1. Levels and Determinants of Place-Of-Death Congruence in Palliative Patients: A Systematic Review
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Sofía García-Sanjuán, Manuel Fernández-Alcántara, Violeta Clement-Carbonell, Concepción Petra Campos-Calderón, Núria Orts-Beneito, María José Cabañero-Martínez, Universidad de Alicante. Departamento de Enfermería, Universidad de Alicante. Departamento de Psicología de la Salud, Person-centred Care and Health Outcomes Innovation / Atención centrada en la persona e innovación en resultados de salud (PCC-HOI), Calidad de Vida, Bienestar Psicológico y Salud, and Psicología Aplicada a la Salud y Comportamiento Humano (PSYBHE)
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end of life ,palliative care ,congruence ,BF1-990 ,Congruence ,Hospital ,systematic review ,Place of death ,Personalidad, Evaluación y Tratamiento Psicológico ,End of life ,Palliative care ,Systematic review ,Psicología Básica ,Psychology ,Enfermería ,Patient preference ,hospital ,place of death ,patient preference ,General Psychology - Abstract
Funding This work was supported by grants UGP-18-255, UGP-19-253, and UGP-20-038 from ISABIAL and PI17/00328 from the Carlos III Health Research Institute (ISCIII) belonging to the Spanish Ministry of Health, and by FEDER (A way of making Europe) project funds., Introduction: Congruence, understood as the agreement between the patient’s preferred place of death and their actual place of death, is emerging as one of the main variables indicating the quality of end-of-life care. The aim of this research was to conduct a systematic literature review on levels and determinants of congruence in palliative patients over the period 2010–2021. Method: A systematic review of the literature in the databases of PubMed, Scopus, Web of Science, PsycINFO, CINAHL, Cuiden, the Cochrane Library, CSIC Indexes, and IBECS. Information was extracted on research characteristics, congruence, and associated factors. Results: A total of 30 studies were identified, mainly of retrospective observational design. The congruence values varied substantially between the various studies, ranging from 21 to 100%. The main predictors of congruence include illness-related factors (functional status, treatments and diagnosis), individual factors (age, gender, marital status, and end of life preferences), and environmental factors (place of residence, availability of health, and palliative care services). Conclusion: This review, in comparison with previous studies, shows that treatment-related factors such as physical pain control, marital status, having a non-working relative, age, discussing preferred place of death with a healthcare professional, and caregiver’s preference have been associated with higher levels of congruence. Depending on the study, other factors have been associated with either higher or lower congruence, such as the patient’s diagnosis, gender, or place of residence. This information is useful for designing interventions aimed towards greater congruence at the end of life., Carlos III Health Research Institute (ISCIII) UGP-18-255 UGP-19-253 UGP-20-038 PI17/00328, FEDER (A way of making Europe)
- Published
- 2022
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