Evidence map›Paper›PMID 40128720›Full record

ArticleBMC nursing2025

Management of care for hospitalized older persons - comfort as an essential outcome: a qualitative study.

Esther Mourão Nicoli, Frances Valéria Costa E Silva, Célia Pereira Caldas, Luciana Guimarães Assad, Claudia Feio da Maia Lima, Miriam Marinho Chrizostimo

Abstract read
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In one paragraph

Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Esther Mourão NicoliRio de Janeiro State University, Boulevard September 28 Street, 157, Vila Isabel, Zip Code, Rio de Janeiro, 20551-030, RJ, Brazil. esther.mnicoli@gmail.com.
Frances Valéria Costa E Silva *Rio de Janeiro State University, Boulevard September 28 Street, 157, Vila Isabel, Zip Code, Rio de Janeiro, 20551-030, RJ, Brazil.
Célia Pereira Caldas *Rio de Janeiro State University, Boulevard September 28 Street, 157, Vila Isabel, Zip Code, Rio de Janeiro, 20551-030, RJ, Brazil.
Luciana Guimarães Assad *Rio de Janeiro State University, Boulevard September 28 Street, 157, Vila Isabel, Zip Code, Rio de Janeiro, 20551-030, RJ, Brazil.
Claudia Feio da Maia Lima *Federal University of Recôncavo da Bahia, Carlos Amaral Avenue, 1015, Cajueiro, Santo Antônio de Jesus, Zip Code 44430-622, BA, Brazil.
Miriam Marinho Chrizostimo *Aurora de Afonso Costa School of Nursing, Fluminense Federal University, Miguel de Frias Street, 9, Icaraí, Niterói, Zip Code, 24220-900, RJ, Brazil.

Funding

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior do Ministério da Educação (CAPES) 88887.629729/2021- 00Fundação Carlos Chagas Filho de Amparo à Pesquisa do Estado do Rio de Janeiro E-26/202.543/2022 (277517)
6 · The paper itself

Abstract

backgroundThe global aging population highlights the need for accurate care management, tailored to their specific needs. This study investigated the production of comfort as a therapeutic outcome of nursing care management for hospitalized older persons.

methodsThis exploratory descriptive research was conducted in 9 medical wards and 4 surgical wards of a university hospital in the state of Rio de Janeiro, Brazil, via a qualitative approach. Between May and June, 2022, the researchs collected data from 19 nurses in management positions. Semistructured interviews were conducted, and the researchers investigated the data thus collected via thematic-categorical content analysis on the basis of the approach developed by Bardin. The theoretical framework was based on Kolcaba's Comfort Theory.

resultsInadequate staffing was the main challenge among the forces (barriers) that were observed to obstruct the care management of hospitalized older persons, what lead to task prioritization that favored techinical over comfort-focued care. Additionally, the overload and stress faced by nurses created discomfort for the team, which was reflected in the care that they provided. The results also revealed that a lack of knowledge represented a significant challenge because professional insecurity led nurses to choose restrictive interventions; however, this approach ultimately sacrified comfort. Alongside with leadership, experience emerged as a primary facilitating force. The main risks faced by hospitalized older persons that were identified by nurses included falls, pressure injuries, delirium, pneumonia, and bronchoaspiration. The main nursing interventions used to ensure comfort and safety of hospitalized older persons pertained to the environment as well as to the need to encourage the presence of family members. However, intervening variables, beyond the professional's control, such as inapproprieted hospital infrastructure and the unavailability of family members, were not considered. As a result, the interventions proved to be ineffective since they did not address these factors that impacted patient's levels of comfort.

conclusionsAnalysis of the findings of this research revealed that although care management focused on promoting comfort, safety and autonomy among patients, nursing practices prioritized patient safety while sacrificing comfort and autonomy.

trial registrationThis work was approved by the Ethics Committee - no. 57513722.0.0000.5282.

Indexed as

AgedGeriatric nursingPatient comfortPatient safety

Identifiers

PMID40128720
PMCPMC11934488

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LicenceCC BY-NC-ND
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Registered trials

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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.