Evidence map›Paper›PMID 40772519›Full record

ArticleScandinavian journal of caring sciences2025

Navigating the Healthcare System With Chronic Illness: A Qualitative Study of Caregiver Experiences.

Malene Missel, Geana Paula Kurita, Merlin Kirstine Egeberg Lindblad, Louise Laursen, Inge Eidemak, Ditte Tang Johansen, Sille Larsen, Nanna Witting, Karin Piil, Linda Kahr Andersen

Abstract read
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Article in Scandinavian journal of caring sciences, 2025. 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

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.

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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

10 authors.

Malene MisselDepartment of Cardiothoracic Surgery, Copenhagen University Hospital, Copenhagen, Denmark.ORCID https://orcid.org/0000-0003-3267-8038
Geana Paula KuritaDepartment of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
Merlin Kirstine Egeberg LindbladSection of Palliative Medicine, Department of Oncology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Louise LaursenSection of Palliative Medicine, Department of Oncology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Inge EidemakSection of Palliative Medicine, Department of Oncology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Ditte Tang JohansenSection of Palliative Medicine, Department of Oncology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Sille LarsenSection of Palliative Medicine, Department of Oncology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Nanna WittingDepartment of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
Karin PiilDepartment of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
Linda Kahr AndersenCopenhagen Neuromuscular Center, Department of Neurology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.ORCID https://orcid.org/0000-0002-4780-7739

Funding

Region Hovedstaden, Denmark
6 · The paper itself

Abstract

backgroundChronic illness management often requires ongoing self-care by patients, along with complex interactions with healthcare professionals. Informal caregivers play a crucial role in supporting individuals with chronic conditions; however, they often feel unsupported and overlooked within the healthcare system. Understanding the challenges caregivers face when interacting with healthcare professionals is essential for improving caregiver support and patient outcomes.

aimsThis study aims to generate new knowledge about how informal caregivers experience their role and navigate interactions with healthcare professionals in the context of chronic illness care.

methodsWe used a phenomenological hermeneutical approach inspired by Ricoeur's philosophy. Data were collected through individual interviews with eleven diverse caregivers of persons with chronic illnesses, focusing on their interactions with healthcare professionals. The interviews were analysed using interpretive methods to uncover deeper meanings in the caregivers' narratives.

findingsFour main themes emerged, highlighting caregivers' interactions with healthcare professionals: Trust and tension in specialised care, Recognising the individuals behind the caregiver roles, The caregiver as translator and entrepreneur between patient and healthcare professionals, and The silent struggle of caregivers. Caregivers expressed trust and security in specialised hospital settings, but also frustration over inconsistent communication and lack of proactive support. They acted as essential mediators and entrepreneurs in the healthcare process, facing significant burdens. Caregivers also emphasised the need for more personalised attention and recognition from healthcare professionals.

conclusionsCaregivers often serve as translators, advocates, and coordinators, underscoring the need for healthcare professionals to better integrate and support them. To improve clinical care, healthcare systems must adopt more inclusive practices, enhance communication, and value caregivers' expertise, guided by frameworks such as family systems theory and Habermas' system and lifeworld theory.

Indexed as

CaregiversDelivery of Health CareAdultAgedAged, 80 and overChronic DiseaseFemaleHumansMaleMiddle AgedQualitative Researchchronic illnesshealthcare professionalsinformal caregiverspatient‐centred carephenomenological hermeneutics

Identifiers

PMID40772519
PMCPMC12329780

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LicenceCC BY
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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.