Evidence map›Paper›PMID 36546591›Full record

SynthesisPalliative medicine2023

Understanding parent experiences of end-of-life care for children: A systematic review and qualitative evidence synthesis.

Laura Barrett, Lorna Fraser, Jane Noyes, Jo Taylor, Julia Hackett

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Palliative medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
12.6field-weighted citation impact, top 1% 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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Experiences of Family Caregivers of Children Aged 1-23 Months Who Have Received Pediatric Palliative Care: A Systematic Review With Qualitative Metasynthesis.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2025
    Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Japanese Version of the Quality of Dying and Death in the PICU Instrument: Development and Validation in Eight Centers in Japan.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Surgeon Perspectives on Cleft Lip and Palate Repair in Patients With Life-Limiting and Terminal Illnesses: An ACPA Member Survey.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2026
    Article
  11. Article
  12. Article
  13. "The American journal of hospice & palliative care · 2025
    Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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 at 2 institutions in 1 country.

Laura BarrettMartin House Research Centre, Department of Health Sciences, University of York, York, UK.ORCID 0000-0001-8721-8886
Lorna FraserMartin House Research Centre, Department of Health Sciences, University of York, York, UK.ORCID 0000-0002-1360-4191
Jane NoyesSchool of Social Science, Bangor University, Wales, UK.
Jo TaylorMartin House Research Centre, Department of Health Sciences, University of York, York, UK.ORCID 0000-0001-5898-0900
Julia HackettMartin House Research Centre, Department of Health Sciences, University of York, York, UK.ORCID 0000-0003-1720-6665
University of York · GBBangor University · GB

Funding

Department of Health
6 · The paper itself

Abstract

backgroundAn estimated 21 million children worldwide would benefit from palliative care input and over 7 million die each year. For parents of these children this is an intensely emotional and painful time through which they will need support. There is a lack of synthesised research about how parents experience the care delivered to their child at the end of life.

aimTo systematically identify and synthesise qualitative research on parents' experiences of end-of-life care of their child.

designA qualitative evidence synthesis was conducted. The review protocol was registered in PROSPERO (CRD42021242946). DATA SOURCES: MEDLINE, EMBASE, CINAHL, PsycINFO and Web of Science databases were searched for qualitative studies published post-2000 to April 2020. Studies were appraised for methodological quality and data richness. Confidence in findings was assessed by GRADE-CERQual.

resultsAbout 95 studies met the eligibility criteria. A purposive sample of 25 studies was taken, of good-quality papers with rich data describing the experience of over 470 parents. There were two overarching themes: parents of children receiving end-of-life care experienced a profound need to fulfil the parental role; and care of the parent. Subthemes included establishing their role, maintaining identity, ultimate responsibility, reconstructing the parental role, and continuing parenting after death.

conclusionsServices delivering end-of-life care for children need to recognise the importance for parents of being able to fulfil their parental role and consider how they enable this. What the parental role consists of, and how it's expressed, differs for individuals. Guidance should acknowledge the need to enable parents to parent at their child's end of life.

Indexed as

Hospice CareTerminal CareChildDeathHumansPalliative CareParentsQualitative ResearchchildEnd-of-life carepalliative careparentsqualitative researchsystematic review

Identifiers

PMID36546591
PMCPMC9896294
OpenAlexW4312094583

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.