Evidence map›Paper›PMID 41159560›Full record

SynthesisJournal of advanced nursing2026

Nursing Interventions to Support Family Caregivers of Patients on Haemodialysis: A Mixed-Methods Systematic Review.

Hélder Araújo, Ermelinda Marques, Inês Lourenço, Célia Bonifácio, Filipe Gomes

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of advanced nursing, 2026. 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

5 authors.

Hélder AraújoInstituto Politécnico da Guarda, Escola Superior de Saúde, Nephrocare Covilhã, Covilhã, Portugal.
Ermelinda MarquesInstituto Politécnico da Guarda, Sport Physical Activity and Health Research & Innovation Center (SPRINT), Rede de Investigação em Saúde (RISE-HEALTH), Centro de Estudos em Educação e Inovação (CI&DEI), Centro Académico Clínico das Beiras, Covilhã, Portugal.
Inês LourençoULS Cova da Beira, UCSP, Covilhã, Portugal.
Célia BonifácioULS Cova da Beira, UCSP, Covilhã, Portugal.
Filipe GomesInstituto Politécnico da Guarda, Escola Superior de Saúde, CIDNUR-Nursing Research, Innovation and Development Centre of Lisbon, Lisbon, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo identify and synthesise nursing interventions directed at family caregivers of patients with end-stage renal disease undergoing haemodialysis.

designA convergent-integrated mixed-methods systematic review. DATA SOURCES: A comprehensive search was conducted in EBSCOHost databases (Academic Search Complete, CINAHL Complete, MEDLINE with Full Text, MedicLatina, ERIC) and the PubMed database. Studies were appraised using the Mixed-Methods Appraisal Tool (MMAT), and interventions were classified using the Cochrane Effective Practice and Organisation of Care taxonomy. REVIEW

methodsQuantitative data were narratively synthesised and transformed into textual descriptions to enable integration with qualitative findings. A thematic synthesis was conducted to group similar concepts.

resultsTwenty-three studies met the inclusion criteria. Most were quantitative or mixed methods with moderate-to-high methodological quality. Interventions were primarily classified as disease management (n = 10) or self-management support (n = 9). Common components included education, coping strategies, empowerment, and psychosocial support. Positive effects were observed on caregiver quality of life, anxiety, depression, and self-efficacy. Caregiver burden outcomes were mixed, potentially influenced by time and intervention intensity. Additional benefits were noted from relaxation techniques and intradialytic exercise. Qualitative data revealed culturally embedded coping strategies such as spiritual practices, time management and seeking social support.

conclusionEducational and empowerment-based nursing interventions-particularly those supporting dyadic coping and family-centred care-can improve caregiver outcomes. Frameworks such as the Roy Adaptation Model and the 'Timing it Right' approach enhance intervention design and relevance. IMPACT: By addressing caregiver needs through structured education, psychosocial support and contextually sensitive approaches, nurses can mitigate caregiver burden and promote long-term caregiver well-being and patient adherence to treatment. PATIENT OR PUBLIC CONTRIBUTION: Although patients and caregivers were not directly involved, this review contributes to improving nursing care for family caregivers of individuals with ESRD, aiming to enhance their quality of life.

Indexed as

CaregiversFamilyKidney Failure, ChronicRenal DialysisAdaptation, PsychologicalAdultAgedFemaleHumansMaleMiddle AgedQuality of LifeSocial Supportchronic illnessfamily caremixed methods designquality of liferenal nursing

Identifiers

PMID41159560
PMCPMC13176686

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.