End-of-Life Care Challenges from Staff Viewpoints in Emergency Departments: Systematic Review

The hospital emergency department (ED) is the place where people most commonly seek urgent care. The initial diagnosis of an end-of-life (EOL) condition may occur in the ED. In this review we described the challenges; from the staff members’ perspectives, to safe, appropriate, and high quality end-o...

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Published inHealthcare (Basel) Vol. 7; no. 3; p. 83
Main Authors Alqahtani, Ali J., Mitchell, Geoffrey
Format Journal Article
LanguageEnglish
Published Switzerland MDPI AG 29.06.2019
MDPI
Subjects
Cancer
Chronic illnesses
Content analysis
Departments
Developing countries
Emergency medical care
Hospitals
Industrialized nations
Information sources
LDCs
Librarians
Nurses
Palliative care
Physicians
Quality of life
Review
Subject heading schemes
Systematic review
United Kingdom > UK
Thailand
United States > US
staff view
terminal care
emergency department
palliative care
end-of-life care
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Summary:The hospital emergency department (ED) is the place where people most commonly seek urgent care. The initial diagnosis of an end-of-life (EOL) condition may occur in the ED. In this review we described the challenges; from the staff members’ perspectives, to safe, appropriate, and high quality end-of-life care (EOLC) for people who are diagnosed with non-malignant diseases who present to ED settings internationally. We conducted a systematic review of peer-reviewed literature. PubMed, Scopus, CINAHL, Medline, and Web of Science were searched from 2007 to 2017. In this review the challenges in providing quality EOLC from staff viewpoints, for EOL people who are diagnosed with non-malignant progressive diseases in ED settings, were classified into eight themes: (1) EOLC education and training, (2) ED design, (3) Lack of family support, (4) Work Load, (5) ED staff communication and decision making, (6) EOLC quality in ED, (7) resource availability (time, space, appropriate interdisciplinary personnel) and (8) integrating palliative care (PC) in ED. The formulation of EOLC using this review result may help to improve the quality of life for dying people by providing ED staff with clear guidelines that can guide them in their daily practice
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ISSN:2227-9032
2227-9032
DOI:10.3390/healthcare7030083