unit: how home nurses feel?

Amandine Bertrand, Véronique Veyet, Florence Goy, Marie Cervos, Matthias Schell

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

5 authors.

Amandine Bertrand *Institut d'Hématologie Et d'Oncologie Pédiatrique, Home Care Unit, 1 place du Pr J. Renaut, 69373, Cedex 08, Lyon, France. Amandine.bertrand@ihope.fr.ORCID http://orcid.org/0000-0002-5928-7320
Véronique Veyet *Institut d'Hématologie Et d'Oncologie Pédiatrique, Home Care Unit, 1 place du Pr J. Renaut, 69373, Cedex 08, Lyon, France.
Florence GoyInstitut d'Hématologie Et d'Oncologie Pédiatrique, Home Care Unit, 1 place du Pr J. Renaut, 69373, Cedex 08, Lyon, France.
Marie CervosInstitut d'Hématologie Et d'Oncologie Pédiatrique, Home Care Unit, 1 place du Pr J. Renaut, 69373, Cedex 08, Lyon, France.
Matthias SchellInstitut d'Hématologie Et d'Oncologie Pédiatrique, Home Care Unit, 1 place du Pr J. Renaut, 69373, Cedex 08, Lyon, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOur Home Care Unit (HCU) undertakes close to twenty pediatric palliative care engagements per year. We investigated the factors underlying such care by independent home health nurses.

methodsThis was a retrospective, observational, single-center study. Home nurses who had provided palliative pediatric care in the past 16 months were included.

resultsFifty-six questionnaires were sent out (response rate of 44.6%). Eight home nurses had never provided pediatric palliative care. Three-quarters of the home nurses (76%) acknowledged having misgivings accepting these duties. The factors that facilitated providing this care were the availability of the HCU doctor and nurses, the proactiveness of the HCU team, and house calls. In 76% of cases, the involvement of the home nurses exceeded the strictly professional setting. Forty-six percent of the home nurses were amenable to undertaking another pediatric palliative care engagement, although 48% deemed the remuneration to be somewhat lacking.

conclusionThe analysis allowed us to identify several prerequisites for these care engagements: the availability and the proactiveness of the HCU team, communication, and planning. This study showed the pronounced personal involvement of home nurses in complex situations, with both the child and their entire family. Home nurses appear to be skilled at using the resources available to manage the exhaustion that can arise with such an engagement. Facilitating and respecting the choice to stay home of the child and their family was meaningful to them. The personal and professional enrichment were a source of motivation despite certain limitations (availability, remuneration).

Indexed as

Home Care ServicesHospice and Palliative Care NursingNurses, Community HealthChildHumansPalliative CareSurveys and QuestionnairesHome-based care servicesPalliative carePediatricsPrimary nursing care

Identifiers

PMID34661749

What OpenQuestion holds

Textmetadata
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.