Evidence map›Paper›PMID 40701785›Full record

ArticleBMJ supportive & palliative care2025

Parents' experiences of paediatric end-of-life care in the UK: a multisite qualitative study.

George Peat, Emma Victoria McLorie, Laura Barrett, Helen Weatherly, Sebastian Hinde, Gabriella Lake Walker, Jane Noyes, Sam Oddie, Chakrapani Vasudevan, Richard Feltbower and 8 more

Abstract readMulticenter Study
In one paragraph

Article in BMJ supportive & palliative care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

18 authors.

George PeatDepartment of Social Work, Education and Community Wellbeing, Northumbria University, Newcastle upon Tyne, UK.ORCID http://orcid.org/0000-0002-0293-2456
Emma Victoria McLorieSchool of Healthcare, University of Leeds, Leeds, UK.ORCID http://orcid.org/0000-0003-2043-7069
Laura BarrettDepartment of Health Sciences, University of York, York, England, UK.ORCID http://orcid.org/0000-0001-8721-8886
Helen WeatherlyCentre for Health Economics, University of York, York, UK.ORCID http://orcid.org/0000-0002-9117-6452
Sebastian HindeCentre for Health Economics, University of York, York, UK.ORCID http://orcid.org/0000-0002-7117-4142
Gabriella Lake WalkerDepartment of Health Sciences, University of York, York, England, UK.ORCID http://orcid.org/0009-0005-2693-4041
Jane NoyesSchool of Medical and Health Sciences, Bangor University, Bangor, UK.ORCID http://orcid.org/0000-0003-4238-5984
Sam OddieNeonatal Unit, Bradford Hospitals National Health Service Trust, Bradford, UK.ORCID http://orcid.org/0000-0001-8701-4912
Chakrapani VasudevanBradford Teaching Hospitals NHS Foundation Trust, Bradford, Bradford, UK.
Richard FeltbowerLeeds Institute for Data Analytics; Child Health Outcomes Research at Leeds (CHORAL), University of Leeds, Leeds, UK.ORCID http://orcid.org/0000-0002-1728-9408
Bob PhillipsCentre for Reviews and Dissemination, University of York, York, UK.ORCID http://orcid.org/0000-0002-4938-9673
Catherine Elizabeth HewittDepartment of Health Sciences, University of York, York, England, UK.ORCID http://orcid.org/0000-0002-0415-3536
Richard HainNoah's Ark Children's Hospital for Wales, Cardiff, Wales, UK.
Gayathri SubramanianPCC, Royal Manchester Children's Hospital, Manchester, Manchester, UK.ORCID http://orcid.org/0000-0003-1771-4002
Andrew HaynesThe Paediatric Palliative Care Research Group, University of York, York, UK.ORCID http://orcid.org/0000-0003-3030-629X
Lorna FraserCicely Saunders Institute, King's College London, London, UK.ORCID http://orcid.org/0000-0002-1360-4191
Fliss MurtaghWolfson Palliative Care Research Centre, University of Hull, Hull, UK.ORCID http://orcid.org/0000-0003-1289-3726
Julia HackettCicely Saunders Institute, King's College London, London, UK julia.hackett@kcl.ac.uk.ORCID http://orcid.org/0000-0003-1720-6665

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesDespite the marked improvement in child mortality over the last two decades, more than 7 million infants, children and young people still die worldwide every year. In the UK, four National Health Service settings care for more than 60% of the children who die each year: neonatal and paediatric intensive care units and children and teenager cancer principal treatment centres. There is limited evidence on how end-of-life care is experienced by parents and how this differs across settings. We aimed to explore parents' experiences of receiving end-of-life care for their child in these settings.

methodsA multisite qualitative study involving in-depth interviews with bereaved parents, analysed using reflexive thematic analysis. Recruitment via 14 National Health Service sites, three children's hospices and two third sector organisations across the UK.

results55 parents participated (37 mothers, 18 fathers), representing 44 children and young people (median age 7 years, range 0-23 years). 42 interviews were conducted. Experiences of care were highly variable. Parents' perceptions of high quality end-of-life care were highlighted within three themes: (1) building the foundations for high quality end-of-life care; (2) working together towards best decisions and care and (3) continuing care after death and into bereavement.

conclusionsBereaved parents' experiences of care at the end of life are too inconsistent. Feeling heard is crucial; without it, there is no foundation on which adequate end-of-life care can be built. Care must be tailored to the circumstances of each family and should continue after a child's death and into bereavement.

Indexed as

ParentsTerminal CareAdolescentAdultBereavementChildChild, PreschoolFemaleHumansInfantInfant, NewbornMaleQualitative ResearchUnited KingdomYoung AdultEnd of life carePaediatricsPalliative Care

Identifiers

PMID40701785
PMCPMC12421113

What OpenQuestion holds

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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.