Evidence map›Paper›PMID 35641946›Full record

ArticleBMC palliative care2022

End of life care in UK care homes during the COVID-19 pandemic: a qualitative study.

Kerry Hanna, Jacqueline Cannon, Mark Gabbay, Paul Marlow, Stephen Mason, Manoj Rajagopal, Justine Shenton, Hilary Tetlow, Clarissa Giebel

Abstract read
In one paragraph

Article in BMC 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.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 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

9 authors.

Kerry HannaSchool of Health Sciences, University of Liverpool, Liverpool, L69 3GB, England. k.hanna2@liverpool.ac.uk.ORCID https://orcid.org/0000-0001-7357-7749
Jacqueline CannonLewy Body Society, Wigan, UK.
Mark GabbayDepartment of Primary Care & Mental Health, University of Liverpool, Liverpool, UK.
Paul MarlowNIHR ARC NWC, Liverpool, UK.
Stephen MasonInstitute of Life Course and Medical Sciences, University of Liverpool, Liverpool, UK.
Manoj RajagopalLancashire and South Cumbria NHS Foundation Trust, Preston, UK.
Justine ShentonSefton Advocacy, Sefton, UK.
Hilary TetlowSURF Liverpool, Liverpool, UK.
Clarissa GiebelDepartment of Primary Care & Mental Health, University of Liverpool, Liverpool, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo report the experiences of End of Life (EoL) care in UK care homes during the COVID-19 pandemic.

methodsUK care home staff and family carers of residents in care home took part in remote, semi-structured interviews from October to November 2020, with 20 participants followed-up in March 2021. Interviews were conducted via telephone or online platforms and qualitatively analysed using inductive thematic analysis.

resultsForty-two participants (26 family carers and 16 care home staff) were included in a wider qualitative study exploring the impact on dementia care homes during the pandemic. Of these, 11 family carers and 9 care home staff participated in a follow-up interview. Following descriptive thematic analysis, three central themes concerning EoL care during the pandemic specifically, were conceptualised and redefined through research team discussions: 1) Wasting or losing time; 2) Maintaining control, plans and routine; and 3) Coping with loss and lack of support. Lack of suitable, meaningful visits with people with dementia in care homes resulted in negative feelings of guilt and abandonment with both family carers and care home staff. Where families experienced positive EoL visits, these appeared to breach public health restrictions at that time.

conclusionIt is recommended that care homes receive clear guidance from the government offering equitable contact with relatives at EoL to all family members, to support their grieving and avoid subsequent negative impacts to emotional wellbeing.

Indexed as

COVID-19DementiaTerminal CareHumansPandemicsUnited KingdomCare sectorCOVID-19 pandemicDementiaOlder adults

Identifiers

PMID35641946
PMCPMC9155982

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Registered trials

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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.