RNSystematic ReviewThe American journal of hospice & palliative care2024

Nursing Support for Caregiver Burden in Family Caregivers of Patients With Cancer: A Scoping Review.

Kohei Kajiwara, Masamitsu Kobayashi, Miharu Morikawa and 6 others

PMID 37963324

WHAT IT FOUND

Seven types of nursing support were mapped for family caregiver burden in cancer, including education, ICT, stress reduction, and mindfulness; telephone support showed no improvement.

Key findings

01The review included 34 studies and sorted nursing support into 7 components.

02Twenty included studies reported improvement in caregiver burden after intervention, while telephone-based interventions showed no improvement.

03The review did not assess methodological quality, so it maps support types rather than proving effectiveness.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The search was limited to studies published in Japanese and English. The review did not assess methodological quality. The conclusion is based on mapping nursing support rather than proving effectiveness. Studies were included only if at least 80% of participants were patients with cancer, so caregiver burden in other populations was not covered. Cancer stages were broad, so effects by disease characteristics could not be determined. Caregiver burden was not operationally defined to separate subjective and objective burden. Many interventions were combined with usual care or multidisciplinary support, so the contribution of any single component cannot be isolated.

Declared interests

The authors declared no potential conflicts of interest. Funding came from JSPS KAKENHI grant 21H03236, and the study received guidance from the National Center Consortium in Implementation Science for Health Equity, funded by the Japan Health Research Promotion Bureau Research Fund and project fund.

The easy way to misread this

Do not read the included positive studies as proof that nursing support reduces caregiver burden. This scoping review did not assess methodological quality or effectiveness, many interventions were combined with usual care or multidisciplinary support, and telephone-based interventions showed no improvement.

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