Evidence map›Paper›PMID 39080626›Full record

ArticleBMC palliative care2024

Nurses' experiences of ethical challenges concerning thirst in dying patients in specialist palliative care: a qualitative study.

Maria Friedrichsen, Caroline Lythell, Micha Milovanovic, Nana Waldréus, Hans Thulesius, Tiny Jaarsma, Pier Jaarsma, Christel Hedman, Anne Söderlund Schaller

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In one paragraph

Article in BMC palliative care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

9 authors.

Maria FriedrichsenDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden. maria.friedrichsen@regionostergotland.se.
Caroline LythellDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Micha MilovanovicDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Nana WaldréusDepartment of Neurobiology, Care Sciences and Society, Division of Nursing, Theme Inflammation and Aging, Karolinska Institutet, Karolinska University Hospital, Huddinge, Huddinge, Sweden.
Hans ThulesiusDepartment of Medicine and Optometry, Faculty of Health and Life Sciences, Linnaeus University, Region Kronoberg, Kalmar, Växjö, Sweden.
Tiny JaarsmaDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Pier JaarsmaDivision of Society and Health, Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Christel HedmanDepartment of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
Anne Söderlund SchallerDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo describe nurses' experiences of ethical challenges in relation to thirst in terminally ill patients in specialist palliative care units. RESEARCH

designA qualitative, reflexive thematic design with an inductive analysis was used. PARTICIPANTS AND RESEARCH CONTEXT: Eighteen qualitative interviews with nurses working in six different specialist palliative care units in different hospitals in Sweden were conducted. The interviews were transcribed verbatim and analysed with a reflexive thematic analysis.

resultsThis study identified four themes that reflect ethical challenges experienced by nurses in the palliative care regarding thirst: Harmful infusions interfere with peaceful dying; conflict between tradition and personal experience; What is the right intervention to quench thirst? and; Lack of standard procedures, competence and interest among team members.

conclusionPalliative care nurses experience a number ethical challenges in relation to thirst in dying patients. The main challenge is the provision of fluids to dying patients via artificial infusions, which nurses struggle with, as they do not want to interfere with a peaceful dying process.

Indexed as

NursesPalliative CareQualitative ResearchThirstAdultAttitude of Health PersonnelFemaleHumansInterviews as TopicMaleMiddle AgedSwedenTerminal CareEthical challengesNursesSpecialist palliative careThirst

Identifiers

PMID39080626
PMCPMC11290186

What OpenQuestion holds

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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.