Evidence map›Paper›PMID 38813757›Full record

ArticlePalliative medicine2024

"Collateral beauty." Experiences and needs of professionals caring for parents continuing pregnancy after a life-limiting prenatal diagnosis: A grounded theory study.

Konstanze Wiesner, Kerstin Hein, Gian Domenico Borasio, Monika Führer

Abstract read
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Article in Palliative medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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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.

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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

4 authors.

Konstanze WiesnerCenter for Pediatric Palliative Care, Dr von Hauner Children's Hospital, LMU University Hospital, LMU Munich, Munich, Germany.ORCID 0009-0006-2239-9624
Kerstin HeinCenter for Pediatric Palliative Care, Dr von Hauner Children's Hospital, LMU University Hospital, LMU Munich, Munich, Germany.ORCID 0000-0002-4217-0513
Gian Domenico BorasioCenter for Pediatric Palliative Care, Dr von Hauner Children's Hospital, LMU University Hospital, LMU Munich, Munich, Germany.
Monika FührerCenter for Pediatric Palliative Care, Dr von Hauner Children's Hospital, LMU University Hospital, LMU Munich, Munich, Germany.ORCID 0000-0002-2677-2303

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCaring for parents continuing pregnancy after learning about a severe life-limiting condition in their unborn is challenging. Most existing studies focus on affected families, whereas research on the subjective experience of care professionals is scarce.

aimWe aimed to (1) explore experiences and needs of involved care professionals, (2) obtain information about existing care structures, and (3) identify requirements for a structured perinatal palliative care program.

designGrounded Theory study using theoretical sampling. Data was collected by semi-structured interviews and analyzed following the principles of grounded theory coding and situational analysis.

settingA total of 18 professionals from 12 different services in Munich and surroundings participated in the study: 8 physicians, 3 midwives, 2 nurses, 1 each pregnancy counselor, grief counselor, chaplain, clinical psychologist, and undertaker.

resultsSeveral organizations provide support for affected parents, but inter-institutional communication is scarce. Due to the lack of a dedicated perinatal palliative care program, professionals make immense and partly unpaid efforts to support concerned parents. Providers experience "collateral beauty" in their work despite all the suffering and grief. This includes the development of a humble attitude and feelings of gratitude toward life, the feeling of having a meaningful task and professional as well as personal growth. Requirements for a structured perinatal palliative care program include: fostering peer support, ensuring regular supervision, and enhancing interdisciplinary exchange.

conclusionsPerinatal palliative care demands a high level of personal engagement but is experienced as highly rewarding by care professionals.

Indexed as

Grounded TheoryPalliative CareParentsPrenatal DiagnosisAdultAttitude of Health PersonnelFemaleGriefHealth PersonnelHumansMaleMiddle AgedPregnancyQualitative Researchgrounded theorypalliative carePerinatal palliative careperinatal palliative care programpersonal growth

Identifiers

PMID38813757
PMCPMC11157982

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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.