Evidence map›Paper›PMID 41607243›Full record

ArticlePalliative & supportive care2026

Experiences of bereaved family caregivers of patients with Alzheimer's disease regarding do-not-resuscitate orders: A qualitative study.

Hsin-Hsin Shih, Chin-Yi Lo, Shu-Hua Lu, Pi-Chu Lin, Kwo-Chen Lee

Abstract read
In one paragraph

Article in Palliative & supportive care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

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No citing paper in PubMed yet.

4 · The record

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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.

Hsin-Hsin ShihSchool of Nursing, China Medical University, Taichung, Taiwan.
Chin-Yi LoEvangelical Lutheran Senior Long-Term Care Facility, affiliated with the China Evangelical Lutheran Church, Taichung, Taiwan.
Shu-Hua LuSchool of Nursing, China Medical University, Taichung, Taiwan.
Pi-Chu LinSchool of Nursing, Asia University, Taichung, Taiwan.
Kwo-Chen LeeSchool of Nursing, China Medical University, Taichung, Taiwan.ORCID https://orcid.org/0000-0002-8064-2331

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to explore the end-of-life decision-making experiences of bereaved family caregivers of Alzheimer's disease (AD) patients, focusing on do-not-resuscitate orders. Given the high emotional and ethical burden on caregivers, understanding their challenges and needs is crucial to enhancing palliative care for AD patients.

methodsA qualitative, exploratory study was conducted using semi-structured interviews with 22 family caregivers recruited through purposive sampling in central Taiwan. Participants were primary caregivers for AD patients who had been bedridden for at least a year before death. Analysis employed inductive thematic coding to identify key themes, with rigor ensured through multiple coding, member checking, and reflective journaling.

resultsThree major themes emerged: (1) Decision-making difficulties, where caregivers felt pressure and conflict when making urgent decisions; (2) Willingness to let go, which involved accepting the inevitability of death when recovery was no longer possible; and (3) Embracing the consequences of the decision, reflecting caregivers' sense of relief and acceptance post-decision. Cultural factors, such as filial piety, were found to influence decision-making processes, often intensifying emotional conflicts.

conclusionsFindings underscore the importance of early, culturally sensitive discussions around end-of-life care in palliative settings for AD patients. Healthcare providers are encouraged to initiate these discussions, offering clear explanations and emotional support to assist caregivers through decision-making. This study highlights the need for a family-centered approach that respects cultural nuances, helping to reduce caregiver stress and enhance the quality of palliative care in AD contexts.

Indexed as

Alzheimer DiseaseBereavementCaregiversResuscitation OrdersAdultAgedAged, 80 and overDecision MakingFemaleHumansInterviews as TopicMaleMiddle AgedQualitative ResearchTaiwanAlzheimer’s diseasebereaved caregiversdo-not-resuscitate (DNR) ordersend-of-life decision-makingpalliative care

Identifiers

PMID41607243
PMCPMC13166352

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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.