Evidence map›Paper›PMID 36262026›Full record

ArticleJournal of clinical nursing2024

Caregiving in the COVID-19 pandemic: Family adaptations following an intensive care unit hospitalisation.

Sheria G Robinson-Lane, Amanda N Leggett, Florence U Johnson, Natalie Leonard, Alicia G Carmichael, Grace Oxford, Tanbirul Miah, Johnny J Wright, Amanda C Blok, Theodore J Iwashyna and 1 more

Abstract read
In one paragraph

Article in Journal of clinical nursing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Barriers to and Facilitators of Family Caregiving of Patients With COVID-19 Early in the Pandemic.American journal of critical care : an official publication, American Association of Critical-Care Nurses · 2023
    Article
  9. 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

11 authors.

Sheria G Robinson-LaneDepartment of Systems, Populations, and Leadership, University of Michigan School of Nursing, Ann Arbor, Michigan, USA.ORCID https://orcid.org/0000-0002-8986-0941
Amanda N LeggettDepartment of Psychiatry, University of Michigan Medical School, Ann Arbor, Michigan, USA.
Florence U JohnsonDepartment of Systems, Populations, and Leadership, University of Michigan School of Nursing, Ann Arbor, Michigan, USA.ORCID https://orcid.org/0000-0002-6442-8650
Natalie LeonardBioSocial Methods Collaborative, Research Center for Group Dynamics, University of Michigan Institute for Social Research, Ann Arbor, Michigan, USA.ORCID https://orcid.org/0000-0001-8151-7869
Alicia G CarmichaelBioSocial Methods Collaborative, Research Center for Group Dynamics, University of Michigan Institute for Social Research, Ann Arbor, Michigan, USA.ORCID https://orcid.org/0000-0001-6181-8058
Grace OxfordBioSocial Methods Collaborative, Research Center for Group Dynamics, University of Michigan Institute for Social Research, Ann Arbor, Michigan, USA.
Tanbirul MiahBioSocial Methods Collaborative, Research Center for Group Dynamics, University of Michigan Institute for Social Research, Ann Arbor, Michigan, USA.
Johnny J WrightBioSocial Methods Collaborative, Research Center for Group Dynamics, University of Michigan Institute for Social Research, Ann Arbor, Michigan, USA.
Amanda C BlokDepartment of Systems, Populations, and Leadership, University of Michigan School of Nursing, Ann Arbor, Michigan, USA.ORCID https://orcid.org/0000-0002-5329-0393
Theodore J IwashynaVA Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan, USA.ORCID https://orcid.org/0000-0002-4226-9310
Richard GonzalezBioSocial Methods Collaborative, Research Center for Group Dynamics, University of Michigan Institute for Social Research, Ann Arbor, Michigan, USA.ORCID https://orcid.org/0000-0001-6334-0430

Funding

Research Education ComponentP30AG072931 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Henry L Paulson · 2021 to 2026
$26.5M
Michigan Alzheimer's Disease Core CenterP30AG053760 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PAULSON, HENRY L · 2016 to 2020
$10.1M
Complexity: Innovations in Promoting Health through Team ScienceT32NR016914 · NINR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARJORIE E MCCULLAGH · 2017 to 2026
$3.5M
Style and Substance: Characterizing Dementia Caregiving Styles and Associated Biopsychosocial and Health Services Utilization OutcomesK01AG056557 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LEGGETT, AMANDA NOEL · 2017 to 2021
$664k
Culturally Responsive Support Programming for Black Caregivers of Persons with DementiaK01AG065420 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ROBINSON-LANE, SHERIA GRICE · 2020 to 2024
$639k
NIA NIH HHS K01 AG056557NIA NIH HHS K01AG056557NIA NIH HHS K01 AG065420NIA NIH HHS K01AG065420NIA NIH HHS P30 AG053760NIA NIH HHS P30AG053760NIA NIH HHS P30 AG072931NINR NIH HHS NR016914NINR NIH HHS T32 NR016914
6 · The paper itself

Abstract

AIM AND

objectiveTo identify how family caregivers adapt to the caregiving role following a relative's COVID-19-related intensive care unit (ICU) hospitalisation.

backgroundFamily caregiving is often associated with poor health amongst caregivers which may limit their capacity to effectively support patients. Though severe COVID-19 infection has necessitated increasing numbers of persons who require caregiver support, little is known about these caregivers, the persons they are caring for, or the strategies used to effectively adjust to the caregiving role.

designA qualitative descriptive study design was adopted, and findings are reported using COREQ.

methodsA secondary analysis of transcripts from semi-structured interviews conducted with recently discharged ICU patients who had COVID-19 (n = 16) and their family caregivers (n = 16) was completed using thematic analysis. MAXQDA 2020 and Miro were used to organise data and complete coding. Analysis involved a structured process of open and closed coding to identify and confirm themes that elucidated adaptation to family caregiving.

resultsSix themes highlight how family caregivers adapt to the caregiving role following an ICU COVID-19-related hospitalisation including (1) engaging the support of family and friends, (2) increased responsibilities to accommodate caregiving, (3) managing emotions, (4) managing infection control, (5) addressing patient independence and (6) engaging support services. These themes were found to be congruent with the Roy adaptation model.

conclusionsFamily caregiving is a stressful transition following a patient's acute hospitalisation. Effective adaptation requires flexibility and sufficient support, beginning with the care team who can adequately prepare the family for the anticipated challenges of recovery. RELEVANCE TO CLINICAL PRACTICE: Clinical teams may improve post-hospitalisation care outcomes of patients by preparing families to effectively adjust to the caregiver role-particularly in identifying sufficient support resources. PATIENT OR PUBLIC CONTRIBUTION: Participation of patients/caregivers in this study was limited to the data provided through participant interviews.

Indexed as

COVID-19FamilyCaregiversHumansIntensive Care UnitsPandemicsPatient DischargeQualitative Researchcaregivercoronavirusfamilyfollow-up studiesinpatientspsychological adaptationqualitative research

Identifiers

PMID36262026
PMCPMC9874809

What OpenQuestion holds

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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.