Evidence map›Paper›PMID 36720577›Full record

ArticleBMJ open2023

Providing care for children with tracheostomies: a qualitative interview study with parents and health professionals.

Nicola Hall, Nikki Rousseau, David W Hamilton, A John Simpson, Steven Powell, Malcolm Brodlie, Jason Powell

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. 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

7 authors at 3 institutions in 1 country.

Nicola HallPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Nikki RousseauSurgical, Diagnostic and Devices Division, University of Leeds, Leeds, UK.
David W HamiltonPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
A John SimpsonTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.
Steven PowellDepartment of Paediatric Otolaryngology, Great North Children's Hospital, Newcastle upon Tyne, UK.ORCID 0000-0001-7181-4608
Malcolm BrodlieTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.
Jason PowellTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK jason.powell@doctors.org.uk.ORCID 0000-0002-1199-8406
Great North Children's Hospital · GBNewcastle University · GBUniversity of Leeds · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo explore the experience of caring for children with tracheostomies from the perspectives of parents and health professional caregivers.

designQualitative semistructured interview study.

settingOne region in England covered by a tertiary care centre that includes urban and remote rural areas and has a high level of deprivation.

participantsA purposive sample of health professionals and parents who care for children who have, or have had, tracheostomies and who received care at the tertiary care centre.

interventionInterviews undertaken by telephone or video link. PRIMARY AND SECONDARY OUTCOME MEASURES: Qualitative reflexive thematic analysis with QSR Nvivo 12.

resultsThis paper outlines key determinants and mediators of the experiences of caregiving and the impact on psychological and physical health and quality of life of parents and their families, confidence of healthcare providers and perceived quality of care. For parents, access to care packages and respite care at home as well as communication and relationships with healthcare providers are key mediators of their experience of caregiving, whereas for health professionals, an essential influence is multidisciplinary team working and support. We also highlight a range of challenges focused on the shared care space, including: a lack of standardisation in access to different support teams, care packages and respite care, irregular training and updates, and differences in health provider expertise and experiences across departments and shift patterns, exacerbated in some settings by limited contact with children with tracheostomies.

conclusionsUnderstanding the experiences of caregiving can help inform measures to support caregivers and improve quality standards. Our findings suggest there is a need to facilitate further standardisation of care and support available for parent caregivers and that this may be transferable to other regions. Potential solutions to be explored could include the development of a paediatric tracheostomy service specification, increasing use of paediatric tracheostomy specialist nurse roles, and addressing the emotional and psychological support needs of caregivers.

Indexed as

Quality of LifeTracheostomyChildHealth PersonnelHumansParentsQualitative ResearchPaediatric otolaryngologyQUALITATIVE RESEARCHQuality in health care

Identifiers

PMID36720577
PMCPMC9890767
OpenAlexW4318711929

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.