Evidence map›Paper›PMID 38557352›Full record

ArticleBMJ supportive & palliative care2024

Home symptom management training programme: carer evaluation.

Deborah Parker, Liz Reymond, Karen Cooper, Jennifer Tieman, Serra Ivynian

Open access · hybridAbstract read
In one paragraph

Article in BMJ supportive & palliative care, 2024. 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, top 89% of its field
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, 0 citations in OpenAlex.

  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

5 authors at 3 institutions in 1 country.

Deborah ParkerImproving Palliative, Aged and Chronic Care through Clinical Research and Translation, University of Technology Sydney, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0002-2611-1900
Liz ReymondBrisbane South Palliative Care Collaborative, Brisbane, Queensland, Australia.
Karen CooperBrisbane South Palliative Care Collaborative, Brisbane, Queensland, Australia.
Jennifer TiemanResearch Centre for Palliative Care Death & Dying, Flinders University, Adelaide, South Australia, Australia.ORCID http://orcid.org/0000-0002-2611-1900
Serra IvynianImproving Palliative, Aged and Chronic Care through Clinical Research and Translation, University of Technology Sydney, Sydney, New South Wales, Australia Serra.Ivynian@uts.edu.au.ORCID http://orcid.org/0000-0001-6984-8702
University of Technology Sydney · AUFlinders University · AUGriffith University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesMost people say if they had a terminal illness, they would prefer to be cared for at home and, if possible, to die there. Often this is not possible without a carer to assist with on-going practical care and symptom management. If breakthrough symptoms are not treated in a timely manner, symptoms can escalate quickly causing increased suffering resulting in unwanted hospital transfers. Many carers report feeling motivated but uneducated for the task of medicine management, especially if it involves preparation and/or administration of subcutaneous medicines This study assesses the impact of an education and resource package, caring@home, on carers' confidence, knowledge, and skills in managing palliative symptoms at home using subcutaneous medicines.

methodsNurses trained volunteer carers on the use of the package. Carers were invited to complete a 10 min written evaluation survey and to consider consenting to a 30 min semistructure phone interview.

resultsFifty carers returned surveys and 12 were interviewed. Most carers agreed or strongly agreed that the package provided them with the necessary knowledge, skills and confidence to safely and confidently manage breakthrough symptoms using subcutaneous medicines, further, they would recommend the package to others. Interview analysis revealed three main themes: (1) hesitation and motivation to adopt expanded carer role; (2) the importance of a layered approach to support; and (3) avoiding perceived unnecessary contact with nurses.

conclusionThe programme can be used by clinical services to empower carers to help enable a person to be cared for, and to die at home.

Indexed as

CaregiversPalliative CareDelivery of Health CareHumansPharmaceutical PreparationsSurveys and QuestionnairesPharmaceutical Preparationscarerspalliative caresubcutaneous medicinesymptom management

Identifiers

PMID38557352
PMCPMC10850680
OpenAlexW4281848276

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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 Socratic graph.