Evidence map›Paper›PMID 42131391›Full record

ReviewRwanda journal of medicine and health sciences2026

Mapping Existing Informal Home Caregiver Support Guidelines for Palliative Care: A Scoping Review.

Jean Claude Twahirwa, Marg Fitch, Godfrey Katende, Madeleine Mukeshimana

Abstract readReview
In one paragraph

Review in Rwanda journal of medicine and health sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Jean Claude TwahirwaSchool of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Marg FitchBloomberg Faculty of Nursing, University of Toronto, Canada.
Godfrey KatendeAga Khan University John Hopkins University.
Madeleine MukeshimanaSchool of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Although health systems increasingly recognize the benefits of home-based palliative care, informal caregivers often lack adequate training and guidance to support terminally ill patients effectively. This underscores the need for comprehensive guidelines addressing pain and symptom management as well as patients' social, psychological, economic, and spiritual needs. This scoping review aimed to identify reliable guidelines to support informal home-based caregivers for patients cared for in home-based palliative care services. Methods: A literature scoping review using Arksey and O'Malley's five-step process identified 1055 studies, excluding non-English publications, opinion pieces, and grey literature without full-texts. Of these, 58 articles were assessed for inclusion, focusing on informal caregivers supporting adults with advanced chronic conditions or in palliative care. Results: The review identified key themes in existing guidelines for home-based palliative caregivers, including recognition of palliative care as a fundamental human right. However, substantial inconsistencies were found in scope, depth, and content, with no standardized approach to guide essential care practices. Conclusion: This review examined global literature on informal home-based caregiver support in palliative care, with relevance to Rwanda. Findings showed that available documents were largely policy-oriented and lacked detailed guidance on comprehensive care and clearly defined caregiver roles. Key priorities include integrating palliative care into health systems, recognizing it as a legal right, ensuring culturally appropriate home-based care, and strengthening caregiver support. Effective service delivery requires holistic approaches, defined team roles, harmonized care models, and ongoing monitoring to ensure sustainable, high-quality care.

Indexed as

guidelineshome caregiverinformalpalliative caresupport

Identifiers

PMID42131391
PMCPMC13161698

What Socratic holds

Textmetadata
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 Socratic graph.