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A rapid umbrella review of the literature surrounding the provision of patient-centred end-of-life care.
- Source :
-
Palliative medicine [Palliat Med] 2023 Sep; Vol. 37 (8), pp. 1079-1099. Date of Electronic Publication: 2023 Jul 13. - Publication Year :
- 2023
-
Abstract
- Background: Patients have reported a broad range of unmet needs in their receipt of clinical care at the end of life. Therefore, enhancing the quality of end-of-life care through patient-centred healthcare interactions is warranted.<br />Aim: The aim of this rapid umbrella review was to synthesise previous literature reviews that have examined: (1) patient preferences for patient-centred end-of-life care; (2) barriers and enablers to patient-centred end-of-life care; (3) interventions designed to enhance patient-centred end-of-life care; and (4) patient-centred models of end-of-life care.<br />Design: A rapid umbrella review was conducted and informed by the Joanna Briggs Institute's methodological guidance for conducting umbrella reviews.<br />Data Sources: Three academic databases were searched for relevant literature in May 2022: MEDLINE, PsycINFO and CINAHL Plus. Inclusion criteria encompassed literature reviews that examined the topic of patient-centred care for any adult patients in end-of-life care.<br />Results: A total of 92 literature reviews were identified. Findings suggest that there is often a discrepancy between patient preferences and the provision of care. These discrepancies have been associated with a range of barriers at the patient, staff and system levels. Common interventions included education and training for staff which were often met with improved patient outcomes. Patient-centred models of care were underrepresented across the literature.<br />Conclusions: This review highlighted a need for healthcare systems to support staff in providing a patient-centred end of life experience through the development of a co-designed patient-centred model of care, supplemented by professional development and a systematic approach to identifying and documenting patient preferences.
Details
- Language :
- English
- ISSN :
- 1477-030X
- Volume :
- 37
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- Palliative medicine
- Publication Type :
- Academic Journal
- Accession number :
- 37448148
- Full Text :
- https://doi.org/10.1177/02692163231183007